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Gastroenterologie > 30. Colitis ulcerosa > Flashcards

30. Colitis ulcerosa Flashcards

1
Q

(CU)

CU und MC: Unterscheidung (4)

A
  • Befall des Intestinaltraktes
  • Tiefeausdehnung der Entzündung
  • Neigung zur Fistelbildung
  • Schleimhaut
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2
Q

(CU)

  1. Befall des Intestinaltraktes
  2. Tiefeausdehnung der Entzündung
  3. Neigung zur Fistelbildung
  4. Schleimhaut
A
  1. kontinuierlich
  2. Mukosa und Submukosa
  3. gering
  4. Fahrradschlauch
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2
Q

(MC)

  1. Befall des Intestinaltraktes
  2. Tiefeausdehnung der Entzündung
  3. Neigung zur Fistelbildung
  4. Schleimhaut
A
  1. segmental
  2. transmural
  3. hoch
  4. Pflastersteinrelief
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3
Q

(CU)

Verlaufsformen (3)

A
  • chronisch-intermittierend
  • chronisch-kontinuierlich
  • akut-fulminant
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4
Q

(CU)

Klassifikation

A

Montreal

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5
Q

(CU)

Montreal-Klassifikation (3)

A

E1: Proktitis

E2: Linksseitenkolitis

E3: ausgedehnte Kolitis

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6
Q

(CU)

endoscopic subscore

A

Mayo Clinic

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7
Q

(CU)

Mayo Clinic endoscopic subscore (3)

A
  • milde Erkrankung: geringe Blutungsneigung
  • moderate Erkrankung: deutliche Blutungsneigung und Erosionen
  • schwere Erkrankung: Spontanblutungen und Ulzerationen
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8
Q

(CU)

Leitsymptom

A

blutige, schleimige Diarrhö

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8
Q

(CU)

andere intestinale Symptome (2)

A
  • Bauchschmerzen
  • Tenesmen
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8
Q

(CU)

häufigstes extraintestinales Symptom

A

primär sklerosierende Cholangitis (PSC)

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9
Q

(CU)

Labor: Stufendiagnostik

A
  1. Erstdiagnostik
  2. Verlaufsdiagnostik
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10
Q

(CU)

Labor: Erstdiagnostik

A

bakteriologische Stuhluntersuchung

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11
Q

(CU)

Labor: Verlaufsdiagnostik (2)

A

Calprotectin oder Lactoferrin

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12
Q

(CU)

Bildgebung der Wahl

A

Ileokoloskopie mit Biopsie

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13
Q

(CU)

Risikoläsionen (2)

A

intraepitheliale Neoplasien oder Dysplasien

14
Q

(CU)

Therapiemöglichkeiten (2)

A
  • medikamentöse
  • chirurgische
15
Q

(CU)

medikamentöse Therapie der Wahl (Beispiel)

A

Immunsuppression (Mesalazin)

16
Q

(CU)

chirurgische Therapie der Wahl

A

Resektion der betroffenen Darmteile

Gastroenterologie (36 decks)

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