03-26-2008, 04:16 AM
You are asked to consult on a 27-year-old woman at 12 weeks™ gestation with ulcerative colitis. The pregnancy is highly desired. The patient was first diagnosed with the disease at the age of 23 years. She has had several flares since her first diagnosis, but her disease has been quiescent over the past several months. She has been feeling very tired lately and has morning nausea, but she is otherwise doing well. She has no other medical problems. She has never had surgery. She takes sulfasalazine. She has no drug allergies. Physical examination is normal for a patient at 12 weeks™ gestation. Which of the following is the most appropriate management?
A. Azathioprine
B. Colectomy
C. Prednisone
D. Sulfasalazine
E. Termination of the pregnancy
A. Azathioprine
B. Colectomy
C. Prednisone
D. Sulfasalazine
E. Termination of the pregnancy