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Pseudomembranous Colitis
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MedPix Image - MedPix Case
Affiliation: Madigan Army Medical Center
ABSTRACT
Diagnosis: Pseudomembranous Colitis History: 78yo male presents to ED with a three week history of persistent diarrhea and new onset of diffuse abdominal pain and distension. The patient was seen one month ago by his primary care provider and treated for sinusitis. Findings: Limited plain film of the upright abdomen shows thickened haustra of the transverse colon. Selected axial, oral and IV contrast enhanced, images show substantially thickened colonic bowel wall with preservation of, but thickened, haustra, comprising the entire colon. Small bowel is not affected. Mild pericolonic fat stranding is present. Ddx: Inflammatory Bowel disease Infectious colitis (C. difficile, Yersinia, Shigella, CMV) Ischemia Lymphoma Dxhow: Toxin cultures for C. Difficile. Exam: Diffuse abdominal tenderness, distention. Non-acute abdomen with no rebound. TEMP: 99.1F WBC: 10.1 Chloride high at 115 Potassium low at 3.5 No MeSH data available. |
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MPX1150_synpic22498: Selected axial, oral & IV contrast enhanced, images through the mid abdomen. |
View Article: MedPix Image - MedPix Case
Affiliation: Madigan Army Medical Center
Diagnosis: Pseudomembranous Colitis
History: 78yo male presents to ED with a three week history of persistent diarrhea and new onset of diffuse abdominal pain and distension. The patient was seen one month ago by his primary care provider and treated for sinusitis.
Findings: Limited plain film of the upright abdomen shows thickened haustra of the transverse colon. Selected axial, oral and IV contrast enhanced, images show substantially thickened colonic bowel wall with preservation of, but thickened, haustra, comprising the entire colon. Small bowel is not affected. Mild pericolonic fat stranding is present.
Ddx: Inflammatory Bowel disease Infectious colitis (C. difficile, Yersinia, Shigella, CMV) Ischemia Lymphoma
Dxhow: Toxin cultures for C. Difficile.
Exam: Diffuse abdominal tenderness, distention. Non-acute abdomen with no rebound. TEMP: 99.1F WBC: 10.1 Chloride high at 115 Potassium low at 3.5
No MeSH data available.
