Question

A 45-year-old woman with known ulcerative colitis presents with worsening bloody diarrhoea up to 10 times per day, tachycardia, fever and abdominal tenderness. CRP is elevated, and Hb is 95 g/L. What is the most appropriate immediate management?

Accepted Answer

Admit for IV corticosteroids and close monitoring

Answer

Oral mesalazine dose increase and review in 2 weeks

Answer

Start high-dose oral prednisolone as an outpatient

Answer

Start infliximab as an outpatient infusion only

Answer

Schedule elective colectomy without medical therapy

Practice question

A 45-year-old woman with known ulcerative colitis presents with worsening bloody diarrhoea up to 10 times per day, tachycardia, fever and abdominal tenderness. CRP is elevated, and Hb is 95 g/L. What is the most appropriate immediate management?