Question
Yellowish exudates at multiple sites seen in colonoscopy indicates –
| A. |
Crohn’s disease
|
| B. |
Hirschsprung disease
|
| C. |
Tuberculosis
|
| D. |
Lymphoma
|
Show Answer
|
Correct Answer » C
Explanation
|
|
- Yellowish exudates or yellow nodules seen at multiple sites on colonoscopy are characteristic of intestinal tuberculosis.
- Intestinal tuberculosis commonly involves:
- Ileocecal region
- Transverse ulcers
- Nodularity
- Yellowish caseous exudates
- These lesions represent caseating granulomatous inflammation.
Reasons to Rule Out Other Options
A. Crohn’s disease
- Colonoscopy usually shows:
- Skip lesions
- Cobblestone appearance
- Aphthous ulcers
- Deep linear ulcers
- Yellowish exudative lesions are not characteristic
B. Hirschsprung disease
- Congenital absence of ganglion cells
- Diagnosed by:
- Contrast studies
- Rectal biopsy
- Colonoscopy does not typically show yellow exudates
D. Lymphoma
- GI lymphoma may present with:
- Mass lesions
- Ulcers
- Thickened folds
- Yellow caseous exudates are not typical
