The foul-smelling stools tripped me up. I chose Crohn's disease but I suppose that you would expect to see more systemic symptoms with Crohn's (ie. weight loss and fever)???
ronabobonafofonaThis tripped me up too. I was thinking intermittent SBO due to the prior surgeries. Guess we just gotta remember to go for "what's most common in young woman with alternating diarrhea/constipation" which would be IBS unless they're making some statement that makes something else very obvious.+1
Young, otherwise healthy patient with intermittent constipation and intermittent diarrhea with no inflammatory/systemic signs (fever, weight loss, etc.) and normal exam
Key idea: Patients with IBS can have foul-smelling, mucus-coated stools
Key idea: Features inconsistent with IBS include rectal bleeding, nocturnal abdominal pain, weight loss, grossly abnormal lab findings (anemia, etc.), and older age
i also spent a lot thinking due to foul smelling stool. But at the end went with IBS because take that out and it's a perfect IBS scenario.
Anyone can have a occasional foul smelling stool. Don't lie...You had it in last 6 months
submitted by โtinylilron(58)
The foul-smelling stools tripped me up. I chose Crohn's disease but I suppose that you would expect to see more systemic symptoms with Crohn's (ie. weight loss and fever)???