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A 14-year-old female presents to the clinic with her mother for her annual physical exam. During the interview, the patient complains about feeling constipated. For the past several months, she has experienced painful and hard bowel movements. She has also noticed her stool frequency has decreased to 2 bowel movements per week. She denies any bloating or blood in her stool. In an attempt to improve the patient’s symptoms, cow’s milk was removed from her diet 2 months ago. Her past medical history includes 2 upper respiratory infections last year that did not require hospitalization. She has a family history of hypertension. On physical exam, her vital signs are normal, and her body mass index is the same as a last year. An abdominal exam reveals normal bowel sounds and no tenderness on palpation.
which of the following likely explains this patient’s presentation?
cystic fibrosis
celiac disease
functional constipation
cow’s milk intolerance
SCIENCE
HEALTH SCIENCE
NURSING
NURS 303
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