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Medical Revision
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BOF 8
A 78-year-old female is admitted with a history of fever,
anorexia, malaise and weight loss. She looks thin, has a tachycardia and a soft
systolic murmur at the apex. No other abnormalities are detectable.
Investigations reveal a polymorphonuclear leucocytosis, an elevated ESR and a
high serum alkaline phosphatase. Blood cultures show growth of Streptococcus
milleri
In this patient the definitive investigation would be:
a)
Abdominal ultrasound scan
b)
Transoesophageal echocardiogram
c)
ERCP
d)
Colonoscopy
e)
CT Chest
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