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Which of the following is the most likely diagnosis?
A 72-year old man is brought to the emergency department because of a 1-week history of increasingly severe abdominal pain, diarrhea, and loss of appetite. He had had a fever for 2 days. His temperature is 38.3C (101F), and pulse is 106/min. Abdominal examination shows distention and rebound tenderness localized to the left lower quadrant. His leukocyte count is 18,000/mm3 (80% segmented neutrophils, 10% bands, and 10% lymphocytes). An abdominal CT scan shows a 7-mm, thickened colonic wall, and pericolic fat inflammation; there is a collection of contrast in this region.



A. Amebiasis
B. Collagenous colitis
C. Colon cancer
D. Diverticulitis
E. Ulcerative colitis

This question is part of NBME 13 Section 2 (50 questions)
Asked by Chachelly, Last updated: Jun 29, 2020

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2 Answers

Samantha Stewart

Love to do some charity work. Have a passion for writing and do it in my spare time

Samantha Stewart, Philanthropist, Post Graduate, Corpus Christi

Answered May 02, 2019

D is the answer to this question. Diverticulitis is the inflammation of the pouches on the walls of the intestine. One of the most common symptoms of this is experiencing diarrhea or constipation. In the case of the patient, he started suffering from diarrhea. As time passed on, he also started to exhibit other symptoms such as fever.

Those who have this condition may be required to have a special diet. Those who have complications because of the condition will be required to take antibiotics. The patient will start to feel better in about a day but will continue to improve in the next few days. The patient can be safe from discomfort by the 10th day. This is one condition that some people would have to live with for life.

 

John Smith

John Smith

Answered Mar 21, 2017

Diverticulitis
 

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