diarrhea

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Prep4USMLE Forum » USMLE Step 2 CK Forum » Internal Medicine Forum

diarrhea

Author

6 Posts

destiny
Forum Senior

Topics: 35
Posts: 38

05/16/04 - 11:38 PM

A 12 year old girl came with history of intermittent abdominal pain with bouts of watery diarrhea for the last 10 months.. now for the last 3 months she has also complaint of severe perianal itching and excoriation. what is the likely diagnosis?
A.. SLE
B.. Crohn's disease
C..giardia lamblia infestation
D.. compylobacter jejuni

Larry
Forum Newbie

Topics: 8
Posts: 21

05/17/04 - 12:56 AM

C.

No other supporting symptoms and signs for SLE.
Crohn's disease blood+
compylobacter jejunibloody diarrhea.

perianal itching and excoriation is probably too many times of tissue wiping due to diarrhea.

Idiopathic
Forum Guru

Topics: 19
Posts: 641

05/17/04 - 01:56 AM

i agree

usmlebuzz
Forum Elite

Topics: 93
Posts: 263

05/22/04 - 07:07 PM

c. chrons disease
blood in stool is not necessarily a feature like in UC and the diarrhoea is episodic
correct me if I am wrong :roll:

xmihaela
Forum Junior

Topics: 1
Posts: 51

05/22/04 - 09:45 PM

B Crohn disease

Idiopathic
Forum Guru

Topics: 19
Posts: 641

05/22/04 - 10:00 PM

it probably is crohns...awfully early for an autoimmune disease, and also not a classical presentation. HOWEVER, I think giardia carriers are usu asymptomatic

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