Browse Guides  internal medicine  gastroenterology

Inflammatory bowel disease

Prevalence
Clinical features
Differential Diagnosis
Investigations
Therapy
Prevention
Prognosis
Clinical features

First attack of colitis

Ask about any fever c

Why?

A fever early in the illness makes inflammatory bowel disease much less likely

Patient Target Disorder and
Reference Standard
Diagnostic Test LR+
(95% CI)
Post-test Probability
colitis undergoing sigmoidoscopy c (pre-test probability: 50%) inflammatory bowel disease
(stool culture, histology, follow-up)
no fever 4.2
(1.6 to 11)
80%
    late fever > 38 C 3.3
(1.0 to 10)
76%
    early fever, previous slight symptoms 3.7
(0.47 to 29)
78%
    early fever 0.077
(0.025 to 0.24)
7%

Expiry date: July 2003
Levels of Evidence used in grading these guides

Author   CM   Ball
Reviewer   L   Friedman
CAT Writers   D   Ford , CM   Ball