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: