The FNP is seeing a 27-year-old female who believes she has…
The FNP is seeing a 27-year-old female who believes she has IBS (irritable bowel syndrome). The FNP knows that IBS is believed to be a disorder of . The patient tells the FNP she continues to have multiple loose stools daily with abdominal pain and has had fatigue for “months.” On exam, she has normal vitals, a BMI of 19 kg/m2 (down from 22 one year prior), and an unremarkable abdominal exam. On skin exam, she has painful erythematous lesions on her shins that are 2 to 3 cm in diameter, and she has several oral ulcers. She is also anemic. Based on the patient’s presentation and symptoms, the FNP believes the patient should be evaluated for . This disorder greatly increases the patient’s risk for , so the patient should be screened appropriately.