---

---

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)