Question
A 37yo man is presenting to your practice to establish primary care. He reports a history of controlled inflammatory bowel disease and sees a gastroenterologist every 6 months. Before you begin your physical examination:
- What are some of the identifiable extraintestinal manifestations of inflammatory bowel disease
Answer
A simple mnemonic for the extraintestinal manifestations of inflammatory bowel disease is A PIE SACK:
- Apthous ulcers
- Pyoderma gangrenosum
- Iritis
- Erythema nodosum
- Sclerosing cholangitis
- Arthritis or Ankylosing Spondylitis
- Clubbing of the fingers
- Kidney (amyloid deposits, nephrotic syndrome)
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