Gastrointestinal Infections

Question 1

65yo man with poorly controlled DM presents with painful swallowing (Odynophagia) and white plaques (likely candidiasis) seen on endoscopy

Answer 1

Oesophageal Candidiasis

Question 2

40yo man with untreated HIV presents with odynophagia. Endoscopy shows large linear ulcers; biopsy confirms CMV

Answer 2

CMV Oesophagitis

Question 3

47yo kidney transplant recipient on immunosuppressants developed painful oral ulcers followed by odynophagia and retrosternal discomfort. Examination revealed gingival vesicular lesions, and endoscopy showed oesophageal ulcers

Answer 3

Herpes Gingivostomatis and Esophagitis

Question 4

25yo man presents with periumbilical pain that shifts to right lower quadrant, along with Nausea and low grade fever. PE: Tenderness at McBurney’s point and mild guarding

Answer 4

Appendicitis

Question 5

55yo man with known liver cirrhosis presents with increasing abdominal distension, fever and confusion. On examination, no guarding or rebound tenderness, ascitic tap shows cloudy fluid with neutrophils >250/mm3

Answer 5

Spontaneous/ Primary peritonitis

Question 6

60yo woman presents with sudden severe abdominal pain, fever and rigid abdomen with guarding. CT scan shows perforated sigmoid diverticulitis with free air in peritoneal cavity

Answer 6

Secondary Peritonitis

Question 7

Qn: 70yo presents with fever, RUQ pain and malaise. US abdo reveals well-defined fluid-filled lesion in the liver

Answer 7

Hepatic Abscess