Crohn's Flashcards
1
Q
Risk factors
A
Smoking
Oral contraceptive pill
Nutritional deficiency
Previous infection
2
Q
Which part of the GI is affected?
A
Entire GI tract, transmural
3
Q
Epidemiology
A
Two peaks: 20-40 years and 60-70 years
Caucasian ethnicity
4
Q
Are they always unwell?
A
Yes, systemically unwell
5
Q
What kind of lesions are seen in Crohns?
A
Patchy skip lesions
6
Q
What is common in Crohns but not in UC?
A
Abscesses/fissures
7
Q
Most common site that’s affected?
A
Terminal ileum
8
Q
Symptoms?
A
Bloody diarrhoea that’s MIXED
9
Q
Where is the pain?
A
RIF
10
Q
Any other symptoms?
A
Fever
11
Q
Signs
A
Perianal lesions
Crohn’s
12
Q
Investigations
A
Stool sample (H pylori) Blood tests (CRP, ESR) CT/MRI of abdomen Colonscopy and biopsy
13
Q
Management
Inducing remission
A
Corticosteroids
14
Q
Maintaining remission
A
Azathioprine
Methotrexate
Cyclosporin
Methotrexate
