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Gastroenterologie & hepatologie > Boala Crohn > Flashcards

Boala Crohn Flashcards

1
Q

Ce este boala Crohn?

A

o afectiune inflamatorie cronica a tubului digestiv care afecteaza orice segment al lui

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2
Q

semne clinice digestive boala crohn

A

diaree (majoritar fara sange)
dureri abdominale
malabsorbtia
leziuni perianale (fistule)

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3
Q

semne clinice extradigestive crohn

A 
febra/subfebrilitati
astenie
pierdere ponderala
artrita
eritem nodos
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4
Q

In ce context clinic ne putem gandi la Crohn?

A 
diaree cronica
subfebrilitate
astenie
pierdere ponderala progresiva
leziuni perianale (fistue, abces)
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5
Q

Ce observam la examenul clinic in Crohn?

A

abdomen difuz dureros la palpare

fistule cutanate

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6
Q

Pe ce se bazeaza dignosticul de Crohn?

A

endoscopie cu biopsie

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7
Q

Cum arata Crohn endoscopic?

A

leziuni aftoide
ulceratii adanci
aspectul mucoasei in piatra de pavaj

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8
Q

Cum arata Crohn la biopsie?

A

aspect inflamator transmural de tip granulomatos
ulceratii profunde
fibroza
fistule

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9
Q

examinari imagistice in boala Crohn

A 
endoscopie
enterocapsula
eco transabdominal
enteroCT
enteroRMN
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10
Q

Cum arata la laborator boala Crohn?

A 
PCR crescut
VSH crescut
leucocitoza
fibrinogen crescut
\+/- anemie, hipoalbuminemie
calprotectina fecala crescuta
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11
Q

VN calprotectina fecala

A

pana la 50 mg%

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12
Q

Cum se numeste stadializarea bolii Crohn?

A

Montreal

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13
Q

Pe ce se bazeaza clasificarea Montreal?

A

(A)ge
(L)ocalizarea leziunilor
(B)ehaviour

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14
Q

stadializare Crohn Montreal dupa varsta

A

A1 mai putin de 16 ani
A2 17-40 de ani
A3 mai mult de 40 de ani

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15
Q

stadializare Crohn Montreal dupa localizarea leziunilor

A

L1 ileonul terminal
L2 colon
L3 ileocolon concomitent
L4 boala izoalta la nivelul tractului digestiv superior

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16
Q

stadializare Crohn Montreal dupa comportamentul bolii

A

B1 forma nestenozanta nepenetranta
B2 forma stenozanta
B3 forma penetranta, fistulianta
P manifestari perianale

17
Q

DD Crohn

A 
RUH
colita ischemica
boala celiaca
neo colon
apendicita acuta
18
Q

CX Crohn

A 
stenoze
fistule interne sau externe
perforatia
abcedarea
sepsis (rar)
19
Q

tx Crohn faza acuta

A

prednison

se continua cu azatioprina

20
Q

tx cronic Crohn

A

azatioprina concomitent cu corticoterapia

21
Q

tx Crohn forme severe

A

antiTNF

-infliximab

22
Q

tx diaree

A

imodium
sau
codeina

Gastroenterologie & hepatologie (16 decks)

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