BOF 12

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BOF: 12

A 63-year-old male presents with a history of diarrhoea of a months duration. The motions are pale, bulky and foul smelling and he says they are difficult to flush away. There is no blood or mucous in the stools he has lost weight and feels tired. No history of fever. He relates the onset of the illness to a holiday in Eastern Europe

There is no history of significant disease in the past. He does not drink or smoke.

Clinically he looks like he has lost weight but there are no other abnormalities.

In this patient which one of the following tests would be likely to lead to a diagnosis?

a)      CT scan of the abdomen

b)      Faecal elastase

c)      Colonoscopy

d)      Barium follow though

e)      OGD with distal duodenal biopsy

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