BOF: 2.15
A 54-year-old male presents with abdominal pain and
diarrhoea. He had been taking diclofenac for backache. Clinical examination
was unremarkable. He underwent endoscopy, which showed multiple duodenal
ulcers, CLO test was negative. He was treated with a proton pump inhibitor but
symptoms continued. He was admitted for further investigation which were as
follows:
Hb 11.0
MCV 77 fl
Calcium 3.0 mmol/L
Phosphate 0.7 mmol/L
The likely diagnosis is:
a)
Crohn’s disease
b)
Non-steroidal induced ulcers and colopathy
c)
Multiple endocrine neoplasia
d)
Chronic pancreatitis
e)
Hyperparathyroidism