Question

A 42-year-old man is admitted with acute severe ulcerative colitis. He is treated with intravenous Hydrocortisone. After 5 days, he is still passing 8 bloody stools per day and his CRP remains elevated. What is the most appropriate next step in management?

Accepted Answer

Add rescue therapy with Infliximab or Ciclosporin, or consider surgery

Answer

Add oral Prednisolone

Answer

Continue IV Hydrocortisone for another 5 days

Answer

Start Azathioprine

Answer

Start Metronidazole

Practice question

A 42-year-old man is admitted with acute severe ulcerative colitis. He is treated with intravenous Hydrocortisone. After 5 days, he is still passing 8 bloody stools per day and his CRP remains elevated. What is the most appropriate next step in management?