Crohn's Flashcards
what part of the GI tract can Crohn’s effect?
the entire GI tract
What is meant by Crohn’s being transmural?
it affect the entire thickness of the mucosa
the most common site of the involvement is the distal ileum, therefore pain may be mistaken for
appendicitis
what is the least common site for Crohn’s
the mouth and the upper GI tract, a small number will experience this as a part of the disease
what are apthous ulcers?
canker sores that may present with Crohn’s
1/3 of Crohn’s patient have and associated perianal disease, what may this present as
fistula, fissure, abscess this may be seen on rectal exam along with skin tags
therefore screen those with anal abscesses for Crohn’s
a patient with Crohn’s will complain of what type of pain?
a cramping colicky abdominal pain likely in RLQ
a palpable RLQ fullness/mass may be present
how do symptoms develop in patient with Crohn’s?
symptoms will develop gradually onset and usually be intermittent with periods of exacerbations & relative remission
which severity of Crohn’s involves only inflammation and strictures?
moderate
which severity of Crohn’s involves inflammation, strictures, and fistulae?
severe
what symptom is common regardless of of severity in Crohn’s?
inflammation
nocturnal diarrhea helps distinguish Crohn’s from what condition?
IBS, but up to 10% of those with Crohn’s may not have nocturnal diarrhea
are low grade fever and weight loss often present or not in Crohn’s patients?
they are often present
what type of lesion are common in Crohn’?
skip lesions, disease free areas between diseased part
string sign is often seen in patients with Crohn’s due to what?
inflammation
