read the following excerpt from a health record: colonoscopy confirmed the diagnosis of ulcerative colitis. one year ago, she developed toxic megacolon, which eventually led to surgical intervention. she had been doing well until 3 months ago, when she started reporting fatigue, general pruritis, and pain in her ruq. her primary provider referred her again for evaluation. she reports some history of steatorrhea but denies bright red blood. which of the following statements is not true, given this health record information?