USMLE Forum Archives - USMLE Step 2 CK - chronic diarrhea
chronic diarrhea
bingousmle - 05-09-10 10:09
A 28-year-old mother of two young children is seeing you to discuss her chronic diarrhea. She reports that symptoms began in her early 20s. She doesn’t have symptoms daily, but does report at least 1 day a week with more frequent bowel movements with a less firm consistency. She reports crampy abdominal pain that is relieved with bowel movements, passage of some mucus with bowel movements, a sensation of incomplete evacuation and abdominal distention. She denies nighttime symptoms, does not note
symptoms with certain foods or liquids, has not lost weight, and has never passed blood with her stools. What is the most likely cause of her diarrhea?
a. Giardiasis
b. Entamoeba histolytica
c. Irritable bowel syndrome (IBS)
d. Inflammatory bowel disease
e. Lactose intoleranc
bingousmle - 05-09-10 10:09
A 28-year-old mother of two young children is seeing you to discuss her chronic diarrhea. She reports that symptoms began in her early 20s. She doesn’t have symptoms daily, but does report at least 1 day a week with more frequent bowel movements with a less firm consistency. She reports crampy abdominal pain that is relieved with bowel movements, passage of some mucus with bowel movements, a sensation of incomplete evacuation and abdominal distention. She denies nighttime symptoms, does not note
symptoms with certain foods or liquids, has not lost weight, and has never passed blood with her stools. What is the most likely cause of her diarrhea?
a. Giardiasis
b. Entamoeba histolytica
c. Irritable bowel syndrome (IBS)
d. Inflammatory bowel disease
e. Lactose intoleranc
The correct answer and explanation will be available after you answer.
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#2
Re: chronic diarrhea ammulufy - 05-09-10 19:29 My answer is: c.
Her chronic history n visible abdominal distension along wid crampy abd.pain wid passage of stools without any bloody discharge affecting the adult group is suggestive of IBS......
#6
Re: chronic diarrhea
bingousmle - 05-12-10 03:39 My answer is: c.
pain relief with bowel movement, more frequent bowel movements with the onset
of pain, looser stools with the onset of pain, passage of mucus, sensation of
incomplete evacuation, and abdominal distension point to irritable bowel syndrome
#8
Re: chronic diarrhea mtniharika - 05-18-10 14:50 My answer is: c.
Irritable bowel syndrome (IBS) refers to a disorder of the lower intestinal tract. It involves abdominal pain and abnormal bowel movements. Emotional stress often makes the symptoms worse.
#10
Re: chronic diarrhea babbu5508 - 05-19-10 13:55 My answer is: c.
symptoms may include:
Abdominal distention
Abdominal fullness, gas, bloating
Abdominal pain that:
Comes and goes
Is reduced or goes away after a bowel movement
Occurs after meals
Chronic and frequent constipation, usually accompanied by pain
Chronic and frequent diarrhea, usually accompanied by pain
Emotional distress
Depression
Loss of appetite
#27
Re: chronic diarrhea sudha2015 - 04-18-11 04:36 She doesn’t have symptoms daily, but does report at least 1 day a week with more frequent bowel movements with a less firm consistency. She reports crampy abdominal pain that is relieved with bowel movements, passage of some mucus with bowel movements, a sensation of incomplete evacuation and abdominal distention. She denies nighttime symptoms, does not note
symptoms with certain foods or liquids, has not lost weight
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