32.3 Inflammatory Bowel Disease

Question 1

which one causes problems with growth and pubertal development

Answer 1

crohn’s

Question 2

what the distribution of crohn’s disease in the GIT?

Answer 2

40% terminal ileum
30% ileocecal
20% colonic
10% upper GIT/jejunal

Question 3

which IBD has perianal disease normally?

Answer 3

crohn’s

UC usually only mucosa of colon

Question 4

UC in kids presents compared to adults?

Answer 4

more severe

more pancolitis

Question 5

erythema nodosum examines how?

Answer 5

raiesd red painful nodules on the lower limbs

Question 6

which IBD more likely to see sclerosing cholangitis?

Answer 6

UC

Question 7

what bone complications for IBD?

Answer 7

spondylitis

Question 8

basic blood for IBD?

Answer 8

FBE, cRP
UEC
-Faecal calprotectin
-LFTs
-Thiopurine methyl transferase
-Stool MCS
-Mantoux/CXR
-DEXA

Question 9

cobblestoning happens which disease?

Answer 9

Crohn’s

Question 10

granulomas happen in which IBD?

Answer 10

crohn’s

Question 11

5-ASA useful in which IBD?

Answer 11

UC

-<15% respond in crohn’s

Question 12

problem with Anti-TNF Abs?

Answer 12

• ppl can develop antibodies against them,

- used in conjunction with immunosuppression

Question 13

treatment complications in IBD?

Answer 13

• psychosocial

- immunosuppression: intercurrent illness, STIs, Preg, infection/malignant