usmle123
Forum Senior
Topics: 20
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45 year old male come for evaluation of 8 month diarrhea. lost 15lbs in 8 month, denies any blood in stool, 24 hr stool reveals fecal fat 10g/day. D-xylose test was performed which shows less than 2g of D-xylose is excreted in 5 hours. D-xylose test was reperformed after antibiotics treatment but excretion still less that 2g in 5hours. what's the diagnosis?
A lactose intolerence
B bacteria overgroth
C pancreatic insufficiency
D whipple's disease
E terminal ileal disease
I feel non of the above answer is correct. But the answer is D-whipple's disease. can anyone tell me why? Whipple's disease not respond to antibiotics?
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| ssrpk
Forum Fanatic
Topics: 154
Posts: 2,819
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well whipple's dz will respond to antibiotics but the recovery of villi will take time!
none of the other will have reduced absorption of d-xylose
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| usmle123
Forum Senior
Topics: 20
Posts: 43
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thank you
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