Best of Five 2.15

 

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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

 

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