A 25 year old male presented with rectal bleeding, weight loss, and abdominal pain. His mother and sister has same condition. Guaiac stool test: +ve What is the diagnosis?
Understand the Problem
The question describes a 25-year-old male with symptoms (rectal bleeding, weight loss, abdominal pain) and a positive guaiac stool test, along with a family history of similar conditions. The question requires a diagnosis from the multiple choice options provided.
Answer
Likely colon cancer or IBD due to rectal bleeding, weight loss, abdominal pain, positive stool test, and family history.
Based on the provided information, the most likely diagnosis is colon cancer or another gastrointestinal disorder with a hereditary component, such as inflammatory bowel disease (IBD). Symptoms like rectal bleeding, weight loss, abdominal pain, and a positive guaiac stool test (indicating blood in the stool) are red flags. The family history of a similar condition in the patient's mother and sister further supports a genetic predisposition.
Answer for screen readers
Based on the provided information, the most likely diagnosis is colon cancer or another gastrointestinal disorder with a hereditary component, such as inflammatory bowel disease (IBD). Symptoms like rectal bleeding, weight loss, abdominal pain, and a positive guaiac stool test (indicating blood in the stool) are red flags. The family history of a similar condition in the patient's mother and sister further supports a genetic predisposition.
More Information
It's important to note that this is a preliminary assessment, and further investigations like colonoscopy and biopsy would be needed to confirm the diagnosis.
Tips
Differential diagnoses should also be considered, such as hemorrhoids, anal fissures, or other causes of gastrointestinal bleeding. However, given the patient's age, symptoms, and family history, a more serious pathology needs to be ruled out.
Sources
- Stool guaiac test: MedlinePlus Medical Encyclopedia - medlineplus.gov
- [PDF] Cancer Facts & Figures 2015 - cancer.org
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