Answer BOF 11

Home
Up
How to use ACES forPACES
Cover
Contents
Extracts
Appendix
Guidelines for MRCP PACES
Common Clinical Features in MRCP PACES
Common Cases in MRCP PACES
Buy ACES for PACES
Examples of Cases
EMQS
Forum
Useful Links
Best of Five
Asian Edition

BOF 11

A 78-year-old male who is known to have ischaemic heart disease is admitted with a history of severe sudden onset abdominal pain, which woke him up, from his sleep. This was followed by diarrhoea, which later became bloody. On examination of the patient’s abdomen there was mild peritonism. Plain x-ray of the abdomen showed thumb printing and a dilated colon.

Which of the following areas of the colon is most likely to be affected by this condition?

a)      Caecum

b)      Ascending colon

c)      Hepatic flexure

d)      Transverse colon

e)      Splenic flexure

Answer:

e)

The patient has the typical clinical and radiological features of ischaemic colitis, which usually affects the watershed areas (splenic flexure and rectosigmoid area). Rarely the ascending colon and proximal transverse may be affected by ischaemia of the superior mesenteric artery.

Last Updated: 19/02/06

[Up]

ACES for PACES is available on Amazon. It is also available on many other internet bookshops.

The link below will take you to amazon .co.uk

If you wish to purchase ACES for PACES from your local bookshop, please ask them to order it from wholesalers such as Bertrams or Gardners if they do not have it in stock

Search onother websites and from wholesalers using the ISBN number:

1905006047

[Up]