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23rd April 2024
A 36-year-old female with ulcerative colitis and PSC is attending the gastroenterology clinic
A 36-year-old female with ulcerative colitis and PSC is attending the gastroenterology clinic as part of her routine outpatient follow up. She was diagnosed with ulcerative colitis several years ago and it is well controlled on oral mesalazine. She required a short course of steroids for a mild flare over a year ago but has otherwise been well.
Investigations show the following:
| Haemoglobin | 120g/L |
| White Cell Count | 7×10⁹/l |
| Platelets | 235 10⁹/l |
| Bilirubin | 20 μmmol/l |
| Alkaline Phosphatase | 120μmmol/l |
| ALT | 35 iu/l |
| AST | 30 iu/l |
| Albumin | 32g/l |
| CRP | 7 |
Her previous colonoscopy was 6 months ago, which demonstrated no areas of active inflammation. She asks you how often she should have colonoscopies if things are stable. What would you advise her?
Select the SINGLE most appropriate option from the list below. Select ONE option only.
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