5.0 of 9 Ratings
Please rate this review topic.
You have never rated this topic.
Thank you. You can rate this topic again in 12 months.
A 42-year-old male with a history of ulcerative colitis presents to the emergency room with four-day history of nausea, bloody diarrhea, and abdominal pain. He is on medical management with 5-aminosalicylic acid (5 ASA). Examination shows an ill appearing man with a tense, tympanitic abdominal exam. He is unable to be fully examined due to the abdominal pain. Vitals are T 38.2 C, HR 102 bpm BP 133/92 mmHg,2 RR 20 bpm, and O2 Sat 100% on room air. In the ED an abdominal radiograph is shown in Figure A. Which of the following is the diagnosis?
Small bowel obstruction
Select Answer to see Preferred Response
A 53 year-old woman with history of ulcerative colitis presents to the emergency department with a severe flare. The patient reports numerous bloody loose stools, and has been febrile for two days. Vital signs are: T 101.9 HR 98 BP 121/86 RR 17 Sat 100%. Abdominal exam is notable for markedly distended abdomen with tympani and tenderness to palpation without guarding or rebound. KUB is shown in figure A. CT scan shows markedly dilated descending and sigmoid colon with no perforations. What is the next best step in management for this patient?