Question

A 28-year-old woman with known ulcerative colitis presents with increased bloody diarrhoea (8 times per day), abdominal pain and tachycardia 105 beats per minute. CRP is 60 mg/L. She is systemically unwell. What is the most appropriate initial treatment in hospital?

Accepted Answer

High-dose intravenous Corticosteroids

Answer

Oral Mesalazine only

Answer

Start biological therapy immediately without steroids

Answer

Oral Loperamide for symptomatic relief

Answer

No treatment; observe only

Practice question

A 28-year-old woman with known ulcerative colitis presents with increased bloody diarrhoea (8 times per day), abdominal pain and tachycardia 105 beats per minute. CRP is 60 mg/L. She is systemically unwell. What is the most appropriate initial treatment in hospital?