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The list of medical tests mentioned in various sources as used in the diagnosis of Colitis includes:
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Colonoscopy may be required to determine the extent of the disease and to evaluate strictured areas and pseudopolyps. (Biopsy would then be done during colonoscopy.) Barium enema can assess the extent of the disease and detect complications, such as strictures and carcinoma.
A stool sample should be cultured and analyzed for leukocytes, ova, and parasites. Other supportive laboratory values include decreased serum levels of potassium, magnesium, hemoglobin, and albumin as well as leukocytosis and increased prothrombin time. An elevated erythrocyte sedimentation rate correlates with the severity of the attack.
Source: Professional Guide to Diseases (Eighth Edition), 2005
❑ History and physical examination should include questions regarding frequency of stools, rectal bleeding, cramps, abdominal pain, weight loss, and tenesmus. Peritoneal inflammation should be assessed, as well as volume status and nutritional levels.
❑ Sigmoidoscopy establishes a diagnosis by demonstrating increased mucosal friability, decreased mucosal detail, edema, and erosions. Biopsy can help confirm the diagnosis.
❑ Colonoscopy may be used both to determine the extent of the disease and for cancer surveillance after the patient’s flare-up has resolved.
CLINICAL TIP: Colonoscopy should not be performed during an acute episode because of the risk of perforation.
❑ Stool specimen should be cultured and analyzed for leukocytes, ova, and parasites.
Source: Handbook of Diseases, 2003
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