Crohn's Disease Flashcards
1
Q
CD
A
inflammation of the GI tract
2
Q
signs
A
No mucus or blood Entire GI tract Skip lesions Transmural inflammation (muscosa to serosa) Smoking worsens
erythema nodosum
3
Q
investigations
A
routine bloods endoscopy or colonoscopy MRI faecal calprotectin CRP will be raised
4
Q
management
A
induce remission: steroid \+/- azathioprine \+/- methotrexate \+/- biologic
maintain remission:
azathioprine
methotrexate
surgical removal of bowel parts
5
Q
complications
A
peri-anal fistula - drainage, MRI good investigation
peri-anal abscess - incision/drainage + antibiotics
6
Q
biopsy findings
A
mucosal-serosa inflammation
cobblestone muscosa
non-caveating granulomas
increased goblet cells
7
Q
what is a complication of surgery as management
A
malabsorption
small bowel syndrome
8
Q
what rules should be used when assessing perianal fistula
A
Goodall rules
9
Q
what can cholestyramine be used for
A
diarrhoea after bowel resection
