SOLVED171
History taking: The healthcare provider will ask about the patient’s symptoms, including the frequency and severity of diarrhea, presence of blood or mucus in the stool, abdominal pain, weight loss, fatigue, and any other gastrointestinal or systemic symptoms. They will also inquire about the duration and course of the disease. Physical examination: The healthcare provider will perform a thorough examination, paying specific attention to the abdomen. They will evaluate for tenderness, distension, and any abdominal masses. They may also check for signs of malnutrition, such as weight loss and muscle wasting. Other systems, such as the skin, joints, and eyes, may also be examined as UC can have extra-intestinal manifestations. Diagnostic tests: Blood tests such as complete blood count (CBC), erythrocyte sedimentation rate (ESR), and C-reactive protein (CRP) may be ordered to assess for inflammation, anemia, and other abnormalities. Stool tests can help identify any infections or parasites contributing to symptoms. Additionally, endoscopic procedures like colonoscopy or sigmoidoscopy may be performed to directly visualize and assess the appearance of the colon and rectum. Disease activity scoring: Depending on the severity of UC, healthcare providers may use various scoring systems (such as the Mayo Score or Simple Clinical Colitis Activity Index) to objectively assess disease activity. These scores take into account symptoms, lab results, and endoscopic findings. Monitoring complications: Patients with UC are at an increased risk of developing complications like megacolon, strictures, or colorectal cancer. Therefore, regular monitoring, such as surveillance colonoscopies or imaging studies, may be recommended to assess for any signs of complications. What do i write in the finding of this patient?
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