Clinical Case Database / Category: Case Based Discussion

Ulcerative colitis

Publication details

Dr Gideon Hirschfild
Foundation Years Journal, volume 1, issue 3, p.115 (123Doc Education, London, June 2007)


A 28-years-old Pharmacist presents to the acute medical team with a 6 week history of increasingly severe bloody diarrhoea. Over the last week her bowel frequency has reached 12 times a day, and she complains of generalised abdominal cramps. She has also noticed a generalised sensation of joint aches. She gives a history of visiting India 3 months prior but is otherwise fit and well, with no prior medical history. She takes the oral contraceptive pill and her boyfriend is well. She doesn’t smoke and drinks minimally. There is no pertinent family history.

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Dr Gideon Hirschfild

Clinical Lecturer
Addenbrooke’s Hospital


0.  M J Carter, A J Lobo and S P L Travis Guidelines for the management of inflammatory bowel disease in adults Gut 2004;53:v1-v16


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About the Clinical Cases Database

T​he Foundation Years Clinical Cases Database is​ a selection of 600 peer-reviewed clinical cases in the field of patient safety and clinical practice, specifically focused on the clinical information needs of junior doctors, based around the Foundation Year Curriculum programme (MMC). The cases have been chosen to align with the Foundation Year Curriculum.

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