Best of Five 3

 

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Medical Revision

 

 

 

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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

 

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