acute abdominal pain mcq?

A 17-year-old boy has been taken to the emergency department three times for acute abdominal pain, but was released each time without a definitive diagnosis. The frustrated emergency department physicians now consider him to be “crazy” and have labeled him as having “irritable bowel syndrome.” On the fourth occasion, as part of the work-up, a urinalysis is performed, the results of which are shown below: • Color: yellow-brown • Specific gravity: 1.0025 • WBC: 25 • RBC: 0 • Microscopic: gram-negative rods, mixed flora Which of the following is the most likely diagnosis?
A. Celiac disease
B. Crohn disease
C. Diverticulitis
D. Ulcerative colitis
E. Whipple disease

Thank you for the question.

This sounds like a colovesical fistula, which is a known complication of ulcerative colitis. (Choice D)

abdomen training

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