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CTA is the best next test for this patient, whose clinical presentation with sudden onset of right-sided cramping abdominal pain and a subsequent bloody bowel movement is typical of IRCI
Endoscopic characteristics of UC loss of normal vascular markings and the presence of mucosal granularity, friability, exudates, and focal ulcerations Left- sided UC can be associated with isolated inflammation around the appendix (known as a cecal patch) Endoscopic characteristics of CDdeep linear ulcers, erythema, granularity, and skip lesions Colonoscopy with surveillance biopsies for malignancy should be performed after 8 to 10 years from diagnosis with subsequent surveillance every 1 to 2 years CT or MR enterography can be used to assess the location and extent of small-bowel disease in CD MR imagingthe preferred method for evaluation of pelvic and perianal abscesses Suggested Reading Fletcher JG, Fidler JL, Bruining DH, Huprich JE
