A 75-year-old man presents to the emergency department with acute upper gastrointestinal bleeding due to alcoholic liver cirrhosis. The medical team performs an ABCDE assessment and administers terlipressin. An urgent endoscopy is requested. What medication should be administered to the patient prior to the endoscopy?
A 28-year-old female comes to the gastroenterology clinic for a follow-up on her Crohn’s disease. She has been on budesonide for 3 months to induce remission and reports feeling well. She did not experience any acute episodes during treatment and her bowel habits are regular. The physician determines that she requires maintenance therapy. What is the most suitable medication to prescribe?
What is the most frequent non-intestinal symptom of Crohn’s disease?
A 65-year-old male visits the clinic with watery diarrhoea. He was recently treated with triple therapy for a duodenal ulcer and has a medical history of GORD, bipolar syndrome, and a previous heart attack. What factor in his medical history increases his susceptibility to a Clostridium difficile infection (CDI)?
Which of the following is most commonly linked to elevated levels of CA 19-9?
You encounter a 50-year-old female patient during a clinic visit who had a cholecystectomy six months ago. She reports experiencing persistent diarrhea since the surgery, which appears to float in the toilet. What medication would you suggest to alleviate these symptoms?
A 16-year-old girl comes to the clinic complaining of upper abdominal pain. She is typically healthy and takes a combined oral contraceptive pill. Her mother has a history of hereditary spherocytosis and is with her during the visit. The pain is intermittent but has intensified today. There have been no alterations to her bowel movements, and she has not experienced any nausea or vomiting. What is the probable diagnosis?
You assess a 19-year-old female patient in the outpatient medical assessment unit. Over the course of the last four months, she has been experiencing repeated episodes of severe vomiting lasting a few hours, preceded by intense sweating and nausea. She has also noticed a decrease in appetite and a slight loosening of her clothes. She was hospitalized once in the past four months due to dehydration. Her medical history includes migraines, but no psychiatric history. Routine blood tests with her GP and during her previous admission were unremarkable. What is the most probable diagnosis?
An 80-year-old woman is under palliative care for glioblastoma and is currently managing her pain with regular paracetamol. However, she has been experiencing nausea. What would be the most suitable initial anti-emetic medication to prescribe for her?
A 72-year-old man is being investigated for unexplained weight loss. He reports experiencing abdominal pain, dyspepsia, and nausea. He has a history of pernicious anaemia. What is the probable diagnosis based on these symptoms?