Clinical Case Database / Category: Case Based Discussion

Crohn's disease

Publication details

Dr Gideon Hirschfield
Foundation Years Journal, volume 1, issue 3, p.120 (123Doc Education, London, June 2007)


A 25-year-old man with a 3 year history of Crohn's disease affecting the small bowel and peri-anal region (fistulae) presents to hospital with abdominal pain. Over the last two weeks he has had several episodes of abdominal pain and vomiting in association with constipation, which all settled spontaneously. Over the last 36 hours his central abdominal pain has worsened and he has been unable to keep any fluids or solids down. His bowels are not opening. He currently takes budesonide and azathioprine and has never had any abdominal surgery. He is an otherwise fit and healthy teacher who smokes 20 cigarettes a day and drinks beer socially.

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Dr Gideon Hirschfield

Clinical Lecturer
Addenbrooke's Hospital


0.  Travis SP et al. European evidence based consensus on the diagnosis and management of Crohn’s disease Gut 2006;55 (Supplement 1)


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T​he Foundation Years Clinical Cases Database is​ a selection of 600 peer-reviewed clinical cases in the field of patient safety and clinical practice, specifically focused on the clinical information needs of junior doctors, based around the Foundation Year Curriculum programme (MMC). The cases have been chosen to align with the Foundation Year Curriculum.

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