Question 69 · LEK · Ulcerative colitis

A woman came to the ER department because of abdominal pain, frequent (8 daily) painful defecation of bloody stool, high fever, tachycardia and anemia. The physical examination revealed abdominal bloating and tenderness. Lab tests showed elevated C-reactive protein and ESR. The probable diagnosis is:

  1. A. hemorrhagic gastritis.
  2. B. toxic megacolon.
  3. C. acute pancreatitis.
  4. D. colon cancer.
  5. E. ectopic pregnancy.
Hint

Combine the picture of a severe colitis flare with systemic toxicity and abdominal distension.

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