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  #1  
Old 09-27-2011
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Question The cause of Blood in the stool

A 69-year-old man has a “dragging” sensation in the right upper quadrant and crampy abdominal pain in the left lower quadrant. Over the past 6 months, he has experienced weight loss and alternating bouts of constipation and diarrhea. He has noticed blood coating and mixed in with stools when they are more solid. Physical examination shows an enlarged, nodular liver and external hemorrhoids. Rectal examination reveals blood mixed with stool. Laboratory studies show hemoglobin 9 g/dL, WBC count 6500/mm3, platelet count 500,000/mm3, mean corpuscular volume 75 (m3, and serum ferritin 3 ng/mL. Which of the following disorders best explains the presence of blood in the stool?
A. Angiodysplasia
B. External hemorrhoids
C. Hepatocellular carcinoma with metastasis to the colon
D. Peptic ulcer disease
E. Primary colorectal cancer

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  #2  
Old 09-27-2011
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I m with c
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  #3  
Old 09-27-2011
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E. Colon ca with hepatic metast.
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  #4  
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E-Primary colorectal cancer.
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  #5  
Old 09-27-2011
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E. Colon ca with hepatic metastesis?
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  #6  
Old 09-28-2011
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Smile Primary Colon

I go with E,
alteration of bowel habits, weight loss, blood mixed with stool (not only covered)... colorectal carcinoma.
Liver with nodules (secondary mets from primary colon) and hemorrhoids (from portal hypertension due to mets)

Hope am right
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  #7  
Old 09-28-2011
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E. mets to the liverr
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Old 09-28-2011
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C i suppose
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Old 09-28-2011
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[QUOTE=mayursn39;70169]A 69-year-old man has a “dragging” sensation in the right upper quadrant and crampy abdominal pain in the left lower quadrant. Over the past 6 months, he has experienced weight loss and alternating bouts of constipation and diarrhea. He has noticed blood coating and mixed in with stools when they are more solid. Physical examination shows an enlarged, nodular liver and external hemorrhoids. Rectal examination reveals blood mixed with stool. Laboratory studies show hemoglobin 9 g/dL, WBC count 6500/mm3, platelet count 500,000/mm3, mean corpuscular volume 75 (m3, and serum ferritin 3 ng/mL. Which of the following disorders best explains the presence of blood in the stool?
A. Angiodysplasia
B. External hemorrhoids
C. Hepatocellular carcinoma with metastasis to the colon
D. Peptic ulcer disease
E. Primary colorectal cancer

i answered that coz i thought it's more common to have liver metastasis than being a primary tumor in liver and then metastasize
correct me plz
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  #10  
Old 09-28-2011
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I m with C
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  #11  
Old 09-28-2011
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i go with E
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  #12  
Old 09-28-2011
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Correct Answer

[QUOTE=Amenah;70574]
Quote:
Originally Posted by mayursn39 View Post
A 69-year-old man has a “dragging” sensation in the right upper quadrant and crampy abdominal pain in the left lower quadrant. Over the past 6 months, he has experienced weight loss and alternating bouts of constipation and diarrhea. He has noticed blood coating and mixed in with stools when they are more solid. Physical examination shows an enlarged, nodular liver and external hemorrhoids. Rectal examination reveals blood mixed with stool. Laboratory studies show hemoglobin 9 g/dL, WBC count 6500/mm3, platelet count 500,000/mm3, mean corpuscular volume 75 (m3, and serum ferritin 3 ng/mL. Which of the following disorders best explains the presence of blood in the stool?
A. Angiodysplasia
B. External hemorrhoids
C. Hepatocellular carcinoma with metastasis to the colon
D. Peptic ulcer disease
E. Primary colorectal cancer

i answered that coz i thought it's more common to have liver metastasis than being a primary tumor in liver and then metastasize
correct me plz
Yes thats the answer
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  #13  
Old 09-29-2011
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the answer is E
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Old 09-29-2011
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E. Primary colorectal cancer
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  #15  
Old 09-29-2011
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this q is like step 2ck q
i solve it in step 2ck usmle consult
it seems step 1 like step 2
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  #16  
Old 09-29-2011
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Its taken from step 1 usmle consult
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