An 85-year-old woman with CFS 6 is admitted with LRTI. On day 4, she develops profuse watery diarrhoea (10 episodes/day), abdominal pain, WCC 24, crea...

Question

An 85-year-old woman with CFS 6 is admitted with LRTI. On day 4, she develops profuse watery diarrhoea (10 episodes/day), abdominal pain, WCC 24, creatinine rising 50% above baseline, temperature 38.5C, and colonic dilatation on X-ray. Stool C. difficile positive. What features indicate SEVERE disease?

Accepted Answer

Raised WCC above 15, rising creatinine above 50% baseline, temperature above 38.5C, and colonic dilatation all indicate severe or life-threatening disease

Answer

Diarrhoea alone

Answer

Only number of episodes matters

Answer

Mild tenderness alone

Answer

Normal WCC with diarrhoea

uk-dgm MCQ (SBA): Severe C. difficile Markers