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History: Travel/Symptoms History of inflammatory bowel disease. Other people affected, bleeding ?. Antibiotic therapy.



Examination: Features of inflammatory bowel disease. - Joints/Eyes/Skin. - Evidence of circulatory compromise.

Presumed Gastroenteritis Full blood count Urea and Electrolytes Stool cultures if had antibiotics c.diff toxin if vomiting -> I.V. fluids

Presumed relapse IBD or new diagnosis IBD Full blood count U&E's/CRP Stool cultures +/- c.diff toxin I.V fluids Sigmoidoscopy +/- rectal biopsy


? Colonoscopy ?Surgical procedure Discharge when stable.

Infection unlikely - start Hydrocortisone 100mg IV tds +/- oral steroids (eg Prednisolone 40 mg) Consider 5-amino salicylates if IBD likely after discussion with Gastroenterologist.

Discharge

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17y ago
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