MRCP UK EXAMINATIONS

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ABDOMINAL

GENERALISED LYMPHADENOPATHY

Question [CLICK ON ANY CHOICE TO KNOW THE RIGHT ANSWER]
A 65-year-old patient addressed to a doctor his complains to frequent urge and painful passage of stool, with mucous and some blood in feces. Proctosigmoidoscopy revealed marked narrowing of a colon’s lumen, especially in its distal part. A mucosa was edematous, hyperemic, with areas of necrosis and hemorrhages. A bacteriological study of feces determined the Shigella flexneri. Define the disease?
A
Dysentery
B
Anthrax
C
Crohn’s disease
D
Paratyphoid
Explanation: 

Detailed explanation-1: -Diverticular disease is the most common cause of lower GI bleeding, with an incidence ranging from 15-48% of patients with lower GI bleeding, depending upon the series. Diverticular hemorrhage can be severe, with a significant morbidity rate of 10-20%.

Detailed explanation-2: -Osmotic laxatives are the first-line pharmacological intervention. Osmotic laxatives are the recommended first-line laxative for older people with constipation who are not taking opioids. These medicines draw water into the lumen of the intestine, increasing stool volume and triggering colon motility.

Detailed explanation-3: -Pus in stools in sufficient amount to be recognizable by the naked eye indicates the rupture of an abscess into the intestinal tract.

Detailed explanation-4: -Angiodysplasias. Angiodysplasias (also referred to as angioectasias) are a common source of gastrointestinal bleeding in the elderly. Hemorrhoids. Stercoral ulcer and solitary rectal ulcer syndrome. Colonic neoplasms and post-polypectomy hemorrhage. Radiation proctitis.

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