Answer

If you find the material on this website useful, you will find that the two books ACES for PACES and KEYS to SUCCESS in Medicine complement the material on these sites and will enhance your studying and revision

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ACES for PACES

Medical Revision

Clinical Skills Blogspot

BOF: 3

A 55-year-old male is admitted as an emergency with severe abdominal pain. He smokes 30 cigarettes a day and takes approximately 30 units of alcohol per week but admits to exceeding this amount sometimes. He also complains of sudden deterioration in vision. Ophthalmoscopy shows multiple micro infarcts (cotton wool spots). What investigation would best confirm your diagnosis and guide treatment?

a) Upper GI endoscopy

b) E.R.C.P.

c) Blood glucose

d) Mesenteric angiogram

e) CT scan abdomen

Answer:

e)

Ischaemic retinopathy, which causes retinal oedema and micro infarcts, causes acute visual loss. This is a complication of acute pancreatitis. CT scanning will be useful in diagnosis and evaluation of pancreatitis.

Revision Tip

Revise Acute Pancreatitis KEYS to SUCCESS in Medicine page 300-302

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