Pediatrics 27 CLIPP Case 2025/2026
1. Describe how transmural inflammation in Crohn's disease can affect the
gastrointestinal tract.
Transmural inflammation leads to complete healing of the tract.
Transmural inflammation can result in fistula formation.
Transmural inflammation only affects the mucosal layer.
Transmural inflammation is exclusive to ulcerative colitis.
2. Describe the relationship between the onset of abdominal pain and the
rash in HSP.
The abdominal pain occurs before the rash in HSP.
The rash appears weeks after the abdominal pain in HSP.
The abdominal pain in HSP typically develops within days of the
rash appearing.
The abdominal pain and rash appear simultaneously in HSP.
3. In a clinical scenario where a child presents with abdominal pain and
grossly bloody stools, how would the likelihood of Giardia influence your
diagnostic approach?
Assume Giardia is the cause and monitor without testing.
Focus on testing for Entamoeba and other bacterial organisms
rather than Giardia.
Immediately treat for Giardia without further testing.
,Prioritize imaging studies over stool tests.
, 4. Describe how the inflammation pattern in ulcerative colitis differs from that
in Crohn's disease.
Ulcerative colitis is characterized by transmural inflammation, unlike
Crohn's disease.
Crohn's disease only affects the rectum, while ulcerative colitis
affects the entire colon.
Both conditions have patchy inflammation but differ in severity.
Ulcerative colitis has continuous mucosal inflammation starting
from the rectum, while Crohn's disease can have patchy
inflammation affecting any part of the gastrointestinal tract.
5. If a child presents with a significant slowing of weight gain and abdominal
pain, what should be the next step in management?
Monitor the child for a few weeks without intervention.
Prescribe pain relief medication only.
Conduct a thorough diagnostic evaluation.
Immediately start a diet plan.
6. If a child presents with abdominal pain and a drop in height velocity, what
should be the next step in their evaluation?
Refer the child to a dietitian for nutritional advice.
Monitor the child for a few weeks without intervention.
Consider further diagnostic testing for chronic conditions.
Immediately prescribe pain relief medication.
7. A 26-year-old woman is diagnosed with Crohn's disease after having
frequent diarrhea and a weight loss of 4.5 kg over 2 months. When the
1. Describe how transmural inflammation in Crohn's disease can affect the
gastrointestinal tract.
Transmural inflammation leads to complete healing of the tract.
Transmural inflammation can result in fistula formation.
Transmural inflammation only affects the mucosal layer.
Transmural inflammation is exclusive to ulcerative colitis.
2. Describe the relationship between the onset of abdominal pain and the
rash in HSP.
The abdominal pain occurs before the rash in HSP.
The rash appears weeks after the abdominal pain in HSP.
The abdominal pain in HSP typically develops within days of the
rash appearing.
The abdominal pain and rash appear simultaneously in HSP.
3. In a clinical scenario where a child presents with abdominal pain and
grossly bloody stools, how would the likelihood of Giardia influence your
diagnostic approach?
Assume Giardia is the cause and monitor without testing.
Focus on testing for Entamoeba and other bacterial organisms
rather than Giardia.
Immediately treat for Giardia without further testing.
,Prioritize imaging studies over stool tests.
, 4. Describe how the inflammation pattern in ulcerative colitis differs from that
in Crohn's disease.
Ulcerative colitis is characterized by transmural inflammation, unlike
Crohn's disease.
Crohn's disease only affects the rectum, while ulcerative colitis
affects the entire colon.
Both conditions have patchy inflammation but differ in severity.
Ulcerative colitis has continuous mucosal inflammation starting
from the rectum, while Crohn's disease can have patchy
inflammation affecting any part of the gastrointestinal tract.
5. If a child presents with a significant slowing of weight gain and abdominal
pain, what should be the next step in management?
Monitor the child for a few weeks without intervention.
Prescribe pain relief medication only.
Conduct a thorough diagnostic evaluation.
Immediately start a diet plan.
6. If a child presents with abdominal pain and a drop in height velocity, what
should be the next step in their evaluation?
Refer the child to a dietitian for nutritional advice.
Monitor the child for a few weeks without intervention.
Consider further diagnostic testing for chronic conditions.
Immediately prescribe pain relief medication.
7. A 26-year-old woman is diagnosed with Crohn's disease after having
frequent diarrhea and a weight loss of 4.5 kg over 2 months. When the
