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* q26
 #138001  
  sith - 11/12/06 16:19
 
  26. A 27-year-old woman comes to the physician because of a 2-year history of intermittent diarrhea and severe cramping abdominal pain. The stools are watery, occasionally foul-smelling, and nonbloody. She is currently pain-free and has not had diarrhea for 2 days. She also has intermittent constipation. She has not had fever or weight loss. She returned from a trip to Mexico 3 months ago. She had an appendectomy at the age of 12 years and a cesarean delivery 4 years ago. Examination shows no abnormalities. Which of the following is the most likely diagnosis?

A
) Bacterial gastroenteritis

B
) Crohn's disease

C
) Intermittent small-bowel obstruction

D
) Irritable bowel syndrome

E
) Laxative abuse
 
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* Re:q26
#555887
  malak - 11/12/06 16:21
 
  Irritable bowel syndrome  
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* Re:q26
#556012
  nia - 11/12/06 19:10
 
  what is against laxative abuse?  
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* Re:q26
#556016
  malak - 11/12/06 19:17
 
  no wt loss  
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* Re:q26
#556022
  nia - 11/12/06 19:37
 
  thank you  
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* Re:q26
#556049
  leogeorge - 11/12/06 20:35
 
  how do u rule out Crohn's disease?  
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* Re:q26
#556051
  nida - 11/12/06 20:43
 
  Crohn's disease often with fever and weight loss.  
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