Today we’ll be covering Inflammatory Bowel Disease (IBD), going along with this month’s theme, Gastroenterology. If you haven’t listened to our podcast before, each week we have a case-based discussion about a medical topic to help you study for the pediatric medicine board exam. Episodes are released every weekend, and the case is then reviewed and reinforced on social media throughout the week.
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A 13 year male presents to your clinic for a well child check. On review of his growth chart, you note a lack of linear growth and weight loss. He reports that for the past month he has had lower energy levels and a persistent, nagging, non-focal abdominal pain which he has been attributing to stress at school. On further questioning, he has had frequent episodes of loose stools and intermittently noted some blood in his stools. You order some basic screening labs which are notable for leukocytosis, anemia, thrombocytosis, hypoalbuminemia, and elevated inflammatory markers. You refer the patient to a pediatric gastroenterologist for endoscopy. Which of the following histologic features on biopsy is considered diagnostic for Crohn’s disease?
- Crypt abscesses
- Lymphoplasmacytic infiltrates
- Fibrinogen debris with a neutrophilic inflammatory infiltrate
- Noncaseating granulomas
- Paneth cell metaplasia
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Intro/Outro- Hotshot by Scott Holmes
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