Inflammatory bowel disease (Crohn disease) Quiz: Ace Your Exams
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A 38-year-old man with Crohn’s disease presents to the emergency department for evaluation of fever and abdominal pain. Several days ago, the patient began having 5-6 episodes of diarrhea and cramping abdominal pain per day. Over the past 24 hours, the patient has not had any diarrhea and has been unable to pass flatulence. Worsening nausea and vomiting has also developed over this time period. Temperature is 38.1 ºC (100.6 °F), pulse is 115/min, blood pressure is 94/62 mmHg, respiratory rate is 20/min, and oxygen saturation is 99% on room air. Physical exam reveals a soft, distended abdomen that is tender to palpation. High-pitched, tinkling bowel sounds are present on auscultation. Which of the following is the most appropriate next step in management?
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