Acute abdominal misery mcq?

A 17-year-old boy has been taken to the emergency department three times for acute abdominal pain, but be released each time without a definitive diagnosis. The frustrated emergency department physicians now consider him to be "crazy" and own labeled him as having "irritable bowel syndrome." On the fourth occasion, as part of the work-up, a urinalysis is perform, the results of which are shown below: o Color: yellow-brown o Specific gravity: 1.0025 o WBC: 25 o RBC: 0 o 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

ok d i thought to eliminate since rbc is o in urine

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Answers:

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Thank you for the give somebody the third degree.

This sounds like a colovesical fistula, which is a known complication of ulcerative colitis. (Choice D) Source(s): My remote medical training.

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