A 29-year-old man with known ulcerative colitis presents with six bloody diarrhoeal stools per day, crampy abdominal pain and mild tachycardia. He is ...

Question

A 29-year-old man with known ulcerative colitis presents with six bloody diarrhoeal stools per day, crampy abdominal pain and mild tachycardia. He is afebrile and haemoglobin is normal. What is the most appropriate initial management?

Accepted Answer

Admit for intravenous Hydrocortisone

Answer

Start oral Mesalazine alone and manage as outpatient

Answer

Start high-dose oral Prednisolone and arrange urgent colonoscopy

Answer

Start Infliximab infusion immediately

Answer

Offer emergency subtotal colectomy

uk-plab-1 MCQ (SBA): Ulcerative colitis flare

A 29-year-old man with known ulcerative colitis presents with six bloody diarrhoeal stools per day, crampy abdominal pain and mild tachycardia. He is afebrile and haemoglobin is normal. What is the most appropriate initial management?