Fast Five Quiz: Test Yourself on Crohn Disease

Jamie Shalkow, MD

Disclosures

March 13, 2017

Colonic Crohn disease may be clinically indistinguishable from ulcerative colitis, with symptoms of bloody mucopurulent diarrhea, cramping abdominal pain, and urgency to defecate.

Low-grade fever, prolonged diarrhea with abdominal pain, weight loss, and generalized fatigability are usually reported. Crampy or steady right lower quadrant or periumbilical pain may develop; the pain precedes and may be partially relieved by defecation. Diarrhea is usually not grossly bloody and is often intermittent. If the colon is involved, patients may report diffuse abdominal pain accompanied by mucus, blood, and pus in the stool.

Crohn disease of the small intestine usually presents with evidence of malabsorption, including diarrhea, abdominal pain, weight loss, and anorexia. Initially, these symptoms may be quite subtle. Although fewer than 5% of patients with Crohn disease have gastroduodenal involvement, these patients more commonly present with anorexia, nausea, and vomiting. Those with perianal disease may have debilitating perirectal pain, malodorous discharge from the fistula, and disfiguring scars from active disease or previous surgery.

For more on the presentation of Crohn disease, read here.

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