QuestionSBA
QuestionChoice
This patient has had a mild-moderate exacerbation of his ulcerative colitis. Prescribing oral prednisolone to maintain remission is not appropriate.
50102
b
Prescribe prednisolone 10mg PO OD
QuestionChoice
This patient has just had their first exacerbation of ulcerative colitis. Offering no pharmacological intervention would most certainly mean a further exacerbation of ulcerative colitis in the near future.
50105
e
Offer lifestyle advice
QuestionChoice
Whilst it is correct to prescribe an oral aminosalicylate, this dosage of sulfasalazine is for inducing remission NOT maintaining it.
50104
d
Prescribe sulfasalazine 2g PO QDS
QuestionChoice
This patient has had a mild-moderate exacerbation of his ulcerative colitis. To maintain remission following this severity of episode it is appropriate to prescribe an oral aminosalicylate, in this case sulfasalazine.
50101
a
Prescribe sulfasalazine 500mg PO QDS
QuestionChoice
This patient is clinically well, there is no need to readmit him.
50103
c
Admit to hospital for a course of IV prednisolone
QuestionComment
fully depends on the location of the issue
17542
QuestionComment
Nope it doesn't. BNF: 'A low-dose of oral aminosalicylate is given to maintain remission in patients after a mild-to-moderate inflammatory exacerbation of left-sided or extensive ulcerative colitis' 
40047
User
subscriber
Abscess Jargon
User
subscriber
Loose Contusion
Concept
Chapter
Osteoporosis, otherwise known as thin bones, is a condition associated with high risk of low trauma fractures due to reduced bone mineral density. Osteoclast activity exceeds osteoblast activity, meaning that bone resorption is occurring at a greater rate than bone formation.

**Symptoms and Signs**

- Generally asymptomatic until a fragility fracture occurs
- Back pain
- Kyphosis (stooped posture)
- Fragility fractures

**Risk factors**

- Female sex
- Increasing age
- Smoking
- Corticosteroid use
- Low BMI (< 20-25kg/m<sup>2</sup>)
- Low body weight (<58kg)
- Vitamin D deficiency

**Protective factors**

- Higher BMI
- Exercise - mechanical loading stimulates bone formation

**Diagnosis**
Osteoporosis can be detected on dual-energy x-ray absorptiometry (DEXA) scan.
A T score of < -2.5 indicates osteoporosis

**Management**

- Fall prevention
- Vitamin D and calcium supplementation
- Hormone replacement therapy (postmenopausal women)
- Oral bisphosphonates
2657
3600
Inflammatory bowel disease - treatment ladder
Topic
13
Neurosurgery
10068
Case Presentation: A 34 year old man attends an outpatient IBD clinic for a review of his ulcerative colitis. 


He has recently been discharged after having a first flair of mild-moderate disease. He is experiencing no symptoms.

**PH** Ulcerative colitis

**DH** Nil. NKDA.

**On examination**

Temperature 36.9°C, HR 62, RR 12, BP 114/73, O2 98% RA

Abdomen is soft and non-tender.

Question: Select the most appropriate management at this stage.
a