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NBME 16 Answers

nbme16/Block 4/Question#12 (reveal difficulty score)
A 26-year-old man undergoes colonoscopy ...
Ulcerative colitis ๐Ÿ” / ๐Ÿ“บ / ๐ŸŒณ / ๐Ÿ“–
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submitted by โˆ—hiroshimi(25)

The description match with UC. Crohn would spare the rectum, tend to affect the terminal ileum, and have non-caseating granuloma in the crypt.

Amebic dysentery caused by E.histolytica would probably present similar with bloody diarrhea, and "flask-shaped" ulcers but the hx should include some risk factors such as traveler, MSM...

Ischemic bowel disease usually associates with atherosclerosis. Commonly see in elderly.

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