Question

a 34-year-old female patient presents with palor, diarrhea, abdominal pain, and fatigue. mri images reveal skip lesions in the ileum. what is the most likely diagnosis?
a) diverticulitis
b) gastritis
c) regional ileitis
d) chronic iron deficiency anemia
e) anemia of chronic disease

Explanation:

To determine the diagnosis, we analyze each option:

• Option a: Diverticulitis typically affects the colon (especially sigmoid), not the ileum with skip lesions.
• Option b: Gastritis involves the stomach, not ileal skip lesions or the given symptoms.
• Option c: Regional ileitis (Crohn's disease) is characterized by skip lesions in the ileum, along with diarrhea, abdominal pain, and systemic symptoms like fatigue/pallor.
• Option d: Chronic iron deficiency anemia is a hematologic condition, not defined by ileal skip lesions or the gastrointestinal symptoms here.
• Option e: Anemia of chronic disease is secondary to chronic illness, not a primary diagnosis matching the ileal lesions and GI symptoms.

The patient’s ileal skip lesions and GI/systemic symptoms align with regional ileitis.

Answer:

c) regional ileitis