Extract

Learning Objectives

After completing this IBD LIVE-CME activity, physicians should be better able to

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History

This is a 39-year-old white female with Crohn's disease (CD) presenting with bloody diarrhea and a recent history of cytomegalovirus (CMV) infection. She was diagnosed with CD in 2003 and has no other illnesses. She has a negative surgical history and is married, living with her husband and 3 children. She is a nonsmoker who does not use recreational drugs or drink alcohol. She has no known allergies to medications. She reports a second and/or third degree history of inflammatory bowel disease (IBD), with a great aunt having CD and a grandmother having “colitis.” No other gastrointestinal diseases run in her family. Her medications include mesalamine 400 mg TID, 6-mercaptopurine (6-MP) 1.5 mg/kg/day, prednisone 30 mg/day (tapered dose), omeprazole 20 mg/day, and an oral contraceptive pill. She denies a history of nonsteroidal anti-inflammatory drug use.

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