q3 - att

[ArchivalUser]

A 31-year-old woman has a 10 year history of intermittent, bloody diarrhea. She has no other major medical problems. On physical examination there are no lesions palpable on digital rectal examination, but a stool sample is positive for occult blood. Colonoscopy reveals a friable, erythematous mucosa with focal ulceration that extends from the rectum to the mid-transverse colon. Biopsies are taken and all reveal mucosal acute and chronic inflammation with crypt distortion, occasional crypt abscesses, and superficial mucosal ulceration. This patient is at greatest risk for development of which of the following conditions?

A Acute pancreatitis

B Diverticulitis

C Sclerosing cholangitis

D Appendicitis

E Perirectal fistula

F Non-Hodgkin lymphoma

[ArchivalUser]

she has got ulcerative colitis which is associated with sclerosing cholangitis

[ArchivalUser]

classic UC

[ArchivalUser]

C) CORRECT. This patient has ulcerative colitis. One of the extraintestinal manifestations of this disease is sclerosing cholangitis, which can occur even if the colon is removed.