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#ItsTime A 47 y/o male presented with abdominal pain, 20 kg weight loss over the past 6 months, fatigue, and diarrhea without hematochezia. A CT scan of the abdomen showed only nonspecific colitis of the ascending colon and descending colon. He had a colonoscopy which showed segmental areas of inflammation and deep ulcerations in the ascending colon with edema. Chest X-ray did not show any finding.

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*IBS ? ULCERATIVE COLITIS ? Crohn disease ** Malignancy Needs further investigation and evaluation to conclude and treatment plan.

Thanks Dr Pushkar Bhomia
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Loss of 20kg is significant Colonoscopy shows ulcerative colitis But at some of lesions are bleeding Yes r/o malignancy

Thanx dr Sandeep Ghodekar
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Polypoid opacities seen. Needs biopsy HPE to differentiate between malignancy and IBD.

Here are possibilities IBD ? Ulcerative colitis ? TUberculous colitis ? Malignant

BIOPSY REPORT IS NEEDED COLONOSCOPY ( ASCENDING COLON ) POSSIBLITIES = CROHN' S DISEASE TUBERCULOSIS BLOOD = ASCA I g A I g G ANCA P ANCA C ESR MANTOUX TEST

SUGGESTIVE OF CROHN'S. DISEASE DD TUBERCULAR COLITIS ADVISABLE... HPE BIOPSY

IBS. Cohn's.. Koch's Peritonitis..

Malignancy Biopsy adviced

PL ADD IN U C = RECTUM IS ALWAYS INVOLVED HERE IT IS NOT = SO NO UC SKIP LESION + DEEP SEATED ULCER = POSSIBLITY OF CROHN'S DISEASE

Tubercular colitis vs Crohn's disease.

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