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* Q@Q Drill time ①
 #848129  
  cardio69 - 02/12/18 16:53
 
  A 26 y/o M has had episodes of abdominal pain with low volume diarrhea for the past 25 months. He now has persistent pain in the rectal area, particularly with defecation. On PE the perirectal region shows erythema of the skin along with a deep fissure. There are no palpable masses on DRE. Stool culture/ (-) for pathogens. Which of following symp/sign dx for pat disease?

a) Abdominal pain
b) Weight loss
c) Cypt abscess
d) Diarrhea
e) Area of ulcerated mucosa
f) Noncaseating granulomas
g) None of the above


like always _________________________________72sec ____________either you know it or don't.
 
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* Re:Q@Q Drill time ①
#3360586
  cardio69 - 02/12/18 17:04
 
  Time's UP>  
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* Re:Q@Q Drill time ①
#3360593
  crossover - 02/12/18 17:21
 
  Is this anal fissure.
I think microscopically there might be an area of transitional or columnar mucosa with inflammation.
I think E
 
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* Re:Q@Q Drill time ①
#3360596
  cardio69 - 02/12/18 17:35
 
  What's your Dx on pat here?  
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* Re:Q@Q Drill time ①
#3360597
  crossover - 02/12/18 17:37
 
  i think IBD might lead to anal fissure over a period of time  
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* Re:Q@Q Drill time ①
#3360598
  crossover - 02/12/18 17:38
 
  because the patient seems to have had this diarrhea for 25 months  
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* Re:Q@Q Drill time ①
#3360599
  beth1 - 02/12/18 17:44
 
  c?
UC
 
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* Re:Q@Q Drill time ①
#3360600
  cardio69 - 02/12/18 17:47
 
  Good so, an ongoing inflammation of all or part of the digestive tract can tell me which of MC type? you know of that transmural inflammation typical of that type & the chronic nature of make fistula formation frequent?  
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* Re:Q@Q Drill time ①
#3360601
  cardio69 - 02/12/18 17:48
 
  @cross or @beth any of you can ans my last Q drill...  
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* Re:Q@Q Drill time ①
#3360602
  crossover - 02/12/18 17:59
 
  i dont think i really understand your last drill.. Especially the MC? not sure what it means.

@ beth. why do you think its UC not Crohns? . Because form this question, all i can tell is that the patient might have an IBD, but not enough evidence to suggest which one.

Please Cardio, can you rephrase so i can better understand the last question
 
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* Re:Q@Q Drill time ①
#3360603
  beth1 - 02/12/18 18:02
 
  sorry, it is Crohn,s not UC.
@cardio69, transmural inflammation and fistula is seen in crohn,s
 
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