IBD Diagnosis and Evaluation
2 results
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Benign Disease- A 65-year-old man presents with abdominal pain, 15-lb (6.8-kg) weight loss, rectal bleeding, diarrhea, and joint pain. He had recently started taking prednisone for rheumatoid arthritis. On endoscopy, he is noted to have mucosal friability and ulcerations with pseudopolyps in the descending colon with rectal sparing. His terminal ileum is normal. Which finding is associated with a diagnosis of Crohn’s disease?
- A 28-year-old man with a history of ulcerative colitis undergoes a total proctocolectomy with stapled ileal pouch–anal anastomosis. Six months after surgery, he presents with urgency, increased stool frequency, and bloody bowel movements. Endoscopic examination findings are shown (Figure A and B). What is the best next step in management?