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Gastroenterology Radiology Quiz Cases |
![]() | 51 year old woman with persistent pain and tenderness in the epigastrium. | |
![]() | Mature adult female who had been treated for carcinoma of cervix a year before. | |
![]() | 62 year old man with a left iliac fossa mass. | |
![]() | 26 year old woman with abdominal pain and loose stool. | |
![]() | 50 year old man, binge alcohol drinker. | ![]() |
![]() | Adult male with abdominal pain and fever. | |
![]() | A series of views in an Indian lady with abdominal pain and night sweats. | |
![]() | Male in his early 30's with abdominal pain and passage of mucus per rectum. | |
![]() | Middle-aged woman admitted with wasting and relative abdominal distension. | |
![]() | Adult male, history of pancreatitis, fever abdominal pain. | |
![]() | 55 year old man, originally treated for psoas abcess at the age of 24 and for a suprapubic swelling at age 35, now being re-investigated after a long period of conservative treament. | |
![]() | Adult male with recent surgery. | |
![]() | Follow-up of a 30 year old female for known chronic condition treated conservatively for the last 10 years. | |
![]() | 76 year old woman,diabetic, with recent diarrhoea. | |
![]() | 76 year old woman under investigation for a history of weight-loss and anaemia. Presents with acute onset of abdominal pain. | |
![]() | 40 year old male, follow-up of a condition that presented 10 years before with excess mucus in faeces. | |
![]() | Rapid onset of abdominal pain and distension in a 68 year old man. | |
![]() | 25 year old male who had recently received a course of ampicillin for upper respiratory tract infection. Now has blood and mucus in the stool. | |
![]() | 55 year old man. Treated for 'osteomyelitis' by resection of coccyx 7 years previously; resection of peri-anal soft tissue mass 3 years ago, now with repeat of symptoms. | |
![]() | Middle aged woman with a long history of indigestion and no history of surgery. | |
![]() | Indian man with a drinking problem. | |
![]() | Adult female with a macrocytic anaemia. | |
![]() | Rapid onset of dysphagia and upper abdominal distension. | |
![]() | 28 year old man with a history of a rectal bleed. | |
![]() | 50 year old woman with a blood condition and recent cystitis. | |
![]() | Adult female with past treatment for carcinoma of ovary. | |
![]() | 52 year old man with a history of recurrent cholangitis and surgery 5 years before. | |
![]() | 64 year old man with significant weight loss and fullness after meals. | |
![]() | 66 year old man with a 3 month history of pain in the right iliac fossa, frequent watery stools and weight loss. A fixed mass is present in the region of the right iliac fossa. | |
![]() | Mature adult male with constipation and vague abdominal pain. | |
![]() | Incidental finding in a young woman under investigation for dyspepsia. | |
![]() | Adult West-Indian male with a systemic condition. | |
![]() | 60 year old woman with abdominal distension and a history of weight loss. | |
![]() | 65 year old woman with a known blood condition and some abdominal pain. | |
![]() | 60 year old man with a history of diarrhoea and weight loss. He was anaemic. | |
![]() | Adult male with known chronic liver disease with recent adbominal distension and loss of appetite. | |
![]() | Middle-aged woman, with recent change in bowel habit. | |
![]() | A 26 year old woman gives a history of increasing abdominal pain with blood and mucus in the stool. | |
![]() | 26 year old man from South India with pain on defaecation. | |
![]() | Incidental finding. No history of ingestion of toxic material. Liver function was normal. | |
![]() | Adult male, aged 55, with abdominal pain and a swelling in the left groin. | |
![]() | 3 year old girl brought in by parents having swallowed something. | |
![]() | 45 year old male who had been working and living abroad in the Far East with a generous expense account, but without family. | |
![]() | West-indian woman with sudden onset of abdominal pain followed by distension and a history of an inherited condition. | |
![]() | Mature adult with episodes of intermittent lower abdominal pain. | |
![]() | Male in his late teens with a chronic condition and recent painful joints. | |
![]() | 27 year old afro-caribean woman with known Sickle cell disease and a history of upper abdominal pain. | |
![]() | Routine assessment of a young West-African woman. | |
![]() | Adult male with sudden onset of abdominal pain and absent bowel sounds 2 days after admission for 1 weeks history of abdominal discomfort. | |
![]() | Previous history of treatment for enlarged lymph-nodes. | |
![]() | 23 year old male with abdominal pain. | |
![]() | A thin old lady, international lawyer, resembling a varient of anorexia, determinedly independent with a tendancy to self-medication. | |
![]() | 80 year old asian with lump in left groin. | |
![]() | Unwell newborn babies | |
![]() | Malnourished adult male with intermittent fever and abdominal pain. | |
![]() | Adult male, unwell, with abdominal distension and a history of blood and mucus in the stool. | |
![]() | Adult woman with abdominal pain and changed bowel habit. | |
![]() | Mature adult female had a recent bout of upper abdominal pain. | |
![]() | West-Indian girl in her late teens with a history of frequent episodes of bone pain. | |
![]() | Brought-up on a sheep farm. | |
![]() | Adult male with dysphagia and burning chest pain. | |
![]() | Adult West-Indian male with 'indigestion', previous gastic surgery and vagotomy with a known systemic condition. | |
![]() | Man aged 70 years treated for long history of retrosternal pain and burning and now has increasing dysphagia. | |
![]() | 65 year old man with positive occult blood in stool. | |
![]() | Adult male with right iliac fossa mass. | |
![]() | Anaemic youngish adult with diarrhoea, some weight loss and recurrent abdominal pain. Admits to fever, on occasions. | |
![]() | 19 year old with a 9 year history of bowel disorder. | |
![]() | Mature adult female with abdominal distension and loss of appetite. | |
![]() | Young West-Indian woman with congenital anaemia. | |
![]() | 20 year old Indian woman with anaemia, fever and melaena. | |
![]() | Middle-aged adult with history of dysphagia. | |
![]() | Adult Indian woman with dysphagia and previous chest infection. | |
![]() | 45 year old Philipina with an episode of melaena (tarry stool, indicating bleeding). | |
![]() | Adult male with abdominal pain and sudden recent change in bowel habit. | |
![]() | Adult male with a history of weight loss. | |
![]() | Previous resection of recto-sigmoid colon. | |
![]() | Old man with weight loss and anorexia. | |
![]() | 30 year old Indian man with spasmodic abdominal pain. | |
![]() | Mature adult male with epigastric pain after meals. | |
![]() | Mature adult with a history of abdominal pain and anaemia. Refered for barium enema, because clinical featuures suggested distal small-bowel obstruction. | |
![]() | Male aged 1 week with increasing abdominal distension and failure to thrive. | |
![]() | Adult female with history of blood and mucus per rectum. | |
![]() | 40 year old male with history of intermittent upper abdominal pain and some jaundice. | |
![]() | 65 year old woman with a long history of constipation and occasional lower abdominal pain and recent abdominal distension. | |
![]() | A elderly man with vitiligo, patchy loss of skin pigmentation and anaemia. He is recently 'off his food'. | |
![]() | Girl with a mental disorder complaining of abdominal pain. | |
![]() | 50 year old man with recent haematemesis and symptoms of fullness after meals. | |
![]() | 70 year old man referred for ultrasound assessment of weight loss. ( at CMH. we tried to make ultrasound available early-on in the clinical assessment). | |
![]() | 67 year old man with a long history of indigestion and upper abdominal pain. This examination performed for follow-up after previous endoscopy. | |
![]() | Young adult with right iliac fossa pain. | |
![]() | 31 year old Nigerian man with sudden onset of abdominal pain. | |
![]() | 34 year old man admitted 1 week earlier with abdominal pain and an elevated amylase. | |
![]() | Adult male with previous bowel resection,now with recurrence of abdominal pain. | |
![]() | Indian man with previously treated for abdominal pain and intermittent fever. | |
![]() | Adult male with abdominal pain and excess mucus in the stool. | |
![]() | 1 year old girl with recent onset of abdominal pain and a palpable mass in the right iliac fossa. | |
![]() | Adult male with dyspepsia and weight loss. | |
![]() | Adult male with known liver disease. | |
![]() | Young adulty, passing blood and mucus. | |
![]() | 37 year old Iranian man with anaemia and eosinophilia. | |
![]() | 54 year old man with dysphagia for the last 4 months. Endoscopy showed a stricture at 40 cm. | |
![]() | 25 year old male with right sided abdominal pain and nausia. | |
![]() | 73 year old woman with abdominal pain and a history of previous episode of diarrhoea with mucus and blood per rectum. | |
![]() | Adult female with bowel distension and constipation. | |
![]() | Sudden onset of abdominal distension in a mature adult. | |
![]() | 58 year old woman with previous carcinoma cervix. | |
![]() | 63 year old woman treated previously for abdominal pain, "indigestion". | |
![]() | 79 year old woman with a 4 year history of burning chest pain and dysphagia and recent vomiting. | |
![]() | Incidental finding. | |
![]() | Adult male of Middle-Eastern origins with fullness after meals. | |
![]() | Adult female with weight loss and occasional vomiting. | |
![]() | 67 year old man with some weight loss and intermittent rectal bleeding. | |
![]() | A middle aged woman with a chronic skin condition. | |
![]() | History of fatty food intolerance and more recent increase in right upper abdomen pain. | |
![]() | History of constipation and rectal bleeding. | |
![]() | 48 year old female, unwell. Vague abdominal discomfort. | |
![]() | Elderly man with a history of a surgical procedure 18 years before for peptic ulcer disease (duodenal ulcer). Now unwell and poor appetite. | |
![]() | Neonate with vomiting and distended abdomen. | |
![]() | Mature adult female with history of episodes of burning upper abdominal pain, after meals. | |
![]() | 59 year old woman with 'indigestion'. Lived in Egypt as a child. | |
![]() | 55 year old female with previous history of gall-stones, now has severe upper abdominal pain, unwell. Elevated amylase. | |
![]() | Adult male with weight loss and a previous surgical procedure. | |
![]() | Incidental finding in an elderly patient with "indigestion". | |
![]() | 46 year old woman with a 2 year history of epigastric and lower retro-sternal pain and a 6 month history of loss of appetite and weight. | |
![]() | 59 year old woman, who was receiving therapy for Ca bronchus now has dysphagia. | |
![]() | 66 year old woman with 2 months history of change in bowel habit and a 3 wk history of swinging pyrexia. Previous diverticular disease. Sigmoidoscopy: rectal and sigmoid haemorrhagic mucosa. | |
![]() | Mature adult with a long history of episodes of abdominal pain. | |
![]() | 66 year old man with a 3 month history of pain in the right iliac fossa, frequent watery stools and weight loss. A fixed mass is present in the region of the right iliac fossa. | |
![]() | An african male with lower abdominal discomfort. | |
![]() | Female, 40 year old, with right iliac fossa abdominal pain. | |
![]() | 74 year old woman with painless jaundice. | |
![]() | Adult male with palor and sweats in the morning, relieved by food. | |
![]() | 78 year old woman with abdominal pain and constipation. | |
![]() | 58 year old woman with a long history of peptic ulcer disease and recent increase in symptoms without relief from H2 antagonists. | |
![]() | Follow-up of condition causing dysphagia in mature adult male with neck pain. | |
![]() | Two and a half years old boy with lower abdominal pain that came in bouts and who had a palpable mass in the left iliac fossa. | |
![]() | Adult male with previous fever and upper abdominal pain. | |
![]() | 32 year old woman with diarrhoea, mouth ulcers and unsteadiness. | |
![]() | 74 year old woman with very recent onset of nausia and vomiting. | |
![]() | 65 year old woman admitted with abdominal pain. The view was a control film for an IVU. There has been no previous Surgery. | |
![]() | Previous cardiac surgery with current dysphagia. | |
![]() | 31 year old male with loose motions and abdominal pain. | |
![]() | 65 year old woman with sudden onset of abdominal pain and distension. | |
![]() | 40 year old Chinese woman with 4 year history of dyspepsia, now losing weight. | |
![]() | Adult female swallowed something 6 weeks before, now has abdominal pain and vomiting. | |
![]() | 68 year old woman with recent change in bowel habit. | |
![]() | Adult Indian male with abdominal pain and intermittent fever. | |
![]() | Mature adult female with dysphagia and weight-loss. | |
![]() | Mature adult female with acute abdominal pain and absent bowel sounds. | |
![]() | 52 year old woman with an inherited condition and recent rectal bleeding. | |
![]() | 70 year old woman with a long history of dyspepsia. | |
![]() | Mature adult female with dysphagia. | |
![]() | 70 year old woman with recent change in bowel habit. There was a history of mastectomy and radiotherapy 10 years before with two admissions for surgery during the intervening period. | |
![]() | 30 year old woman with difficulty swallowing. | |
![]() | A 62 year old woman with onset of dysphagia, after treatment for an existing condition. | |
![]() | Adult female with right upper quadrant pain and fatty food intolerance. | |
![]() | 32 year old male with lower abdominal cramps. | |
![]() | Middle-aged woman with jaundice. | |
![]() | 70 year old man with jaundice. | |
![]() | Adult male with difficulty swallowing and a history of regurgitating unchanged food some time after eating. | |
![]() | History of dysphagia, halitosis and recurrent chest infections. | |
![]() | 84 year old male with abdominal pain and distension. | |
![]() | Per-operative cholangiogram during cholecystectomy for gall-stones. | |
![]() | 30 year old female with abdominal pain and fever. | |
![]() | This is an erect view in an adult female who has had a previous lymphogram. Present symptoms include anorexia and occasional vomiting. | |
![]() | 70 year old man with a history of previous dyspepsia, but with recent difficulty and discomfort on swallowing. | |
![]() | Young adult male with an inherited condition, now has sensation of fullness after meals, occasional vomiting and a history of upper abdominal pain. | |
![]() | 35 year old Indian Male with a history of night sweats, recent abdominal pain, distension and vomiting. | |
![]() | 88 year old male with bowel distubance and steatorrhea (fat in the stool). | |
![]() | Incidental finding. | |
![]() | 78 year old woman with an 18 year history of diabetes mellitus. Her presenting history is of intermittent dysphagia, felt in the lower part of her chest. Initially this happened once monthly, but had become more frequent. | |
![]() | 76 year old woman with intermittent vomiting and a mass on deep mid-line palpation. | |
![]() | 46 year old roofing contractor with diarrhoea. Tenderness in the right iliac fossa. Similar symptoms in the past treated conservatively. | |
![]() | 31 year old woman with lower abdominal pain that seemed to occur monthly. | |
![]() | Mature adult female with sudden onset of abdominal pain. | |
![]() | 74 year old woman being treated for Parkinson's disease in the days before full availability of L-dopa. She developed abdominal distension after a barium enema. | |
![]() | Elderly woman with a previous resection of the colon 9 years before and an abdominal mass. | |
IDM Feb. 2007