Assessment and Investigations
- Perform anamnesis
- Physical examination
- Blood analysis (H, S, CRP)
- Coproculture
- Perform CT-scan and rectosigmoidoscopy (if no risk of perforation)
- Check CMV on bowel biopsy
Management escalation pathway
Hospitalize:
- Consult with abdominal surgeon: consider laparotomy in case of bowel perforation
- Consult ICU physician: manage shock
- Manage dehydration, malnutrition and anemia according to standard practice.
- Start Solumedrol 125 mg iv 1x/day for 3 consecutive days
- Initiate oral antibiotics (e.g. ciproxin 250 mg BID) in case of suspected infectious origin and adapt according to result of coproculture
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