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Nelson - The Digestive System > Ch. 336 - IBD > Flashcards

Ch. 336 - IBD Flashcards

1
Q

most common time of onset of IBD is during

A

the preadolescent/adolescent era and young adulthood

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2
Q

IBD may begin as early as

A

1st yr of life

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3
Q

UC vs Crohn: pANCA

A

UC

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4
Q

UC vs Crohn: Smoking is a risk factor

A

Crohn

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5
Q

UC vs Crohn: Smoking is protective

A

UC

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6
Q

UC vs Crohn: Rectal bleeding

A

UC

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7
Q

UC vs Crohn: Diarrhea, mucus, pus

A

UC

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8
Q

UC vs Crohn: Abdominal pain

A

Crohn

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9
Q

UC vs Crohn: Abdominal mass

A

Crohn

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10
Q

UC vs Crohn: Growth failure

A

Crohn

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11
Q

UC vs Crohn: Perianal disease

A

Crohn

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12
Q

UC vs Crohn: Rectal involvement

A

UC

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13
Q

UC vs Crohn: Pyoderma gangrenosum

A

UC

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14
Q

UC vs Crohn: Erythema nodosum

A

Crohn

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15
Q

UC vs Crohn: Mouth ulceration

A

Crohn

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16
Q

UC vs Crohn: Thrombosis

A

UC

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17
Q

UC vs Crohn: Colonic disease

A

UC

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18
Q

UC vs Crohn: Ileal disease

A

Crohn

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19
Q

UC vs Crohn: Backwash ileitis

A

UC

20
Q

UC vs Crohn: Stomach-esophageal disease

A

UC

21
Q

UC vs Crohn: Chronic gastritis

A

UC

22
Q

UC vs Crohn: Strictures, fissures, fistulas

A

Crohn

23
Q

UC vs Crohn: Toxic megacolon

A

UC

24
Q

UC vs Crohn: Sclerosing cholangitis

A

UC

25
Q

UC vs Crohn: Risk for cancer GREATLY increased

A

UC, increased in both but more with UC

26
Q

UC vs Crohn: Skip lesions

A

Crohn

27
Q

UC vs Crohn: Transmural involvement

A

Crohn

28
Q

UC vs Crohn: Crypt abscess

A

UC

29
Q

UC vs Crohn: Granulomas

A

Crohn

30
Q

UC vs Crohn: Linear ulcerations

A

UC

31
Q

UC vs Crohn: Localized to the colon and spares the upper GIT

A

Idiopathic chronic UC

32
Q

Fulminant colitis is defined as

A

Fever, severe anemia, hypoalb, leukocytosis, >5 bloody stools/day for 5 days

33
Q

Colon cancer is preceded by changes of mucosal dysplasia hence it is recommended that patients with UC >___ should be screened with colonoscopy and biopsies every 1-2 years

A

10 years

34
Q

Management for intractable UC and fulminant disease unresponsive to medical management

A

Colectomy

35
Q

Major complication of total colectomy for UC

A

Pouchitis

36
Q

Used to prevent pouchitis as a complication of total colectomy for UC

A

Probiotics

37
Q

UC vs Crohn: Aka regional ileitis/enteritis

A

Crohn

38
Q

UC vs Crohn: Systemic signs and symptoms

A

Crohn

39
Q

May be the only manifestation of Crohn

A

Growth failure

40
Q

UC vs Crohn: Associated with Anti-saccharomyces cervisiae, antibody to E. coli, and anti-flagellin antibodies

A

Crohn

41
Q

Most characteristic histologic finding in Crohn disease

A

Noncaseating granulomas similar to sarcoidosis

42
Q

UC vs Crohn: Partial small bowel obstruction or thumbprinting of the colon wall on plain abdominal films

A

Crohn

43
Q

UC vs Crohn: Cobblestone appearance of ulcerations

A

Crohn

44
Q

Trial of this medication may be attempted for mild terminal ileal disease or mild Crohn disease of the colon

A

Mesalamine

45
Q

Used for infectious complications and first-line therapy for perianal disease of Crohn

A

Metronidazole

46
Q

Mainstay of therapy for acute exacerbation of pediatric Crohn disease

A

Corticosteroids

47
Q

Crohn: Treatment of choice for localized disease unresponsive to medical treatment, bowel perforation, fibrosed stricture with partial obstruction, and intractable bleeding

A

Surgery

Nelson - The Digestive System (24 decks)

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