EMQs in Clinical Medicine.pdf - Peshawar Medical College

162 The abdomen and surgery
74 Diarrhoea
A
B
C
D
E
F
diverticulitis
lactose intolerance
thyrotoxicosis
Crohn’s disease
inflammatory bowel disease
irritable bowel syndrome
G
H
I
J
K
L
laxative abuse
gastroenteritis
pseudomembranous colitis
coeliac disease
ulcerative colitis
cystic fibrosis
For each clinical scenario below, give the most likely cause for the diarrhoea.
Each option may be used only once.
1 A 19-year-old backpacker presents with a 2-day history of vomiting and watery
diarrhoea.
2 A 75-year-old patient treated with broad-spectrum antibiotics presents a few
days later with bloody diarrhoea.
3 An anxious 31-year-old woman complains of a history of chronic diarrhoea
alternating with constipation. She often feels bloated. Investigations are normal.
4 A 17-year-old man presents with symptoms of chronic diarrhoea and smelly
stools. He has a history of recurrent chest infections as a child.
5 A 35-year-old woman with diabetes presents with weight loss, diarrhoea and
angular stomatitis. Blood tests reveal presence of anti-gliadin antibodies.
Answers: see page 188.