Monday, January 23, 2017

Q: Patients with chron disease are prone to which of the following complications in hospital (select one)

A) Pulmonary Embolism
B) Acute MI
C) Intracranial bleed
D) Upper GI bleed
E) Acute liver failure


Answer: A

Patients with inflammatory bowel disease (IBD) are more prone to venous thromboembolism as well as pulmonary embolism. It is of critical importance that patients with acute exacerbation of IBD in hospitals should not miss DVT prophylaxis.



References:

1. Miehsler W, Reinisch W, Valic E, et al. Is inflammatory bowel disease an independent and disease specific risk factor for thromboembolism? Gut 2004; 53:542. 

2. Nguyen GC, Sam J. Rising prevalence of venous thromboembolism and its impact on mortality among hospitalized inflammatory bowel disease patients. Am J Gastroenterol 2008; 103:2272. 


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