A 32-year-old man with known ulcerative colitis presents with a 5-day history of increased bloody diarrhoea (8 motions per day), abdominal cramps and ...

Question

A 32-year-old man with known ulcerative colitis presents with a 5-day history of increased bloody diarrhoea (8 motions per day), abdominal cramps and malaise. He is afebrile, pulse 96 beats/min, and abdominal examination shows mild diffuse tenderness. What is the most appropriate next step in management?

Accepted Answer

Admit for intravenous steroids and monitoring

Answer

Treat with loperamide and discharge

Answer

Start high-dose oral Prednisolone and arrange urgent outpatient review

Answer

Start Azathioprine immediately in primary care

Answer

No change in treatment as this is a minor flare

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