A 26-year-old woman has a 6-month history of chronic diarrhoea, crampy abdominal pain, and 5 kg weight loss. She has iron deficiency anaemia. There is...

Question

A 26-year-old woman has a 6-month history of chronic diarrhoea, crampy abdominal pain, and 5 kg weight loss. She has iron deficiency anaemia. There is no rectal bleeding. What is the most appropriate next diagnostic step?

Accepted Answer

Colonoscopy with ileoscopy and biopsies

Answer

Empiric trial of antispasmodics

Answer

Stool culture and treat if positive

Answer

Serologic testing for coeliac disease only

Answer

Abdominal X-ray

ca-mccqe1 MCQ (SBA): Inflammatory bowel disease (suspected)

A 26-year-old woman has a 6-month history of chronic diarrhoea, crampy abdominal pain, and 5 kg weight loss. She has iron deficiency anaemia. There is no rectal bleeding. What is the most appropriate next diagnostic step?