Abstract
A 19-year-old female presents with fatigue for the past 3 months. She is of Ashkenazi Jewish origin. She reports a 2-year history of diarrhea accompanied by abdominal pain and cramping. Her stool is sometimes tinged with blood as well as mucus. She also has intermittent aches and malaise. Her stature is short relative to her parents. She smokes ½ a pack of cigarettes per day. On physical examination, the patient appears pale and thin. She has several small painful sores inside her mouth. Her abdominal exam is unremarkable. Her legs demonstrate several red nodules that are tender to palpation. Anal exam reveals perianal skin tags. Her laboratory studies demonstrate a hemoglobin of 7.5 g/dL (normal 12–15.5 g/dL).
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
Suggested Reading
Brant SR, Nguyen GC. Is there a gender difference in the prevalence of Crohn’s disease or ulcerative colitis? Inflamm Bowel Dis. 2008;14(Suppl 2):S2–3.
Santos MPC, Gomes C, Torres J. Familial and ethnic risk in inflammatory bowel disease. Ann Gastroenterol. 2018;31(1):14–23.
Soares-Mota M, Silva TA, Gomes LM, et al. High prevalence of vitamin A deficiency in Crohn’s disease patients according to serum retinol levels and the relative dose-response test. World J Gastroenterol. 2015;21(5):1614–20.
Sonnenberg A. Age distribution of IBD hospitalization. Inflamm Bowel Dis. 2010;16(3):452–7.
Yamamoto-Furusho JK. Genetic factors associated with the development of inflammatory bowel disease. World J Gastroenterol. 2007;13(42):5594–7.
Author information
Authors and Affiliations
Corresponding author
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 2020 Springer Nature Switzerland AG
About this chapter
Cite this chapter
Sujatha-Bhaskar, S., Grigorian, A., de Virgilio, C. (2020). Fatigue and Bloody Diarrhea. In: de Virgilio, C., Grigorian, A. (eds) Surgery. Springer, Cham. https://doi.org/10.1007/978-3-030-05387-1_27
Download citation
DOI: https://doi.org/10.1007/978-3-030-05387-1_27
Published:
Publisher Name: Springer, Cham
Print ISBN: 978-3-030-05386-4
Online ISBN: 978-3-030-05387-1
eBook Packages: MedicineMedicine (R0)