ABSTRACT

You are reviewing patients in the medical outpatient clinic. Your next patient has been referred by his general practitioner with the following letter. Please read the letter and then review the patient.

Dear Doctor,

Re: Mr Ferhat Celik

Age: 56 years

Thank you for seeing this Turkish-Cypriot who works as a chef. I am concerned that he has been complaining or oral ulceration for some months and topical treatment with mouthwashes and hydrocortisone pellets have failed to alleviate the problem. He does have a family history of Crohn’s disease and I wonder whether his bowels need to be investigated. Once again many thanks for your help.

Yours sincerely