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Crohn disease — PARA MCQ

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HardGeneral Medicine - GastroenterologyCrohn diseasePARA

A 43-year-old woman has 3 months of diarrhoea, cramping right iliac fossa pain and weight loss. Blood tests show microcytic anaemia and raised CRP. Colonoscopy demonstrates skip lesions with terminal ileal ulceration. What is the most likely diagnosis?

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Correct answer: E — Crohn disease

Skip lesions, terminal ileal involvement, weight loss, anaemia and raised inflammatory markers favour Crohn disease rather than ulcerative colitis or functional bowel disease.

Reference: NICE NG129: Crohn disease