Colitis in the Adolescent Population: Management in the Emergency Department | Pearls
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Colitis in the Adolescent Population: Management in the Emergency Department

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Points & Pearls Excerpt

  • The differential diagnosis of colitis is broad and will depend on the primary presenting symptoms. It is helpful to first narrow the differential diagnosis based on the age of the patient.23 (See Table 1, Table 2, and Table 3.)
  • If there is clinical concern for IBD, a perianal examination should be performed. A positive perianal examination, defined as the presence of a large fissure, skin tag, perianal fistula, or perianal abscess plus a positive fecal occult blood test when combined with a standard laboratory panel (CRP, ESR, platelets, and albumin) had a sensitivity of 97.6% in detecting IBD versus a sensitivity of 80.5% with laboratory studies alone.42
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Publication Information
Author

Nicole E. Jones, MD

Peer Reviewed By

Gretchen Fuller, MD, FACEP; Amanda Leng Smith, MD

Publication Date

October 1, 2025

CME Expiration Date

October 1, 2028    CME Information

CME Credits

4 AMA PRA Category 1 Credits™, 4 ACEP Category I Credits, 4 AAP Prescribed Credits, 4 AOA Category 2-B Credits.

Pub Med ID: 40953376

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