While working with a missions organisation in Africa a doctor is asked to see a 28 year old male with fresh bleeding per rectum.


Question Number 0557
Question:
While working with a missions organisation in Africa a doctor is asked to see a 28 year old male with fresh bleeding per rectum. The man gives a history of increasing fever, headache and constipation. On inspection he is noted to have a relatively slow pulse rate and pinkish spots are seen on his abdomen. The most likely diagnosis is
a) typhoid fever
b) infectious mononucleosis
c) legionnaire's disease
d) tularemia
e) tuberculosis


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