Card 20 / 30: An 18 year old man comes to your office for evaluation of persistent right lower quadrant abdominal pain. He has 4-5 loose non-bloody bowel movements daily and has lost about 15 pounds in the last 6 months. Stool cultures are all negative. He has a positive ASCA (antisaccharomyces cerevesiae antibody) and negative p-ANCA (peri-nuclear antineutrophil cytoplasmic) antibodies. A colonoscopy is performed. Which of the following colonoscopic findings is most likely?
A)
Large deep ulcers
B)
Inflamed rectum
C)
Normal vascular markings
D)
Pinpoint ulcers
E)
Normal appearing terminal ileum
Answer:
A) Large deep ulcers
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Gastrointestinal Pathophysiology Exam 2005
Author:
Dr.Laurence BailenProfessor
Tufts University School of Medicine
USA
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