MEMQ1 - GIT
 
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MEMQ1 - GIT

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Mr Muthu Bart, a 45 year old man with a background history of excessive alochol use, presents with 3 hours of sudden onset severe epigastric pain. He felt nauses and has vomited a couple of times. 

On examination, he looked pale with a temperature of 38 C and HR of 110/min, you noticed he is sweating as well. His abdomen is extremely tender in the epigastrium with rebound tenderness and guarding. You noticed that his pain improved slightly when he sits forward.

What is the most likely diagnosis of Mr Muthu?

A. Acute pancreatitis
N. Herpes zoster
B. Appendicitis
O. Irritable bowel syndrome
C. Biliary colic
P. Large bowel obstruction
D. Carcinoma of the pancreas
Q. Ovarian cyst
E. Cholecystitis
R. Pelvic inflammatory disease
F. Coeliac disease
S. Peptic Ulcer
G. Constipation
T. Primary dysmenorrhoea
H. Crohn’s disease
U. Renal colic
I. Diverticulitis
V. Ruptured abdominal aortic aneurism
J. Ectopic pregnancy
W. Small bowel obstruction
K. Endometriosis
X. Ulcerative colitis
L. Gastroenteritis
Y. Urinary tract infection
M. Gastro-oesophageal reflux
Z. Viral hepatitis

Answer will be provided at a later date.

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