SOLVED1921

A 14-year-old established patient presents to the office with a 2-year history of recurrent, painful mouth sores. She is concerned because her best friend has Crohn disease (CD) and has similar ulcers. On examination, you note an afebrile, well-developed adolescent girl with appropriate height and weight growth over the previous several years. She has two shallow, round, tender ulcers with a grayish base on her left buccal mucosa. The rest of her examination is unremarkable. Her white blood cell count and peripheral smear are normal. The most appropriate next step in her management is which of the following? A Send blood for perinuclear neutrophil cytoplasmic antibodies (p-ANCA) and anti-Saccharomyces cerevisiae antibodies (ASCA). B Refer to gastroenterology for an outpatient colonoscopy. C Provide patient and parental reassurance. D Culture the ulceration. E Initiate oral clindamycin.
SCIENCE
HEALTH SCIENCE
NURSING

******CLICK ORDER NOW BELOW AND OUR WRITERS WILL WRITE AN ANSWER TO THIS ASSIGNMENT OR ANY OTHER ASSIGNMENT, DISCUSSION, ESSAY, HOMEWORK OR QUESTION YOU MAY HAVE. OUR PAPERS ARE PLAGIARISM FREE*******."