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US“Johnny Sins done conquered every profession… except eating without pain.”
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🧠 Explanation
Post-prandial abdominal pain with food avoidance is classic intestinal angina. After meals, intestinal oxygen demand increases, but atherosclerotic mesenteric vessels can’t supply enough blood, leading to pain and fear of eating.
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✅ Answer
B) Chronic mesenteric ischemia
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❌ Why the Others Are Wrong
A) Irritable bowel syndrome — Pain improves with defecation; no food fear
C) Acute cholecystitis — RUQ pain, fever, Murphy sign
D) Functional dyspepsia — Epigastric discomfort without ischemia or weight loss
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📌 Board Pearl
Post-meal pain + food fear = chronic mesenteric ischemia.
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#USMLE #Step2CK #MedMeme #JohnnySinsMD #GI FoodFear IntestinalAngina NBMEcore
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