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426 Possible Causes for Albumin Decreased, Shock, Ulcerative Colitis

  • Pseudomembranous Colitis

    Both cases rapidly developed shock and blood pressure was uncontrollable except with the use of pressor agents.[] Investigations FBC - Increased WBC LFT – decreased albumin EUC/CMP – electrolyte disturbance and renal dysfunction Lactate Stool cultures - unformed stool only AXR – thumbprinting[] A sigmoidoscopy and biopsies demonstrated mucosal ulcerative colitis.[]

  • Colonic Angiodysplasia

    There were clinical features of shock. Packed cell volume at presentation was 14%. She was transfused with 4 units of fresh whole blood.[] Some of these include Colorectal cancer Colonic polyps - extra tissue growing in the colon that can become cancerous Ulcerative colitis - ulcers of the colon and rectum Diverticulitis[] colitis and Crohn's disease, colonic polyps, or cancer in the colon, stomach or esophagus.[]

  • Amebiasis

    The pain may frequently be associated with nausea and vomiting, abdominal distention, fever and signs of shock.[] Additional clinical findings included hematochezia without diarrhea (four patients), dysentery with appendicitis (one patient), exacerbation of ulcerative colitis (two patients[] Sporadic cases may be mistakenly diagnosed as ulcerative colitis and inappropriately treated with steroids. (3) Foci of endemic amebiasis continue to exist in the United States[]

  • Inflammatory Bowel Disease Type 1

    With gangrene, the intestinal wall dies, usually causing rupture, which leads to peritonitis, shock, and, if untreated, death. What Causes Intestinal Strangulation?[] As seen in Table 4, improvements in hemoglobin (Hgb), white blood cell count, erythrocyte sedimentation rate, and albumin were observed during the course of the study and[] Crypt-associated giant cells and granulomas can occur in ulcerative colitis and in themselves are unreliable features for the discrimination between Crohn's disease and ulcerative[]

  • Clostridium Difficile

    This case provides the first report of a young healthy child presenting in septic shock from Clostridium difficile colitis.[] Subsequent patients with incident CDI were more likely to have traditional CDI risk factors including older age, increased creatinine, decreased albumin, and receipt of antibiotics[] We present a case of a patient with ulcerative colitis and recurrent CD infection successfully treated with FT.[]

  • Acute Liver Failure

    A 38-year-old previously healthy Sri Lankan woman from Colombo, Sri Lanka, presented with dengue shock syndrome leading to acute liver failure and kidney injury.[] In a post hoc analysis, combination of albumin and bioartificial liver support systems resulted in decreased mortality (relative risk, 0.80; 95% CI, 0.65–0.98).[] Adam Morton, Acute fatty liver of pregnancy in a woman with ulcerative colitis and familial hidradenitis suppurativa, Obstetric Medicine, (1753495X1773671), (2017).[]

  • Ulcerative Colitis

    We report a case of a 42-year-old man who presented with hypovolemic shock secondary to diarrhea and recently diagnosed nonischemic cardiomyopathy (left ventricular ejection[] […] extent in ulcerative colitis or identify proximal constipation.[] In case 1, the patient presented with duodenal necrosis and died of septic shock.[]

  • Toxic Megacolon

    Fluid and electrolyte replacement help to prevent dehydration and shock.[] - deranged electrolytes - tachycardia - low albumin She was referred for chest and abdominal radiography.[] Infliximab has been tried in patients with severe steroid-refractory ulcerative colitis.[]

  • Cholangitis

    CONCLUSION: PCT could be a promising marker of clinical deterioration to septic shock in acute cholangitis.[] Serum albumin is usually normal except in cirrhosis and chronic liver disease where albumin is decreased.[] One case had de novo post-transplant ulcerative colitis refractory to two anti-TNFα drugs (golimumab and infliximab).[]

  • Toxic Epidermal Necrolysis

    Toxic shock syndrome (TSS) can sometimes mimic Steven Johnsons syndrome/toxic epidermal necrolysis (SJS/TEN).[] She had poorly controlled ulcerative colitis and was treated with high doses of prednisolone, infliximab, acetaminophen and lansoprazole.[] A 50-year-old man with diffuse large B-cell lymphoma who had undergone an allogeneic stem cell transplant 20 months previously was admitted for neutropenic septic shock.[]

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