colon diseases

Question 1

UC is very unusual in _______

Answer 1

smokers.

Question 2

crohns and UC present with slightly different abdominal pain. what are they?

Answer 2

Crohn’s = Mid or lower abd pain

UC = just lower abd pain

Question 3

granulomas and fibrosis are pathology features of which IBD

Answer 3

Crohn’s Disease

Question 4

Recurrence of disease after colectomy can occur in which IBD

Answer 4

Crohn’s disease

Question 5

malabsoprtion and obstruction occur in which IBD

Answer 5

Crohn’s disease

Question 6

Describe Colon cancer surveillance of someone with ulcerative colitis

Answer 6

Yearly colonoscopy after 7-8 years
Biopsies from every segment
Low Grade dysplasia is common
High Grade dysplasia or cancer → colectomy

Question 7

what is the treatment for diverticulitis

Answer 7

Oral or IV antibiotics
Abscess drainage
Surgery:
    Refractory or recurrent disease
    Stricture
    Perforation

Question 8

lower GI bleed with Chronic abdominal pain and diarrhea, should make you think of _______

Answer 8

IBD

Question 9

lower GI bleed with Weight loss, and new constipation you should think of _______

Answer 9

Neoplasia

Question 10

Painless, heavy lower GI bleeding in elderly patient, makes you think of ________

Answer 10

Diverticulosis

Question 11

Hematochezia (passage of fresh blood through the anus, usually in or with stools) with pain after surgery or MI, should make you think _______

Answer 11

Ischemic colitis

Question 12

Acute diarrhea, travel, ill contacts, or antibiotic use, most like cause is _______

Answer 12

Infectious dysentery

Question 13

causes of colon obstruction = _______

Answer 13

Malignancy
Benign – adhesions, strictures, volvulus
Foreign body – inserted or ingested

Question 14

symptoms of colonic obstruction are _____

Answer 14

N/V,
abd distension,
constipation or obstipation (severe or complete constipation)