<prompt> Please answer with one of the option in the bracket. Write reasoning in between . Write answer in between .Q:A 25-year-old man presents to the emergency department for severe abdominal pain. The patient states that for the past week he has felt fatigued and had a fever. He states that he has had crampy lower abdominal pain and has experienced several bouts of diarrhea. The patient states that his pain is somewhat relieved by defecation. The patient returned from a camping trip 2 weeks ago in the Rocky Mountains. He is concerned that consuming undercooked meats on his trip may have caused this. He admits to consuming beef and chicken cooked over a fire pit. The patient is started on IV fluids and morphine. His temperature is 99.5F 37.5C, blood pressure is 13077 mmHg, pulse is 90min, respirations are 12min, and oxygen saturation is 98 on room air. Laboratory studies are ordered and are seen below.Hemoglobin: 10 gdLHematocrit: 28Leukocyte count: 11,500 cellsmm3 with normal differentialPlatelet count: 445,000mm3Serum:Na: 140 mEqLCl-: 102 mEqLK: 4.1 mEqLHCO3-: 24 mEqLBUN: 24 mgdLGlucose: 145 mgdLCreatinine: 1.4 mgdLCa2: 9.6 mgdLErythrocyte sedimentation rate ESR: 75 mmhourPhysical exam is notable for a patient who appears to be uncomfortable. Gastrointestinal GI exam is notable for abdominal pain upon palpation. Ear, nose, and throad exam is notable for multiple painful shallow ulcers in the patients mouth. Inspection of the patients lower extremities reveals a pruritic ring-like lesion. Cardiac and pulmonary exams are within normal limits. Which of the following best describes this patients underlying condition?? A: Bowel wall spasticity, B: Gram-negative microaerophilic organism, C: p-ANCA positive autoimmune bowel disease, D: Rectal mucosa outpouching, E: Transmural granulomas in the bowel,  <response>: This is a clinical vignette describing a 25-year-old man with abdominal pain, fatigue, fever, diarrhea, and cramping that is relieved by defecation. He recently returned from a camping trip where he ate undercooked meat. On exam he has abdominal tenderness, oral ulcers, and a rash. Lab findings show anemia, leukocytosis, elevated inflammatory markers, and electrolyte abnormalities. The key findings pointing to the diagnosis are:- Recent camping trip with exposure to undercooked meat- Fever, fatigue, diarrhea - Abdominal pain relieved by defecation- Oral ulcers- Rash- Anemia, leukocytosis, elevated ESRThis presentation is most consistent with an infectious colitis, likely from a foodborne illness acquired during the camping trip. The oral ulcers and rash point more specifically to Campylobacter jejuni as the likely culprit. C. jejuni can cause transmural inflammation and granulomas in the bowel.E: Transmural granulomas in the bowel 