Which physical findings are related to the severity of inflammatory bowel disease (IBD)?

Updated: Apr 10, 2020
  • Author: William A Rowe, MD; Chief Editor: BS Anand, MD  more...
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Examination in patients with IBD may include the following findings, which are directly related to the severity of the attack:

  • Fever

  • Tachycardia

  • Dehydration

  • Toxicity

  • Pallor, anemia

  • Toxic megacolon: Medical emergency; patients appear septic, have high fever, lethargy, chills, and tachycardia, as well as have increasing abdominal pain, tenderness, distention

  • Mass in the right lower abdominal quadrant: May be present in CD

  • Perianal complications: May be observed in up to 90% of cases of CD [2]

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