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
Hope this helps!
Aren't all equilateral triangles acute??
Click on the link for equilateral acute triangle.
An acute angle is smaller than a right or 90 degree angle
acute
Hope this helps!
Aren't all equilateral triangles acute??
Gastroenteritis
Click on the link for equilateral acute triangle.
An acute angle is smaller than a right or 90 degree angle
An acute angle.
acute
An acute angle.
it looks like your mom!
It has 3 interior acute angles 2 of which are equal in size
An acute triangle has 3 sides of different lengths and 3 interior acute angles of different sizes
It is an acute angle