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Diagnostic Dilemma: GI Disease

Diagnostic Dilemma: GI Disease

Test your diagnostic skills with the following endoscopic quiz.

This photograph is from an upper gastrointestinal endoscopy on a 15-year-old male. He has a history of a total colectomy and is being evaluated for iron deficiency anemia. He denies abdominal pain, weight loss, and melena. He notes occasional bright red blood on the toilet paper but denies hematochezia.

1) The photograph is a view of the descending duodenum and demonstrates:
a) Multiple ulcers
b) An ampullary mass
c) A duodenal diverticulum
d) Multiple polyps
e) Villous atrophy

2) The most likely diagnosis is:
a) Zollinger-Ellison syndrome
b) Familial adenomatous polyposis
c) Scleroderma
d) Juvenile polyposis
e) Celiac disease

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