GI Emergencies: A Quick Reference Guide

Robert C. Lowe, MD; Francis A. Farraye, MD, MSc

Chapter 6: Fulminant Colitis (continued)

Sharmeel K. Wasan, MD; Francis A. Farraye, D, MSc

You receive the following call from the emergency department (ED): We have a 32-year-old woman with a history of ulcerative colitis (UC) who presents to the ED with bloody diarrhea and fever for the past 2 days. She does not look well, has a pulse of 110 and a blood pressure (BP) of 110/60. Should we start steroids? •Initial response Try to determine how “sick” the patient is. Clinical criteria for an acute attack of severe UC consists of the following features: Diarrhea.