12-23-2005, 10:33 AM
A 24 yr old man presents for evaluation of a 4 months history of postprandial diarrhea, weight loss of 9 lbs, and lower abdominal pain. He denies recent travel or antibiotic use. On PE, his T is 38 C, and he has several oral aphthous ulcers. On abdominal examination, there is tenderness and mild voluntary guarding in the RLQ. A rectal examination reveals brown stool that is strongly guaiac positive. Which of the following is most likely causing this paitent's symptoms?
A. A gram negative organism
B. Folate def.
C. Mucosal ulceration with no transmural involvement in the ascending colon
D. Toxin-producing organism
E. transmural inflammation in the region of the terminal ileum
A. A gram negative organism
B. Folate def.
C. Mucosal ulceration with no transmural involvement in the ascending colon
D. Toxin-producing organism
E. transmural inflammation in the region of the terminal ileum