Anesthesia Central is an all-in-one web and mobile solution for treating patients before, during, and after surgery. This collection of drug, procedures and test information is derived from Davis’s Drug, MGH Clinical Anesthesia Procedures, Pocket Guide to Diagnostic Tests, and MEDLINE Journals. Explore these free sample topics:
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First Things First (assess & treat for the following)
- Toxic symptoms suggesting fulminant colitis
- Severe abdominal pain
- High fever
- Marked leukocytosis
- Altered mental status
- Colonic dilation suggesting toxic megacolon
- Obtain serial plain films or CT; >7 cm colonic diameter or “thumbprinting”
- Correct electrolyte abnormalities, especially hypokalemia.
- Eliminate possible exacerbating factors:
- Antimotility agents
- Peritoneal findings suggesting perforation
- Obtain immediate surgical consultation (if not already accomplished).
- Free perforation is absolute indication for surgery.
- Infectious etiology
- Other etiologies in differential diagnosis (ie, “look-alikes”)
- Ischemic colitis
- Colonic volvulus
- Obstructing colon cancer