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SELF ASSESSMENT QUESTIONS
Prolonged fever with recurrent diarrhoea
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  1. R Sivakumar,
  2. A Edey,
  3. A Thakore,
  4. M D Pelly
  1. Department of Medicine, Chelsea and Westminster Hospital, London, UK
  1. Correspondence to:
 Dr R Sivakumar, 4 Aston Close, Lister Hospital, Stevenage SG1 4TT, UK;
 sivasiva51{at}hotmail.com

http://dx.doi.org/10.1136/pmj.78.921.432-a

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    Answers on p 436.

    A 52 year old man presented with a history of right groin pain. He also recollected at least three self limiting episodes of rigors, diarrhoea, and vomiting lasting for about four days in the recent past. Over the past year he had travelled worldwide with no reported medical illness. He was febrile and a pulsatile tender mass was felt in the right iliac fossa. Ultrasound scan revealed a common iliac aneurysm measuring 3.5 cm in diameter.

    QUESTIONS

    1. What is the single most important investigation?

    2. What is the diagnosis?

    3. What are the risk factors for this complication?

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