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147867 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?

Apartial small bowel obstruction
Bpartial large bowel obstruction
Cosmotic diarrhea
Dsecretory diarrhea
Medicine
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