A 65-year-old man with GERD, type 2 diabetes, hypertension, and hyperlipidemia presents with persistent abdominal symptoms, including bloating, discomfort, flatulence, and diarrhea despite dietary adjustments. Vital signs are normal, and examination reveals a mildly distended abdomen, normal bowel sounds, moist mucous membranes, and no leg swelling or rashes. Laboratory tests show elevated A1c (7.6%), cholesterol, triglycerides, and slightly low B12 levels. Ultrasonography reveals a mildly fatty liver. Colonoscopy and upper endoscopy show normal mucosa with mild chronic gastritis, with biopsies taken for further evaluation, and no evidence of celiac disease. Which of the following diagnoses is most likely,

Based on the patient's history and physical examination findings?

Real-Life cases to ensure you are ready for your MCCQE1 Exam!

Ace Qbank Clinical Edge


Ace Qbank Clinical Edge

Making the proper diagnosis is one of the most important aspects of any medical student’s or junior doctor’s clinical training and hence we created Clinical Edge Cases.

Ace Qbank Clinical Edge helps our students put their knowledge of symptoms and physical findings to test by applying clinical reasoning and assessment concepts to a series of common clinical vignettes. Problem-based learning is being used to focus on the cause behind the presentation of a simulated clinical case.

Each simulated Clinical Edge case contains a list of common causes of the presented condition, offers abundant references to the presented case, making additional information easy to find

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