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A 73-year-old patient develops acute abdominal pain with guarding after several days of fever and constipation. Imaging reveals free air under the diaphragm in the setting of diverticular disease. Which complication occurred?
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A 66-year-old man is advised to increase dietary fiber intake to reduce future complications of diverticular disease. Fiber most directly benefits this condition by causing which effect?
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A 75-year-old woman presents with fecaluria and recurrent urinary tract infections. She has a history of recurrent episodes of diverticulitis. Which complication has most likely developed?
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A 68-year-old man with chronic constipation develops severe left lower quadrant pain and fever. CT imaging demonstrates inflamed diverticula with surrounding fat stranding. Which diagnosis is most likely?
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A 70-year-old woman has painless hematochezia requiring hospitalization. Colonoscopy demonstrates bleeding from colonic diverticula. Which vessel is most likely involved?
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A 72-year-old man presents with left lower quadrant pain and fever. CT scan shows colonic wall thickening and outpouchings in the sigmoid colon. Which underlying mechanism most likely caused this condition?
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A 69-year-old man with colorectal cancer develops multiple liver lesions. The primary tumor most likely drained venous blood initially into which vessel?
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A 53-year-old woman develops colorectal carcinoma after years of ulcerative colitis. Which mechanism most strongly contributed to this patient’s malignancy?
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A 64-year-old man has a positive fecal immunochemical test. Colonoscopy reveals an ulcerated lesion arising from an adenomatous polyp. Which histologic subtype of polyp carries the greatest malignant potential?
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A 71-year-old woman develops left supraclavicular lymphadenopathy and weight loss. Imaging demonstrates metastatic adenocarcinoma originating from the colon. Tumor spread most likely initially occurred through which structure?
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A 38-year-old man has recurrent colon cancers and endometrial cancer in multiple family members. Genetic testing reveals defective DNA mismatch repair proteins. Which syndrome is most likely present?
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A 50-year-old woman undergoes screening colonoscopy that reveals a sessile serrated polyp in the proximal colon. This lesion most commonly progresses through which pathway?
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A 62-year-old man presents with fatigue and exertional dyspnea. Laboratory studies show microcytic anemia and positive fecal occult blood testing. Which location is the most likely source of his malignancy?
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A 45-year-old man with a family history of colon cancer develops hundreds of colonic polyps during adolescence. If untreated, which malignancy is he most likely to develop?
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A 59-year-old woman has progressive constipation, pencil-thin stools, and hematochezia. Colonoscopy reveals a circumferential lesion in the sigmoid colon. Which complication is most likely to occur with this lesion?
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67-year man has fatigue and intermittent abdominal discomfort for several months. Colonoscopy shows a large exophytic mass in the ascending colon; biopsy reveals adenocarcinoma. Which molecular abnormality is most associated with this patient’s malignancy
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Repost from وَمـضـة|Spark within
ولم تهدأ نفسه؛ إلا عندما أغلق هاتفه
ثم دخل غرفته
وأطفأ الأنوار
وفتح الستار
ثم جلس ونظر إلى السماء أمامه
وأمسك العدّاد وبدأ يُكثر من ذكر الله جل جلاله بالآلاف…حينها فقط؛ أحسّ أن روحه قد عادت إليه من جديد ووجد قلبه الضائع.. 🤍
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A 24-year-old female presents with chronic diarrhea, weight loss, and abdominal bloating.
عندها chronic diarrhea مع نقص وزن وانتفاخ بالبطن.
She reports bulky foul-smelling stool and fatigue.
الـ stool دهني وريحته كريهة ومعاه إرهاق.
Investigations:
Iron deficiency anemia
Positive anti-tTG antibodies
Duodenal biopsy showed villous atrophy.
التشخيص ايه ؟
