Toxic megacolon diagnostic study of choice
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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.