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Medicine
A 16-year-old girl is referred to the office because of chronic diarrhea and weight loss. She is experiencing large-volume watery diarrhea that is painless. The symptoms persist even when she is fasting, and there is no relationship to foods or liquids. She is not on any medications, and there is no travel history or other constitutional symptoms. Her physical examination is normal. Which of following is the most likely diagnosis?
partial small bowel obstruction
partial large bowel obstruction
osmotic diarrhea
secretory diarrhea
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