QuestionSBA
QuestionChoice
Irritable Bowel Syndrome is a possible differential for a patient presenting with a change in bowel habits. However, it is a diagnosis of exclusion. It is essential to first rule out other serious causes of his symptoms like colorectal cancer.
10007623
c
Irritable Bowel Syndrome
QuestionChoice
Ulcerative colitis is a possible differential for diarrhoea and blood in the stool. However, it is important to first exclude the possibility of malignancy causing his symptoms.
10007622
b
Ulcerative colitis
QuestionChoice
Malignancy would be the most important diagnosis to exclude in this case. This patient is aged over 60 and has a change in bowel habits. He therefore qualifies for a 2-week wait referral for possible colorectal cancer.
10007621
a
Colorectal cancer
QuestionChoice
Coeliac Disease is a possible differential for a presentation of diarrhoea and weight loss. However, it is important to first exclude the possibility of a malignancy causing his symptoms.
10007624
d
Coeliac Disease
QuestionChoice
Gastroenteritis is a possible differential for a change in bowel habit. However, the duration of his symptoms and absence of nausea or vomiting makes this less likely.
10007625
e
Gastroenteritis
Concept
Chapter
2693
3731
Colorectal Cancer
Topic
136
Gastroenterology
14071
A 66-year-old male presents to the GP with lower abdominal pain that began 6 weeks ago. He also reports diarrhoea and has noticed some blood in his stool. He is pleased to report weight loss of around half a stone, despite no change to his diet.

His abdominal examination is normal.

Which of the following diagnoses is most important to exclude?
a