Inflammatory bowel disease (Crohn disease) Quiz: Ace Your Exams
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A 35-year-old woman presents to the emergency department with abdominal pain and diarrhea for the past several weeks. There is associated fatigue, anorexia, and an unintentional weight loss of 4.1 kg (9 lbs). Past medical history is unremarkable and the patient takes no medications. Vitals are within normal limits. On physical examination, the abdomen is soft and nondistended, with mild diffuse tenderness to palpation and no guarding. There are multiple tender, erythematous nodules on the patient’s shins bilaterally. Laboratory studies show anemia, leukocytosis and elevated inflammatory markers. Stool studies are negative for infectious organisms. Which of the following is the best next step to confirm the diagnosis?
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