Answer

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ACES for PACES

Medical Revision

Clinical Skills Blogspot

BOF: 54

A 32-year-old female who is known to have Crohn’s disease presents with increased frequency of micturition. She is demonstrated to have sterile pyuria. The lesion is likely to be:

a)      Left colonic

b)      Colo-vesical fistula

c)      Terminal ileal

d)      Recto-vesical fistula

e)      Vesico-vaginal fistula

Answer:

c)

Crohn’s disease of the terminal ileum or left colon may involve the right ureter and result in sterile pyuria

Revision Tip

Revise Crohn's disease KEYS to SUCCESS in Medicine page 251-254

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