Question

Ralph hasn't had any symptoms for two years. About a week ago he started having chronic diarrhea, nausea, fever, and abdominal fullness. Last night his abdomen was tender and distended so he went to the ED. X-rays showed skip lesions in the bowel and the barium study using CT showed a fistula. Based on the most probable diagnosis, what is a possible cause of this disease?

	a.	hiatal hernia
	b.	stress
	c.	chronic alcoholism
	d.	autoimmune factors

Answer 1