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??
An acute angle is smaller than a right or 90 degree angle
Click on the link for equilateral acute triangle.
acute
Hope this helps!
Aren't all equilateral triangles acute??
An acute angle is smaller than a right or 90 degree angle
Click on the link for equilateral acute triangle.
An acute angle.
acute
An acute angle.
Gastroenteritis
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