42 - Lower GI Problems

Question 1

Inflammatory Bowel Disease

Answer 1

chronic inflammation + destruction of bowel walls

• AUTOIMMUNE DISEASE
• GENETICALLY LINKED
• can lead to sores + narrowing of intestines
• periods of remission + exacerbation

-either Crohn’s Disease of Ulcerative Colitis

Question 2

IBD often begins in _____ years

Answer 2

teenage years or early adulthood

Question 3

IBD often has a second peak

Answer 3

6th decade

Question 4

Crohn’s Disease vs Ulcerative Colitis

location of lesions

Answer 4

CD- anywhere in GI; more often in ILEUM + PROXIMAL COLON
—-involves ENTIRE THICKNESS of bowel walls

UC-

• —-deep, longitudinal, penetrate bw islands of inflamed edamous MUCOSA
• ———cobbstone appearance

Question 5

Crohn’s Disease vs Ulcerative Colitis

intermittent fever

Answer 5

CD-common

UC-only in acute attacks

Question 6

Crohn’s Disease vs Ulcerative Colitis

malabsorption or nutr deficiencies

Answer 6

CD- common

UC- minimal

Question 7

Crohn’s Disease vs Ulcerative Colitis

tenesmus

Answer 7

CD-rare

UC-common

***feeling of having to poo even on an empty stomach

Question 8

Crohn’s Disease vs Ulcerative Colitis

weight loss

Answer 8

CD- common + may be severe

UC- rare

Question 9

Crohn’s Disease vs Ulcerative Colitis

primary problems

Answer 9

CD-wt loss, malabsorp, ab pain

UC- bloody diarrhea + ab pain

Question 10

skip lesions

Answer 10

• mostly found in CROHN’S

- segments of normal bowel in between diseased portions

Question 11

cobblestone appearance

Answer 11

occurs in Ulcerative Colitits

Question 12

fistula +perianal abscess is more common in

Answer 12

Crohns

Question 13

pseudopolyps are more common in

Answer 13

UC

Question 14

mild, moderate, + severe UC

Answer 14

MILD: 4 semiformed stools/day

MOD: up to 10 stools/day
—-severe bleed, fever, malaise, anemia
SEV: 10-20 stools per day w blood + mucus
—-tachycardia, rapid wt loss, dehydration, fever

Question 15

toxic megacolon

Answer 15

colonic dilation

-found in UC

Question 16

diagnosing IBD

Answer 16

• barium contrast
• small bowel series
• ultrasound
• CT MRI
• colonoscopy

Question 17

treatment for IBD

Answer 17

1 rest the bowel
2 control inflammation
3 combat infection
4 correct malnutrition
5 symptomatic relief
6 improve quality of life

**THERE IS NO CURE **