QuestionSBA
QuestionChoice
Whilst Crohn's disease is a relevant differential given the haematochezia and weight loss, it is generally not associated with tenesmus, therefore this answer is incorrect.
10002644
d
Crohn's Disease
QuestionChoice
Whilst haematochezia and tenesmus are common symptoms of haemorrhoids, the weight loss indicates a more serious diagnosis, therefore this answer is incorrect.
10002642
b
Haemarrhoids
QuestionChoice
This is incorrect, as given the history, diverticulitis is an unlikely differential.
10002643
c
Diverticulitis
QuestionChoice
The haematochezia reported, combined with the tenesmus and weight loss immediately point to a sinister diagnosis and colorectal cancer is the most likely given the symptoms experienced.
10002641
a
Colorectal Cancer
QuestionChoice
An anal fissure is incorrect, as the only clinical feature associated with it in the history is the haematochezia. The tenesmus and weight loss would not explain an anal fissure.
10002645
e
Anal fissure
Concept
Chapter
2693
3731
Colorectal Cancer
Topic
136
Gastroenterology
13075
A 65-year-old man presents to his GP with a 3-month history of blood in his stools and on wiping, feeling unable to completely empty his bowels. Upon further questioning, the patient reveals he has also lost some weight recently.

What is the most likely diagnosis?
a