Welcome everyone. My name is Devine. This is episode 413 of the Devine

Intervention Podcasts. In today's podcast will be continued in the rapid review

series for Step 2, Seagio Step 3. This will be Series 83. If you're taking your USML exams anytime soon,

I have a test-taking strategies class tomorrow. It's going to be from 5 to 730 PM Pacific Standard

time via Zoom. If you're interested, it should be an email through the

website and I'll give some more information. So let's jump right into it. So what if they

give you a question about a 25 year old female?

They tell you that for the past three months,

she's been having like some diarrhea, some constipation,

and they tell you that all the labs are normal,

they tell you that the physical exam is completely fine,

they tell you that the patient has not lost weight between visits,

they tell you that the ESR, CR is completely normal and the person has a

history of depression. You see stuff like this what should you be thinking about?

I really hope you're saying, oh the the vine this sounds a lot like IBS

inflammatory bowel syndrome I B. S is something that many people screw up on exams

but the presentation many times is pretty consistent. It's going to be a

usually a female. Young female so not a person that is like middle-aged or very old. It's going to be a young female with essentially almost like

intermittent constipation, intermittent diarrhea. Sometimes they can have both.

And many times when they poop, when they have a bad movement, they feel better. When you see stuff like this, think of IBS. And typically when people have IBS they don't have

any physical exam findings they've not lost weight they don't have signs of

malabsorption and usually they also have no lab abnormalities right

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