PAINE #PANCE Pearl – Surgery



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:

  1. 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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