USMLE Forum Archives - USMLE Step 3 - Abd Pain.
Abd Pain.
drbipinsingh - 07-01-09 00:47
A 45-year-old man is evaluated for a 6-month history of midabdominal pain, fatigue, and a 2.26-kg (5-lb) weight loss. He has a long-standing history of constipation-predominant irritable bowel syndrome (IBS) but reports the current abdominal pain is different from that associated with his previous IBS symptoms. He has no diarrhea, hematochezia, melena, or genitourinary complaints. He denies alcohol or drug use and has undergone no previous surgical procedures.
Physical examination is normal except for moderate obesity (weight of 118 kg [260 lb]) and some mild, midabdominal tenderness but no hepatosplenomegaly, masses, guarding, or rebound tenderness. Laboratory studies, including hemoglobin, serum creatinine level, liver chemistry tests, serum lipase level, and urinalysis, are normal. Results of colonoscopy are also normal.
drbipinsingh - 07-01-09 00:47
A 45-year-old man is evaluated for a 6-month history of midabdominal pain, fatigue, and a 2.26-kg (5-lb) weight loss. He has a long-standing history of constipation-predominant irritable bowel syndrome (IBS) but reports the current abdominal pain is different from that associated with his previous IBS symptoms. He has no diarrhea, hematochezia, melena, or genitourinary complaints. He denies alcohol or drug use and has undergone no previous surgical procedures.
Physical examination is normal except for moderate obesity (weight of 118 kg [260 lb]) and some mild, midabdominal tenderness but no hepatosplenomegaly, masses, guarding, or rebound tenderness. Laboratory studies, including hemoglobin, serum creatinine level, liver chemistry tests, serum lipase level, and urinalysis, are normal. Results of colonoscopy are also normal.
The correct answer and explanation will be available after you answer.
Page 1
Page 1
