Inflammatory bowel disease Quiz: Ace Your Exams

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A 45-year-old man is brought to the office for recurrent episodes of bloody diarrhea and abdominal pain. He has had several episodes of watery diarrhea in the past 2 years. Review of systems reveals a 9-kg (20-lbs) weight loss over this time period, fatigue, and loss of appetite. Past medical history is significant for ischemic heart disease and diabetes mellitus type II. He takes aspirin and glyburide regularly. Vitals are within normal limits. BMI is 19 kg/m2. Physical examination shows abdominal tenderness without rebound or guarding. Colonoscopy shows erythematous and edematous bowel wall mucosa involving the whole colon. After appropriate workup, a colectomy is performed; findings of the involved regions are shown.


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Which of the following is the most likely diagnosis?

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