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| * UC exacerbation |
| | #482870 |
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with abdo Xray showing dialated colon with multiple air fluid level, BP 100/70, pulse 105/min, dry mucosa, temp 100 F. next step?
1. Surgical consult
2. Rectal salphasalazine
3. Iv Corticosteroids
4. urgent abdo CT.
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| * Re:UC exacerbation |
| #2018637 |
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Multiple dilated loops and air fluid level , means partial or complete obstruction. shouldn't it be ct and and surgical consult. |
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| * Re:UC exacerbation |
| #2018650 |
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agree with resuscitation , but what does steroid have to do with resuscitation. agree completely, in bowel obstruction generally if it is partial the surgeon normally give 24 hrs for rususcitaion w/ npo , ivf, NGT and if doesn't open they may intervene because of the risk of perforation.. may be I am wrong .please explain why steroids in an obstruted pt. |
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| * Re:UC exacerbation |
| #2018661 |
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this is not obstruction, rather dialatation as a result of UC, and UC acute tx is Steroid if u can recollect. its absolute tx, resuscitation is supportive wid steroids. |
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| * Re:UC exacerbation |
| #2018662 |
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if you are giving ans steroid,
your way of question is completely wrong
because you didn't give h/o CD.
if it is related to CD, in that case steroid
there are many cause of intestinal obs.
so, agree with aceinhibitor |
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