Diarrhoeas are not a feature of –
**Core Concept**
Diarrhea is a symptom characterized by increased frequency and fluidity of fecal discharge. It is often associated with various gastrointestinal disorders, infections, and malabsorption syndromes. The pathophysiology of diarrhea involves impaired absorption, accelerated motility, or excessive secretion of fluids and electrolytes in the intestines.
**Why the Correct Answer is Right**
The correct answer is related to a condition where the small intestine is primarily involved, and the primary symptom is not diarrhea. The condition is characterized by malabsorption of fats and fat-soluble vitamins due to a deficiency of pancreatic enzymes. The lack of pancreatic enzymes leads to impaired digestion and absorption of nutrients, particularly fats, in the small intestine.
**Why Each Wrong Option is Incorrect**
**Option A:** Not a correct answer because it is a condition that primarily affects the large intestine and is often associated with diarrhea.
**Option B:** Not a correct answer because it is a condition that primarily affects the small intestine and is often associated with diarrhea due to bacterial overgrowth.
**Option D:** Not a correct answer because it is a condition that primarily affects the small intestine and is often associated with diarrhea due to impaired absorption.
**Clinical Pearl / High-Yield Fact**
The classic triad of steatorrhea (fatty stools), weight loss, and abdominal pain is a key diagnostic feature of pancreatic insufficiency. The presence of these symptoms should raise suspicion for this condition, particularly in patients with a history of pancreatic disease or chronic pancreatitis.
**Correct Answer: C. Cystic Fibrosis**