Q:

A 14 year old boy presents with recurrent abdominal pain, malaise and weight loss over 6 months. Examination: vague mass is felt in RIF. Colonoscopy shows transmural inflammation and granulomata. What is the most appropriate management?

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A 14 year old boy presents with recurrent abdominal pain, malaise and weight loss over 6 months. Examination: vague mass is felt in RIF. Colonoscopy shows transmural inflammation and granulomata. What is the most appropriate management?


  1. Sulfasalazine
  2. Paracetamol
  3. Metronidazole
  4. Ibuprofen

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The key is A. Sulfasalazine. [Drug of 1st preference is Steroids, then immunosuppressants, then amynosalicylates (such as sulfasalazine). Metronidazole is used if there is infective complications like infected perianal fistula Ref: patient.info].

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