SAQ 714 – Gastroenterology – bloody diarrhoea and colitis on abdominal X-ray

A 17-year-old male presents with 6 weeks of left iliac fossa pain and bloody diarrhoea, opening his bowels 8-10 times per day.

He was previously well and takes no regular medications. His vital signs are BP 80/60 mmHg, HR 120/min, SaO2 99% on room air and temperature 38.2 degrees C. His abdominal X-ray is shown.

List two (2) abnormal findings on his abdominal X-ray.

(Marked out of 2.0)

/ 2

List three (3) differential diagnoses for this presentation.

(Marked out of 3.0)

/ 3

Complete the table by listing three (3) investigations that would assist management, with justification for each.

(Marked out of 3.0)
</p> <table class="saq-prop-table" style="width: 100%; max-width: 100%; table-layout: fixed; border-collapse: collapse;"> <thead> <tr> <th style="overflow-wrap: anywhere; word-break: normal; white-space: normal; vertical-align: top; box-sizing: border-box;">Investigation</th> <th style="overflow-wrap: anywhere; word-break: normal; white-space: normal; vertical-align: top; box-sizing: border-box;">Justification</th> </tr> </thead> <tbody> <tr> <td style="overflow-wrap: anywhere; word-break: normal; white-space: normal; vertical-align: top; box-sizing: border-box;">1</td> <td style="overflow-wrap: anywhere; word-break: normal; white-space: normal; vertical-align: top; box-sizing: border-box;"></td> </tr> <tr> <td style="overflow-wrap: anywhere; word-break: normal; white-space: normal; vertical-align: top; box-sizing: border-box;">2</td> <td style="overflow-wrap: anywhere; word-break: normal; white-space: normal; vertical-align: top; box-sizing: border-box;"></td> </tr> <tr> <td style="overflow-wrap: anywhere; word-break: normal; white-space: normal; vertical-align: top; box-sizing: border-box;">3</td> <td style="overflow-wrap: anywhere; word-break: normal; white-space: normal; vertical-align: top; box-sizing: border-box;"></td> </tr> </tbody> </table> <p>

/ 3

State four (4) treatment priorities for this patient.

(Marked out of 4.0)

/ 4

Total Score: 0 / 12

Percentage: 0%