{"id":1677,"date":"2017-08-31T07:42:25","date_gmt":"2017-08-31T11:42:25","guid":{"rendered":"https:\/\/www.roshreview.com\/?p=1677"},"modified":"2024-02-23T16:07:51","modified_gmt":"2024-02-23T16:07:51","slug":"rapid-review-ulcerative-colitis","status":"publish","type":"post","link":"https:\/\/www.roshreview.com\/blog\/rapid-review-ulcerative-colitis\/","title":{"rendered":"Rapid Review: Ulcerative Colitis"},"content":{"rendered":"\n<p><em>Reviewed February 2024<\/em><\/p>\n\n\n<div class=\"wp-block-image\">\n<figure class=\"aligncenter size-large\"><img loading=\"lazy\" decoding=\"async\" width=\"593\" height=\"1024\" src=\"https:\/\/www.roshreview.com\/blog\/wp-content\/uploads\/sites\/2\/2024\/02\/Image-Ulcerative-Colitis-@8x-1-593x1024.png\" alt=\"\" class=\"wp-image-13415\" srcset=\"https:\/\/www.roshreview.com\/wp-content\/uploads\/sites\/2\/2024\/02\/Image-Ulcerative-Colitis-@8x-1-593x1024.png 593w, https:\/\/www.roshreview.com\/wp-content\/uploads\/sites\/2\/2024\/02\/Image-Ulcerative-Colitis-@8x-1-174x300.png 174w, https:\/\/www.roshreview.com\/wp-content\/uploads\/sites\/2\/2024\/02\/Image-Ulcerative-Colitis-@8x-1-768x1327.png 768w, https:\/\/www.roshreview.com\/wp-content\/uploads\/sites\/2\/2024\/02\/Image-Ulcerative-Colitis-@8x-1-889x1536.png 889w, https:\/\/www.roshreview.com\/wp-content\/uploads\/sites\/2\/2024\/02\/Image-Ulcerative-Colitis-@8x-1-1186x2048.png 1186w\" sizes=\"auto, (max-width: 593px) 100vw, 593px\" \/><\/figure>\n<\/div>\n\n\n<p><strong><span style=\"text-decoration: underline;\">Ulcerative Colitis<\/span><\/strong><\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Sx: <strong>bloody <\/strong>diarrhea, crampy abdominal pain, <strong>tenesmus<\/strong><\/li>\n\n\n\n<li>PE: <strong>continuous <\/strong>mucosal inflammation, <strong>always involving the rectum, <\/strong>absence of perianal involvement (prevalent in Crohn)<\/li>\n\n\n\n<li>Extraintestinal findings: uveitis, erythema nodosum, peripheral arthritis, sacroiliitis, ankylosing spondylitis<\/li>\n\n\n\n<li>Tx: options depend on severity and location of disease\n<ul class=\"wp-block-list\">\n<li>Mild-moderate: <strong>mesalamine<\/strong>, topical or oral steroids, 5-ASA<\/li>\n\n\n\n<li>Severe: IV steroids +\/- topical steroids initially, then anti-TNF or anti-integrin, colectomy for refractory cases (curative)<\/li>\n<\/ul>\n<\/li>\n\n\n\n<li>Complications: toxic megacolon, <strong>\u2191 colon cancer risk<\/strong><\/li>\n<\/ul>\n\n\n\n<p><span style=\"text-decoration: underline;\"><strong>Sample question:<\/strong><\/span><\/p>\n\n\n\n<p>A 23-year-old man presents to the clinic with persistent <strong>bloody and mucoid diarrhea<\/strong>, severe <strong>abdominal cramps<\/strong>, weight loss, and fatigue for the past 2 months. His vital signs are within normal limits. Examination is significant for tenderness in the left lower quadrant and hypogastrium. Stool culture, examination for ova and parasites, and Clostridioides difficile toxin assay are negative. A colonoscopy shows a<strong> friable mucosa with pseudopolyps<\/strong> involving the rectum, sigmoid, and left colon up to the transverse colon. Which of the following is the most suspected diagnosis?<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Reviewed February 2024 Ulcerative Colitis Sample question: A 23-year-old man presents to the clinic with persistent bloody and mucoid diarrhea, severe abdominal cramps, weight loss, and fatigue for the past 2 months. His vital signs are within normal limits. Examination is significant for tenderness in the left lower quadrant and hypogastrium. Stool culture, examination for <a href=\"https:\/\/www.roshreview.com\/blog\/rapid-review-ulcerative-colitis\/\">read more&#8230;<\/a><\/p>\n","protected":false},"author":15,"featured_media":6906,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"inline_featured_image":false,"footnotes":""},"categories":[2020,1996,2021,2022,2023,2024,2025,2026,2027,2028,2029,2011,2000],"tags":[2698,2713,3203,3215],"coauthors":[3864],"class_list":["post-1677","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-adult-gerontology-primary-care","category-blogtype","category-pa-certified","category-certified-emergency-nurse","category-clinical-year","category-didactic-year","category-emergency-medicine","category-emergency-nurse-practitioner","category-family-medicine","category-family-nurse-practitioner","category-internal-medicine","category-pediatric-emergency-medicine","category-rapid-review","tag-gastroenterology","tag-gi","tag-pance","tag-panre"],"yoast_head":"<!-- This site is optimized with the Yoast SEO Premium plugin v21.7 (Yoast SEO v26.6) - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>Rapid Review: Ulcerative Colitis - RoshReview.com<\/title>\n<meta name=\"description\" content=\"This Rapid Review distills the important facts about ulcerative colitis, so you can brush up your knowledge and be a confident medical professional. 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