Complicated Cases in GI

Anthony Kalloo, MD; Jonathan M. Buscaglia, MD

Chapter 22: A 53-Year-Old Man with Crohn's Disease and Renal Failure (continued)

Farida Millwala, MD

A 53-year-old man presented with a 2-week history of progressive generalized weakness and fatigue. He also reported anorexia, bloody diarrhea, and generalized abdominal pain. He felt dizzy with change in position. He denied nausea, vomiting, hematemesis, melena, or dysphagia, but reported an 8-lb loss over 2 months. He complained of hematuria and oliguria over the last 2 weeks. Past medical history was significant for an extensive ileal resection and anastomosis for Crohn’s disease 25 years ago. He denied use of tobacco, alcohol, or any recreational drugs. His family history was…