Inflammatory bowel disease (ulcerative colitis) Quiz: Ace Your Exams
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A 28-year-old woman presents to the primary care clinic with a 2-month history of bloody diarrhea, LLQ abdominal pain, and fecal urgency. She has no past medical history and is currently not taking any medications. The patient has smoked a pack of cigarettes daily for the past 5 years. Family history is notable for a parent diagnosed with irritable bowel syndrome. Vitals are within normal range. Physical examination is significant for mild left lower quadrant abdominal tenderness on palpation without rebound or guarding. Laboratory evaluation is significant for a hemoglobin of 10.2 g/dL. Fecal occult blood test is positive. Stool studies are negative for infectious etiologies. Fecal calprotectin is positive. Which of the following additional physical exam findings would most likely be present?
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