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Mr. Newton, a 25-year-old accountant, is being referred due to clinical features consistent with possible inflammatory bowel disease. He is a heavy smoker and a regular squash player. His uncle has a history of Crohn's disease. Mr. Newton initially presented with chronic mild diarrhea, lower quadrant abdominal pain, lethargy, and loss of appetite, having lost three kilograms in the past four months, which has affected his daily activities. Diet modification was unsuccessful in alleviating his symptoms. Examination revealed generalized abdominal tenderness, with no hepato-splenomegaly. Investigations showed mild anemia, elevated white blood cell count, elevated CRP, and positive occult blood in stool. The provisional diagnosis is Crohn's disease versus ulcerative colitis, and ongoing care is requested. 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