GI / Hepatology
Acute Severe Ulcerative Colitis
Truelove and Witts criteria, IV steroids, infliximab/ciclosporin rescue, surgical referral on day 3 if no response.
Source: BSG 2019; ECCO 2022
Step 1 of ~8
info
Truelove and Witts Severity
Acute severe UC = ≥6 bloody stools/day + ANY systemic feature: fever >37.8°C, HR >90, Hb <105 g/L, ESR >30, CRP >30. Admit URGENTLY; combined GI + colorectal surgical care. Bloods (FBC, U&E, LFTs, CRP, ESR, Mg, group & save), blood + stool cultures, C diff PCR, CMV PCR, AXR (megacolon, mucosal islands, thumbprinting). Daily.
Related
Curated clinical cross-links plus same-class fallbacks.
Calculators
Drugs
- Tranexamic Acid (ICU/Trauma/Surgical) · Antifibrinolytic
- Glyceryl Trinitrate (Sublingual / IV) · Nitrate / Acute Angina
- Dobutamine (Acute HF / Stress Echo) · Inotrope / Acute Heart Failure
- Milrinone · Inodilator / Acute Heart Failure
- Ciclosporin · Systemic Immunosuppressant — Eczema / Psoriasis
- Prednisolone (Systemic) · Systemic Corticosteroid — Acute Dermatoses
Pathways
- Lower Gastrointestinal Bleed · BSG 2019; NICE NG141
- Variceal Upper GI Bleed · BSG 2015; Baveno VII (2022)
- Spontaneous Bacterial Peritonitis (SBP) · BSG / EASL 2018
- Hepatorenal Syndrome · EASL 2018; ICA 2015
- Hepatic Encephalopathy · EASL 2014; West Haven criteria
- Clostridioides difficile Colitis · NICE NG199 (2021); IDSA/SHEA 2021
Decision support only. Always apply local guidelines and clinical judgement.