Ulcerative colitis...

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Ulcerative colitis...

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8 Posts

cache
Forum Guru

Topics: 130
Posts: 275

07/22/04 - 08:33 PM

A 30 yr old woman presents with a 2 week history of bloody diarrhoea. Sigmoidoscopic examination reveals changes compatible with Ulcerative Colitis. A rectal biopsy is taken . the next step should be to
a. commence Salicylazosulphapyridine
b. commence IV steroids
c. order a stool culture
d. commence rectal steroids
e. await results of rectal biopsy

Please explain your choice

oddissy4u
Forum Guru

Topics: 107
Posts: 389

07/22/04 - 08:44 PM

wait for results.

dimps
Forum Guru

Topics: 63
Posts: 446

07/22/04 - 08:48 PM

i think a ,

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cache
Forum Guru

Topics: 130
Posts: 275

07/22/04 - 08:50 PM

try again..

usmleasr
Forum Guru

Topics: 105
Posts: 970

07/22/04 - 09:44 PM

rectal steroids?? :roll:

asmi
Forum Hero

Topics: 1043
Posts: 4,609

07/22/04 - 10:01 PM

rectal steroids

cache
Forum Guru

Topics: 130
Posts: 275

07/23/04 - 05:32 PM

the correct response is to order a stool culture. a history of 2 weeks of bloody diarrhoea would be consistent with the first episode of ulcerative colitis, but an infective cause must be excluded by stool microscopy and culture.
disorders such as Campylobacter jejuni, amoebiasis, and CMV enteritis in the immunosuppressed may have a macroscopic appearance indistinguishable from Ulcerative colitis.

dimps
Forum Guru

Topics: 63
Posts: 446

07/23/04 - 07:18 PM

thanx cache for such a good Q

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