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Medicine General bfa206d1

A patient present with lower gastrointestinal bleed. Sigmoidoscopy shows ulcers in the sigmoid. Biopsy from this area shows flask-shaped ulcers. Which of the following is the most appropriate treatment :

A
Intravenous ceftriaxone
B
Intravenous mentronidazole
C
Intravenous steroids and sulphasalazine
D
Hydrocoscone enemas
High-Yield Explanation
Answer is B (Intravenous Metronidazole) Presence of the classic .flask shaped ulcers' in a patient presenting with lower gastrointestinal bleeding suggests a diagnosis of 'Intestinal amebic colitits'. 'Patients with amebic colitis should be treated with intravenous or oral Metronidaz,ole.'-

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