Sunday, April 1, 2012

Question of the Week # 338

338) A 22 year metal welder presents to the Emergency room with complaints discomfort in his right eye which started suddenly while he was at welding work few hours ago. old man with past medical history of hypertension is admitted with bright red bleeding per rectum. He has no pain.  He had four other episodes of bright red bleeding in the past one year. All the episodes were painless. He refused colonoscopy at that time. He denies any constipation or diarrhea. He reports no weight-loss. He denies any chest pain or shortness of breath. On physical examination, his vitals are stable. Cardiovascular examination reveals a 4/6 early peaking systolic murmur that radiates to his neck and the carotids. Reminder of his exam is benign. The patient agrees for endoscopic evaluation and is scheduled for Colonoscopy. Which of the following is most likely to be diagnosed on Colonoscopy?

A) Ischemic Colitis

B) Colon cancer

C) Diverticulosis

D) Arterio-Venous Malformations

E) Internal Hemorrhoids
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