abdo Flashcards
where can UC occur
confined to colon
always involves rectum
granuloma are found in whihc IBD
crohns
genetic IBD
4 genes
NOD2
HLA
ATG
IL23R
what investigations 1st line
stool samples; calprotectin
what condition is first presentation of crohns confused with?
appendicitis
RLQ pain ileocecal valve
what is the most important thing you can see in Crohns
crp, esr, wcc all raised
why do you get kidney stones/ gallstones with crohns?
malabsorption = increased fatty acid
calcium +oxolate bind to fatty acids
= get into kidney / gallbladder and form stones
treatment for crohns
induce remission
corticosteroids
induce remission
UC
aminosalycylates
copper - liver screen
wilsons disease
ceruloplasmin
low in wilsons disease
why look at liver screen ferritin?
acute phase reactant
ferritant goes up any sign of infection
what is fulminant hepatitis?
liver failure that involved all liver
what blood test?
hbSAg
HbEAg
anti-Hbc IgG
anti-Hbc IgM
chronically infected
HBsAg +
anti-HBc +
IgM anti -HBc-
anti HBs -