Roxanita
10-25-2004, 06:21 PM
A 32-year-old woman who is an editor for a publishing company comes to the physician because of intermittent diarrhea for the past 10 years, which occurs three to four times per year, lasts 2 to 4 days, and is associated with deadlines at work. During these episodes, the stool is loose and contains no melena or bright blood. Between episodes of diarrhea, she occasionally has one bowel movement every 4 to 7 days; the stool is hard and "pellet-like." She drinks one glass of wine daily. Physical examination shows no abnormalities. Laboratory studies show:
Hemoglobin 14.3 g/dL
Hematocrit 43%
Leukocyte count 8100/mm3
Erythrocyte sedimentation rate (Westergren) 7 mm/h
Which of the following is the most likely diagnosis?
A) Crohn's disease
B) Colon cancer
C) Diverticulitis
D) Irritable bowel syndrome
E) Small bowel lymphoma
F) Ulcerative colitis
Hemoglobin 14.3 g/dL
Hematocrit 43%
Leukocyte count 8100/mm3
Erythrocyte sedimentation rate (Westergren) 7 mm/h
Which of the following is the most likely diagnosis?
A) Crohn's disease
B) Colon cancer
C) Diverticulitis
D) Irritable bowel syndrome
E) Small bowel lymphoma
F) Ulcerative colitis