Author: Mohamed Nasreddin, Mohamed Hanafy / Editor: Sarah Edwards / Codes: GP1, HP1, MHC3, SLO1, SLO2 / Published: 03/04/2025
A 17-year-old female patient recently diagnosed with iron deficiency anaemia presents to the Emergency Department (ED) complaining of diffuse lower abdominal pain and constipation.
The patient is generally well with normal vital signs: HR 99 bpm, BP 110/60, Spo2 on RA 97%, RR 18, Temp 37c.
Abdominal examination shows lax soft non-distended abdomen with no tenderness or rebound tenderness.
Since the patient is a young adult female in childbearing period, the radiologist has approved doing plain erect abdomen X-ray first showing an apparent radiopaque shadow of the large bowel (as attached).

Exam Summary
0 of 3 Questions completed
Questions:
Information
You have already completed the exam before. Hence you can not start it again.
Exam is loading...
You must sign in or sign up to start the exam.
You must first complete the following:
Results
Results
Time has elapsed
Categories
- Not categorized 0%
- 1
- 2
- 3
- Current
- Review
- Answered
- Correct
- Incorrect
-
Question 1 of 3
1. Question
Which of the following may explain intraluminal bowel radiopacity in this patient?
CorrectIncorrect -
Question 2 of 3
2. Question
Which of the following pica substances is most specific for iron deficiency anaemia?
CorrectIncorrect -
Question 3 of 3
3. Question
Treatment options for this patient in the ED include: (select all that apply)
CorrectIncorrect
Module Content
Related Posts
Abdominal Pain without Shock
This article covers the generic assessment and management of the pain with abdominal pain without shock.
Sickle Cell Disease
This session discusses the pathophysiology that leads to the clinical manifestations of Sickle Cell disease and outline the assessment and management of the patients.
Methaemoglobinaemia
Hypoxia is common in patients presenting to the ED and can be life-threatening. The differentials are wide and include cardiac, respiratory and haematological causes