Colonoscopy in acute exacerbation of ulcerative colitis ? - USMLE Forums
USMLE Forums Logo
USMLE Forums         Your Reliable USMLE Online Community     Members     Posts
Home
USMLE Articles
USMLE News
USMLE Polls
USMLE Books
USMLE Apps
Go Back   USMLE Forums > USMLE Step 2 CK Forum

USMLE Step 2 CK Forum USMLE Step 2 CK Discussion Forum: Let's talk about anything related to USMLE Step 2 CK exam


Reply
 
Thread Tools Search this Thread Display Modes
  #1  
Old 06-23-2012
tyagee's Avatar
USMLE Forums Master
 
Steps History: ---
Posts: 1,365
Threads: 648
Thanked 591 Times in 355 Posts
Reputation: 601
GIT Colonoscopy in acute exacerbation of ulcerative colitis ?

can we do colonoscopy in acute exacerbation of ulcerative colitis ?
Reply With Quote Quick reply to this message



  #2  
Old 06-23-2012
USMLE Forums Master
 
Steps History: 1+CK+CS
Posts: 646
Threads: 52
Thanked 762 Times in 256 Posts
Reputation: 773
Default

The diagnosis of ulcerative colitis is best made with endoscopy. Endoscopically, ulcerative colitis is characterized by abnormal erythematous mucosa, with or without ulceration, extending from the rectum to part or all of the colon. The inflammation is uniform, without intervening areas of normal mucosa, while skip lesions tend to characterize Crohn disease. Contact bleeding may also be observed, with mucus identified in the lumen of the bowel. Biopsy of the mucosa is recommended to identify the extent of the disease with respect to the thickness of the bowel wall.

Laboratory studies are useful principally for helping to exclude other diagnoses and assess the patient's nutritional status. However, serologic markers can assist in the diagnosis of inflammatory bowel disease.




http://emedicine.medscape.com/article/183084-workup
Reply With Quote Quick reply to this message
The above post was thanked by:
tyagee (06-23-2012)
  #3  
Old 06-23-2012
USMLE Forums Master
 
Steps History: 1+CK+CS
Posts: 1,867
Threads: 149
Thanked 2,107 Times in 1,049 Posts
Reputation: 2127
Default

Quote:
Originally Posted by tyagee View Post
can we do colonoscopy in acute exacerbation of ulcerative colitis ?
Yes, unless it is toxic megacolon.
Reply With Quote Quick reply to this message
The above post was thanked by:
tyagee (06-23-2012)
 
  #4  
Old 06-24-2012
K06100's Avatar
USMLE Forums Master
 
Steps History: 1+CK+CS+3
Posts: 730
Threads: 90
Thanked 460 Times in 289 Posts
Reputation: 470
Default

Quote:
Originally Posted by tyagee View Post
can we do colonoscopy in acute exacerbation of ulcerative colitis ?

Colonoscopy and barium enema r c/i in acute exacerbation of UC as they can lead to perforation of intestine......
__________________
Try Not To Become A Man Of Success But A Man Of Value.
Reply With Quote Quick reply to this message
  #5  
Old 06-24-2012
tyagee's Avatar
USMLE Forums Master
 
Steps History: ---
Posts: 1,365
Threads: 648
Thanked 591 Times in 355 Posts
Reputation: 601
Default

Quote:
Originally Posted by K06100 View Post
Colonoscopy and barium enema r c/i in acute exacerbation of UC as they can lead to perforation of intestine......
please mention your source.

btw, how do we make dx of UC in acute exacerbation ?
Reply With Quote Quick reply to this message
  #6  
Old 06-24-2012
USMLE Forums Master
 
Steps History: 1+CK+CS
Posts: 1,867
Threads: 149
Thanked 2,107 Times in 1,049 Posts
Reputation: 2127
Default

Quote:
Originally Posted by tyagee View Post
btw, how do we make dx of UC in acute exacerbation ?
Majority of times you already have a diagnosis of UC when the patient presents with worsening symptoms --> Acute exacerbation.
The diagnosis of acute exacerbation is mainly clinical and colonoscopy is rarely required.
Reply With Quote Quick reply to this message



Reply

Tags
Gastroenterology-

Quick Reply
Message:
Options

Register Now

In order to be able to post messages on the USMLE Forums forums, you must first register.
Please enter your desired user name, your email address and other required details in the form below.
User Name:
Password
Please enter a password for your user account. Note that passwords are case-sensitive.
Password:
Confirm Password:
Email Address
Please enter a valid email address for yourself.
Email Address:
Medical School
Choose "---" if you don't want to tell. AMG for US & Canadian medical schools. IMG for all other medical schools.
USMLE Steps History
What steps finished! Example: 1+CK+CS+3 = Passed Step 1, Step 2 CK, Step 2 CS, and Step 3.

Choose "---" if you don't want to tell.

Favorite USMLE Books
What USMLE books you really think are useful. Leave blank if you don't want to tell.
Location
Where you live. Leave blank if you don't want to tell.

Log-in

Human Verification

In order to verify that you are a human and not a spam bot, please enter the answer into the following box below based on the instructions contained in the graphic.



Thread Tools Search this Thread
Search this Thread:

Advanced Search
Display Modes


Similar Threads
Thread Thread Starter Forum Replies Last Post
Ulcerative Colitis with Low-grade dysplasia usmledee USMLE Step 2 CK Forum 6 04-26-2012 07:41 PM
Ulcerative Colitis vs. Crohn's Disease bebix USMLE Step 1 Bits & Pieces 4 03-30-2012 11:16 AM
Is this Ulcerative Colitis or Crohn's? tyagee USMLE Step 2 CK Forum 11 02-28-2012 12:17 PM
Ulcerative colitis.....complications sonu.agarwall USMLE Step 2 CK Mnemonics 0 10-31-2011 03:17 AM
ulcerative colitis and rectal involvement kemoo USMLE Step 1 Forum 1 04-05-2011 04:21 AM

RSS Feed
Find Us on Facebook
vBulletin Security provided by vBSecurity v2.2.2 (Pro) - vBulletin Mods & Addons Copyright © 2017 DragonByte Technologies Ltd.

USMLE® & other trade marks belong to their respective owners, read full disclaimer
USMLE Forums created under Creative Commons 3.0 License. (2009-2014)