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@MondayNightIBD @SobiaMujtabaMD @FezaRemziMD @DCharabaty 1/ 35 yo F panUC on IFX 10mg q4wk, admitted with abdo pain, hematochezia, malaise. T 39 BP 95/63 HR 110 FCP 900 mcg/g. Abdo distended, TTP; CT: colonic wall thickening+edematous mucosa. Cdiff neg; WBC 15, Hb 6. No improvement despite IVCS+Abx. Which surgery is indicated #B2BPoll
@MondayNightIBD @SobiaMujtabaMD @FezaRemziMD @DCharabaty 2/ Indications for colectomy in UC:
📌Elective:
📍UC refractory to medical Rx
📍Steroid-dependant UC
📍Unresectable dysplasia, CA
📍Complications from medical Rx
📌Emergency:
📍Toxic megacolon
📍Fulminant colitis
📍Perforation
📍Severe Bleeding
📌Elective:
📍UC refractory to medical Rx
📍Steroid-dependant UC
📍Unresectable dysplasia, CA
📍Complications from medical Rx
📌Emergency:
📍Toxic megacolon
📍Fulminant colitis
📍Perforation
📍Severe Bleeding
@MondayNightIBD @SobiaMujtabaMD @FezaRemziMD @DCharabaty 3/ What is a toxic megacolon?
🔺Transverse colon > 6cm
🔺AND one:
T>101.5° F
HR> 120
WBC>10.5
anemia
🔺AND one:
Dehydration
altered mental status
electrolyte abnormality
hypotension
💡Recall our #B2B tweetorial on ASUC👇🏽👇🏽👇🏽
🔺Transverse colon > 6cm
🔺AND one:
T>101.5° F
HR> 120
WBC>10.5
anemia
🔺AND one:
Dehydration
altered mental status
electrolyte abnormality
hypotension
💡Recall our #B2B tweetorial on ASUC👇🏽👇🏽👇🏽
