SAQ 503 – Gastroenterology – Crohn disease with acute abdominal pain and sepsis

A 24-year-old man with a 6-year history of Crohn disease presents with 12 hours of worsening abdominal pain, fever and vomiting. His observations are shown below.

Observation	Result
Blood pressure	90/60 mmHg
Heart rate	120/min
Temperature	38.7 C

List six (6) possible causes for this presentation.

(Marked out of 6.0)

/ 6

List five (5) abdominal complications of Crohn disease.

(Marked out of 5.0)

/ 5

List five (5) investigations you would request and justify each.

(Marked out of 5.0)
</p> <table class="saq-prop-table"> <thead> <tr> <th>Investigation</th> <th>Justification</th> </tr> </thead> <tbody> <tr> <td>1.</td> <td></td> </tr> <tr> <td>2.</td> <td></td> </tr> <tr> <td>3.</td> <td></td> </tr> <tr> <td>4.</td> <td></td> </tr> <tr> <td>5.</td> <td></td> </tr> </tbody> </table> <p>

/ 5

Compare Crohn disease and ulcerative colitis using the listed characteristics.

(Marked out of 9.0)
</p> <table class="saq-prop-table"> <thead> <tr> <th>Characteristic</th> <th>Crohn disease</th> <th>Ulcerative colitis</th> </tr> </thead> <tbody> <tr> <td>Distribution</td> <td></td> <td></td> </tr> <tr> <td>Pathology</td> <td></td> <td></td> </tr> <tr> <td>Radiology</td> <td></td> <td></td> </tr> <tr> <td>Cancer risk</td> <td></td> <td></td> </tr> <tr> <td>Presentation</td> <td></td> <td></td> </tr> <tr> <td>Bleeding</td> <td></td> <td></td> </tr> <tr> <td>Obstruction</td> <td></td> <td></td> </tr> <tr> <td>Fistulae</td> <td></td> <td></td> </tr> <tr> <td>Weight loss</td> <td></td> <td></td> </tr> </tbody> </table> <p>

/ 9

Total Score: 0 / 25

Percentage: 0%