CaseStudy241116 -Created by:
A middled aged gentleman, with the background of hypertension, asthma, hypercholesterolaemia, smoker of 10 pack years history, was admitted to hospital due to worsening right sided abdominal pain, and diarrhoae. According to patient, she experinced acute onset of right sided abdominal pain around 4 days ago, which was followed by waterry diarrhoae. Initally, the abdominal pain was relieved by analgesia - paracetamol. However, the right sided abdominal pain was worsening since a day before, with rate 8-9 / 10. She also has waterry diarrhoea around 6-7 episodes per day, since the onset of abdominal pain. On examination of her abdomen, abdomen was very tender and with rebound tenderness. Urgent CT-ABD & Pelvis was done (to rule out intra-abdominal pathology or perforation), showed likely mild pancolitis. There was no bowel perforation. Her blood tests showed elevated white cell count and inflammatory marker. What is your working diagnosis ?? What other investigations are neeeded??