bobby
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78 y.o man presents with watery diarrhea. the most likely diagnosis is;
a colon cancer
b diverticulitis
c fecal impaction
d pseudomembranous colitis
e uōcerative colitis
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| tamar
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b.
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| chemamr
Moderator and PGY2
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i go with B, too.
Though i donīt think there will be a VERY VERY SHORT QUESTION like this in the test. 
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| bobby
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that was all about the question.
the ans given is C
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| chemamr
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all right 
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| tamar
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bobby, what was the explanation, if any?
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| bobby
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there was no explanation
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| phuluong2k
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I got this from medline plus
Very interesting q
A fecal impaction is a large mass of dry, hard stool that can develop in the rectum due to chronic constipation. This mass may be so hard that it cannot be excreted. Watery stool from higher in the bowel may move around the mass and leak out, causing soiling
Sudden, watery diarrhea in someone who has chronic constipation is usually an indication of a fecal impaction. Other symptoms include frequent straining with passage of liquid or small, semi-formed stools or abdominal cramping and discomfort
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| chemamr
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yes, thatīs very interesting Phuluong2k Nguyen. 
I have seen several real cases just like that.
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| bobby
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thanx for that great explanation.
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| aliakram
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yup thanks and it is really what happens. One point can be used is to say that this happened a few weeks back also and also a month back giving impression of IBS but IBS has a lower abd pain/mild cramp also and history goes back a while. b o luck
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