Card 17 / 34: A 22 year-old woman comes to the emergency room with crampy left lower quadrant abdominal pain, 10-12 small volume bloody bowel movements daily with urgency to move her bowels, and a 5 lb weight loss in the past 2 weeks. She has a low grade temperature and a mildly tender abdomen on physical exam. She has a colonoscopy which shows pinpoint ulcerations and friable mucosa throughout the entire colon in a continuous distribution. Biopsies are taken from the colon. Multiple stool cultures are all negative. Which of the following would you most likely find in this patient?
1.)
Anti-saccharomyces cerevisiae antibodies (ASCA)
2.)
Granulomas on histologic analysis
3.)
Fstulae seen on a barium enema
4.)
Peri-nuclear anti-neutrophil cytoplasmic antibodies (P-ANCA)
5.)
Strictures seen on a barium small bowel x-ray
Answer:
4.) Peri-nuclear anti-neutrophil cytoplasmic antibodies (P-ANCA)
Previous Card | ← Previous Card Button |
Next Card | → Next Card Button |
Flip Card | Space-Bar |
|
Gastrointestinal Pathophysiology Self-Assessment
Author:
Dr.Laurence BailenProfessor
Tufts University School of Medicine
USA
Access: |