3 - IBD Flashcards
A patient presents with diarrhea and severe nutritional deficiencies. Which of the following types of CD are you concerned for?
a. ileocolitis
b. jejunoileitis
c. colonic
d. gastrouodenal
b. jejunoileitis
What are the 4 hallmark signs/symptoms of CD?
- non-continuous skip lesions
- transmural inflammation
- not confined to colon
- fistulas, strictures, abscesses
A patient presents with abdominal pain and vomiting. You notice a lesion on the roof of their mouth and they also note they have had trouble swallowing recently. Which of the following types of CD are you concerned for?
a. ileocolitis
b. jejunoileitis
c. colonic
d. gastroesophageal
d. gastroesophageal
What is the relationship between smoking and Crohn vs. UC?
- Crohn = smoking worsens course
- UC = smoking is protective
A patient with a hx of IBD presents with painful skin eruptions with surrounding erythema. He also has a fever and labs reveal leukocytosis. What are you concerned for?
a. Sweet syndrome
b. Erythema nodosum
c. Pyoderma Gangrenosum
d. Ankylosing Spondylitis
a. Sweet syndrome
T/F: There is no role for antibiotics in treatment of UC
True
Sclerosing cholangitis is associated with what form of IBD?
- Ulcerative Colitis
How can you distinguish colonic CD from ulcerative colitis?
- there is significantly less bleeding in colonic CD compared to ulcerative colitis
What is the first step in the treatment of toxic megacolon?
- NG tube for decompression (or rectal tube)
When are corticosteroids indicated for IBD?
- acute flare ups of disease
What are the 2 patterns of Crohn’s disease?
- Fibrostenotic pattern
- Fistulous pattern
Anti-Diarrheal meds have been linked to what live threatening abdominal condition?
- Toxic megacolon
If a patient with UC is suffering from major bleeding what is the criteria that needs to be met for a colectomy?
> 6 units of PRBC in 24 hours
What is toxic megacolon?
- marked dilatation of the colon ( >6cm)
_____ of CD flare involve the small bowel. _____ involve the terminal ileum.
75% of CD flare involve the small bowel. 90% involve the terminal ileum.
What is the serological marker for CD?
- ASCA+
What is pancolitis?
- ulcerative colitis that involves any lesions beyond the splenic flexure