Ms. K is 35 years old and the CEO of a small company. On the weekend of May of 2000 she and her friend Mr. L had escaped from the stresses of the big city to spend a quiet weekend in the country. They had stopped in Walkerton for lunch. Both of them developed a moderately severe diarrheal illness, which resolved after one week. Since then Ms. K has noticed a change in her bowel habits. About every 2-3 weeks she is either very constipated or she has very soft stools 4-5 times a day over about 2 days. During these times she often feels bloated and there is pain that goes away after the bowel movement. Although she now drinks only bottled water, there have been no other changes to her diet. Ms. K appears to suffering from Irritable Bowel syndrome (IBS). Which of the following are features of IBS and how does it differ from IBD? A. IBS is considered a “functional” disorder without any identifiable structural or biochemical cause underlying the symptoms. B. Similar to IBD, IBS is still characterized by an aberrant immune response and excessive inflammation. C. Most patients with IBS will eventually develop a form of IBD, either Ulcerative Colitis or Crohn’s disease. D. IBS is primarily (mainly) diagnosed by performing a colonoscopy. E. Symptoms of Crohn’s and Ulcerative Colitis fluctuate between diarrhea and constipation, while IBS patients only suffer from constipation.
Ms. K is 35 years old and the CEO of a small company. On the weekend of May of 2000 she and her friend Mr. L had escaped from the stresses of the big city to spend a quiet weekend in the country. They had stopped in Walkerton for lunch. Both of them developed a moderately severe diarrheal illness, which resolved after one week. Since then Ms. K has noticed a change in her bowel habits. About every 2-3 weeks she is either very constipated or she has very soft stools 4-5 times a day over about 2 days.
During these times she often feels bloated and there is pain that goes away after the bowel movement. Although she now drinks only bottled water, there have been no other changes to her diet.
Ms. K appears to suffering from Irritable Bowel syndrome (IBS). Which of the following are features of IBS and how does it differ from IBD?
A. IBS is considered a “functional” disorder without any identifiable structural or biochemical cause underlying the symptoms.
B. Similar to IBD, IBS is still characterized by an aberrant immune response and excessive inflammation.
C. Most patients with IBS will eventually develop a form of IBD, either Ulcerative Colitis or Crohn’s disease.
D. IBS is primarily (mainly) diagnosed by performing a colonoscopy.
E. Symptoms of Crohn’s and Ulcerative Colitis fluctuate between diarrhea and constipation, while IBS patients only suffer from constipation.
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