MKSAP: 29-year-old man with ulcerative colitis

Test your medicine knowledge with the MKSAP challenge, in partnership with the American College of Physicians. A 29-year-old man is evaluated during a routine examination. His medical history is significant for ulcerative colitis involving the entire colon, which was diagnosed 4 years ago. His symptoms responded to therapy with mesalamine and have remained in remission on this medication. His family history is significant for a maternal uncle who died of colon cancer at the age of 50 years. Physical examination is unremarkable. Serum alkaline phosphatase, alanine aminotransferase, and aspartate aminotransferase levels are normal. Which of the following is the most appropriate interval at which to perform colonoscopy with biopsies in this patient? A: Begin now and repeat annually B: Begin in 4 years and repeat every 1 to 2 years C: Begin in 4 years and repeat every 10 years D: Begin at age 40 years and repeat every 5 years Continue reading ... Your patients are rating you online: How to respond. Manage your online reputation: A social media guide. Find out how.
Source: Kevin, M.D. - Medical Weblog - Category: Journals (General) Authors: Tags: Conditions GI Source Type: blogs