Card 7 / 33: A 66 year old woman has new symptoms of profuse watery non-bloody diarrhea. The diarrhea does not improve when oral intake is limited. She has had a 5 pound weight loss. All stool cultures are negative. Fecal leukocytes are negative. A Sudan stain performed on a stool specimen is negative. Stool electrolytes are checked: stool sodium concentration is 85mmol/l and stool potassium concentration is 50mmol/l. Which of the following is the most likely diagnosis?
A)
Irritable bowel syndrome
B)
Chronic pancreatitis
C)
Carcinoid syndrome
D)
Ulcerative colitis
E)
Abuse of lactulose
Answer:
C) Carcinoid syndrome
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Gastrointestinal Pathophysiology Exam 2006
Author:
Dr.Tamsin KnoxProfessor
Tufts University School of Medicine
USA
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