A patient with ulcerative colitis is admitted with six bloody stools daily, pulse 88/min, temperature 37.2°C, haemoglobin 112 g/L, CRP 18 mg/L and

Question

A patient with ulcerative colitis is admitted with six bloody stools daily, pulse 88/min, temperature 37.2°C, haemoglobin 112 g/L, CRP 18 mg/L and ESR 34 mm/hour. Which statement best classifies this attack using Truelove and Witts criteria?

Accepted Answer

Acute severe because stool frequency is at least six and ESR exceeds 30 mm/hour

Answer

Mild because the pulse is below 90/min

Answer

Moderate because no single systemic marker is severe

Answer

Fulminant only if toxic megacolon is present

Answer

Severity cannot be assessed without faecal calprotectin

Atrial Fibrillation — ESEGH MCQ

A patient with ulcerative colitis is admitted with six bloody stools daily, pulse 88/min, temperature 37.2°C, haemoglobin 112 g/L, CRP 18 mg/L and ESR 34 mm/hour. Which statement best classifies this attack using Truelove and Witts criteria?