SOLVED2072

A 20-year-old male patient is reporting small amounts of loose stool up to 4 times a day with bloody streaks. He also reports tenesmus (an erroneous sensation of needing to pass stool), colicky abdominal pain, and urgency. His symptoms began a month ago but they have become more frequent. On examination, the patient’s vital signs are: T: 100°F HR: 84 RR: 18 BP: 110/70 mm Hg The patient’s abdomen is mildly tender to palpation and the fecal occult blood test is positive. Laboratory studies are significant for a hemoglobin of 12g/dL (normal 13.8-17.2 g/dL) and hematocrit of 36% (normal 40.7-50.3%). Erythrocyte sedimentation rate is elevated. Endoscopy confirms mucosal inflammation in the sigmoid colon. Which of the following is the most likely diagnosis? Group of answer choices Ulcerative colitis Crohn disease Diverticulosis Peptic ulcer disease
SCIENCE
HEALTH SCIENCE
NURSING

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