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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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what does a acute look like?
Hope this helps!
What does an acute equilateral triangle look like?
Aren't all equilateral triangles acute??
What does an equilateral triangle and an acute triangle look like?
Click on the link for equilateral acute triangle.
What is a acute look like?
An acute angle is smaller than a right or 90 degree angle
How do a 40 degree angle look like?
acute
