A 33-year-old white female presents with colicky RLQ abdominal pain, diarrhea, and rectal bleeding for more than 10 years. You perform the appropriate work-up. Her biopsy reveals colon and small bowel...


A 33-year-old white female presents with colicky RLQ abdominal pain, diarrhea, and rectal bleeding for more than 10 years. You perform the appropriate work-up. Her biopsy reveals colon and small bowel involvement with characteristic transmural skip lesions, a cobblestone appearance, and a narrow lumen in the distal small bowel. She presents 3 months later with electrolyte abnormalities and low albumin and complains of tingling and numbness in her hands and feet. Which of the following laboratory abnormalities would you expect to see?


A. Decreased hemoglobin and hematocrit, macrocytosis


B. Low albumin


C. Decreased hemoglobin and hematocrit and microcytosis


D. Abnormal clotting profile


E. Decreased bone mineral density



May 03, 2022
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