An 80yo woman suffering from RA presents with severe epigastric pain and vomiting. She also
complains of shoulder tip pain. What is the single most discriminatory inv?
a. US Abdomen
b. Sigmoidoscopy
c. Colonscopy
d. Barium meal
e. Upper GI endoscopy
f. Erect CXR
Answer: F
History of NSAID use (RA)
Signs of a Upper GI perforation
Erect CXR will show free gas
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