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2-10 new cases per 100,000 persons.
? Prevalence: Approx. 40-100 cases per 100,000 people in the U.S.
? Age: Peak incidence occurs between the ages of 15-25 and 55-65.
? Sex: Females are more often affected then men. Geographic Distribution: There is a higher distribution of U.C. in Northern Europe and North America
? Family History: You have a ten fold risk of having U.C. if you have a first degree relative with the disease
? Cultural Considerations: U.C. is 4-5 times more common in the Jewish population specifically the Jewish European or Ashkenazi
? Racial Considerations: U.C. is more common in whites although the incidence of black individuals with the disease is increasing
Assessment
? History
? Family History
? Previous and Current Therapy
? Diet History
? History of weight loss
? Ask about symptoms of acute Ulcerative Colitis which include:
? Abdominal pain
? Cramping
? Urgency
? Diarrhea with up to 10-20 liquid bloody stools per day
? Anorexia
? Fatigue
? Arthritis
? Mouth sores
? Vision problems
? Skin disorders
Physical Assessment
? Signs and Symptoms
-Abdominal Pain
-Bloody diarrhea
-Tenesmus (uncontrolled straining)
? Physical Exam
-vital signs (usually within normal limits)
-Abdominal distension along the colon, palpate for increased tenderness...
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