Toxic megacolon diagnostic study of choice: Difference between revisions
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==Diagnostic study of choice== | ==Diagnostic study of choice== | ||
===Diagnostic criteria=== | ===Diagnostic criteria=== | ||
*The diagnosis of toxic megacolon is based on the Jalan's criteria, which includes:<ref name="GanBeck2003">{{cite journal|last1=Gan|first1=S. Ian|last2=Beck|first2=P. L.|title=A new look at toxic megacolon: an update and review of incidence, etiology, pathogenesis, and management|journal=The American Journal of Gastroenterology|volume=98|issue=11|year=2003|pages=2363–2371|issn=0002-9270|doi=10.1111/j.1572-0241.2003.07696.x}}</ref> | *The diagnosis of toxic megacolon is based on the Jalan's criteria, which includes:<ref name="GanBeck2003">{{cite journal|last1=Gan|first1=S. Ian|last2=Beck|first2=P. L.|title=A new look at toxic megacolon: an update and review of incidence, etiology, pathogenesis, and management|journal=The American Journal of Gastroenterology|volume=98|issue=11|year=2003|pages=2363–2371|issn=0002-9270|doi=10.1111/j.1572-0241.2003.07696.x}}</ref><ref name="pmid5305933">{{cite journal |vauthors=Jalan KN, Sircus W, Card WI, Falconer CW, Bruce CB, Crean GP, McManus JP, Small WP, Smith AN |title=An experience of ulcerative colitis. I. Toxic dilation in 55 cases |journal=Gastroenterology |volume=57 |issue=1 |pages=68–82 |year=1969 |pmid=5305933 |doi= |url=}}</ref> | ||
*#Fever >101.5°F (38.6°C) | *#Fever >101.5°F (38.6°C) | ||
*#Heart rate >120 beats/min | *#Heart rate >120 beats/min | ||
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Farima Kahe M.D. [2]
Overview
Diagnostic study of choice
Diagnostic criteria
- The diagnosis of toxic megacolon is based on the Jalan's criteria, which includes:[1][2]
- Fever >101.5°F (38.6°C)
- Heart rate >120 beats/min
- White blood cell count >10.5 (109/L)
- Anemia
- Plus one of the following criteria:
- Dehydration
- Mental changes
- Electrolyte disturbances
- Hypotension
References
- ↑ Gan, S. Ian; Beck, P. L. (2003). "A new look at toxic megacolon: an update and review of incidence, etiology, pathogenesis, and management". The American Journal of Gastroenterology. 98 (11): 2363–2371. doi:10.1111/j.1572-0241.2003.07696.x. ISSN 0002-9270.
- ↑ Jalan KN, Sircus W, Card WI, Falconer CW, Bruce CB, Crean GP, McManus JP, Small WP, Smith AN (1969). "An experience of ulcerative colitis. I. Toxic dilation in 55 cases". Gastroenterology. 57 (1): 68–82. PMID 5305933.