10-21-2008, 11:30 AM
A 17 YEAR OLD MALE ARAB PATIENT COMES WITH ACUTE ONSET ABDOMINAL PAIN,JOINT PAIN AND MILD FEVER.O/E GUARDING AND RIGIDITY +VE.HE SAYS HE HAS RECURRENT ATTACKS WHICH RESOLVE ON ITS OWN WITHIN 24-48 HRS AND HAS SEVERAL SCARS OVER HIS ABDOMEN AS HE UNDERWENT SEVERAL EMRGENCY LAPAROTOMIES.
THERE IS NO NAUSEA OR VOMITING OR DIARRHOEA OR BLOOD IN STOOLS.CBC/BMP/UA/LFT/TSH ARE ALL NORMAL.RESIDENT CONFIRMS THAT PATIENT DOESNT CONSUME ALCOHOL OR SMOKE.
WHAT IS THE MOST LIKELY DRUG THAT WILL BE HELPFUL IN THIS PATIENT?
(A) COLCHICINE
(B) CELECOXIB
© SULINDAC
(D) ALLOPURINOL
(E) LITHIUM
THERE IS NO NAUSEA OR VOMITING OR DIARRHOEA OR BLOOD IN STOOLS.CBC/BMP/UA/LFT/TSH ARE ALL NORMAL.RESIDENT CONFIRMS THAT PATIENT DOESNT CONSUME ALCOHOL OR SMOKE.
WHAT IS THE MOST LIKELY DRUG THAT WILL BE HELPFUL IN THIS PATIENT?
(A) COLCHICINE
(B) CELECOXIB
© SULINDAC
(D) ALLOPURINOL
(E) LITHIUM