Physician's Assistant

Refined results letter Fri 27 June 2025 07:55

Last Modified: 283 days ago

MRN:

Content:

Plan:
1. Blood tests including interferon gamma release assay
2. Follow-up blood test results

Dear Mr Jones,

I'm writing to follow up the results of your colonoscopy and the biopsies taken at this time.

As I'm sure the endoscopist explained, your colon looked entirely normal with no concerning features seen with our camera in the area of concern on your CT scan. This is obviously reassuring.

There were some scattered ulcers in your small intestines which were sampled. I'm reassured that the samples have not shown widespread inflammation and no signs of inflammatory bowel disease. One of the samples demonstrated some mild inflammatory changes however these were not widespread and not classical of inflammatory bowel disease.

There can be many causes of ulcers in the small intestine including use of ibuprofen and other infections.

If you are using ibuprofen regularly I'd recommend cutting down and stopping this. I'll send you out some blood tests to ensure that you don't have any other infections which can affect the small bowel and lead to these ulcers. I look forward to writing with the results of these but haven't booked you any gastroenterology clinic follow-up.

If you have any questions or concerns about these results, please do not hesitate to contact us.

Summary of Results:
Colonoscopy June 2025: Numerous scattered aphthous ulcers in terminal ileum, biopsies taken. Anastomosis and splenic flexure normal.
Colonic Histology June 2025: Fragments of small intestinal mucosa, one showing focal mildly active chronic inflammation with cryptitis and mucin depletion. No granulomas. Colonic biopsies normal.

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Summary:

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Refined results letter Fri 27 June 2025 07:55

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