It's Time .A 63-year-old woman was admitted because of severe abdominal pain, fatigue and bloody diarrhea
It's Time • A 63-year-old woman was admitted because of severe abdominal pain, fatigue and bloody diarrhea
Her symptoms had started about 3 months prior to admission.She was initially evaluated by her local physician,referred to a surgeon and underwent an exploratory laparotomy
• Her symptoms had started about 3 months prior to admission. She was initially evaluated by her local physician, referred to a surgeon and underwent an exploratory laparotomy
The surgeon described an inflamed colon and transferred her for further management to the hospital
• The surgeon described an inflamed colon and transferred her for further management to the hospital
She underwent a colonoscopy,which demonstrated mild inflammation of the rectum
• She underwent a colonoscopy, which demonstrated mild inflammation of the rectum
27/200 :013 P-A1/4 on/bielefeldt Mild inflammation in the rectum
and severe pancolitis with deep ulcers and pseudopolyps
• and severe pancolitis with deep ulcers and pseudopolyps
Severe colitis with aphthous lesions,ulcers and pseudopolyps involving the entire colon. helete
The terminal ileum was spared. Biopsies were most consistent with active ulcerative colitis.No viral inclusions were seen
• The terminal ileum was spared. Biopsies were most consistent with active ulcerative colitis. No viral inclusions were seen
She was started on prednisone and mesalamine.About 2 weeks later, she presented with worsening symptoms despite medical therapy
• She was started on prednisone and mesalamine. About 2 weeks later, she presented with worsening symptoms despite medical therapy
She was afebrile and tachycardic
• She was afebrile and tachycardic