]> 2026-07-31T12:13:49+00:00 WBR1114 0 en Surgical consultation for colectomy Intravenous glucocorticoids Oral glucocorticoids Intravenous infliximab Broad spectrum antibiotics and opiods Emergency Room A 30 year old male comes to the emergency department with complaints of fever, generalized abdominal pain and bloody stools. He was diagnosed with ulcerative colitis 1 year back and has been on and off sulfasalazine treatment. His flare up started 2 days ago that quickly progressed to severe abdominal pain and multiple bloody stools. He does not have any other complaints. He does not smoke, but consumes alcohol occasionally. On examination his vitals are pulse: 94/min, BP: 140/80 mmHg and temperature: 38 degree Celsius. Abdominal examination reveals hypoactive bowel sounds and generalized distension with rebound tenderness. Abdominal X-ray shows colonic dilatation of > 6cm with some air fluid levels. There is no pnueumoperitoneum. Initial lab evaluation shows Hb: 10 g/dl, WBC: 18,500/mm3, platelets: 330,000/mm3, blood glucose: 100 mg/dl, serum creatinine: 1mg/dl and potassium: 3 mEq/L. Stool studies are negative for infectious etiology. Which of the following would the most appropriate next step in the management of this patient? B Gastrointestinal 2020-10-28T02:39:50Z 2459150.6109954 WBR1114