Crohn's Disease Flashcards
1
Q
symptoms
A
crampy abdo pain
diarrhoea
weight loss
fever
2
Q
signs
A
pale clubbing abdo tenderness mouth ulcers perianal skin tags, fistulae, abscess
3
Q
dermatological manifestations
A
erythema nodosum
4
Q
ocular manifestations
A
anterior uveitis
episcleriris
5
Q
hepatobilliary manifestations
A
gallstones (more common in crohn’s than UC)
6
Q
colonoscopy findings
A
skip lesions
cobblestone mucosa
rose-thorn ulcers - transmural inflammation
non-caseating granulomas
7
Q
inducing remission
A
glucocorticoids
8
Q
maintaining remission
A
azathioprine or mercaptopurine
9
Q
Mx peri-anal fistulae
A
high fistula (trans-sphincteric) = drainage seton
low fistula (submucosal) = fistulotomy
10
Q
Mx perianal abscess
A
IV antib e.g. ceftriaxone + metronidazole
Exam under GA, incision and drainage
