Accepted at 7:21 p.m. Dec, 11, 2025 by mitchelnelson
Author: schwenjd
Co-authors: andrewmathias8
Related Note: 1511129317983
Rationale for change

I believe this card is missing enough detail to honestly arrive to the answer. There are numerous dx that present with positive occult blood and negative colonoscopy (gastric, esophageal, small bowel), and only 1/3 of ampulla cancer pts have occult blood. https://www.uptodate.com/contents/epidemiology-clinical-presentation-diagnosis-and-staging-of-ampullary-carcinoma#H4

I recommend including some additional symptoms of fat malabsorption, steatorrhea, diarrhea.

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