Crohn's Disease Flashcards
What is a chronic IBD that affects the lining of the digestive tract and can appear w/ patchy inflammation t/o?
Crohn’s Disease
Where can Crohn’s disease affect? But where does it usually begin?
Anywhere in GI from mouth to anus; terminal ileum and spreads to right colon
What are some s/s of Crohn disease?
Bouts of RLQ abd cramping and diarrhea, pain may be relieved by defecation, palpable RLQ mass, fever, fatigue/malaise, wt. loss and anemia
How do the stools look in Crohn disease and how frequent are they?
Semi-formed w/ or w/o mucus/pus but rarely blood; 6-8/day
What is the age of onset for Crohn disease?
10-30y/o
What are some common complications from Crohn disease?
Fistulas, ulcers, fissures, or abscesses
What is an abnormal connection b/t an organ, vessel or intestine?
Fistula
What is the term used to describe a small tear in the lining of the anus?
Fissure
What complication can appear w/ abd distention, cramping pain, N/V and/or borborygmi?
Intestinal obstruction
What is borborygmi?
Excessive loud and hyperactive bowel sounds
What complication can be asymptomatic but if not then appear w/ chills/fever, tender abd mass, leukocytosis, wt. loss, malnutrition and/or diarrhea?
Fistula
Colonoscopy, sigmoidoscopy, barium enema or **EGD are?
Diagnostic tests
CBC, BMP, albumin/protein, liver function tests are what?
Important lab studies
What are some not so common complications?
Intestinal obstruction or toximegacolon
What complication can appear w/ fever, increased HR/RR, decrease BP, abd pain, very distended abd, hypoactive bowel sounds to eventually absent?
Toxic megacolon
Fistula’s can cause frequent what?
UTI’s
True or false.
Surgery can help Crohn’s disease by relieving s/s or correcting complications but not cure it.
True
What is the most common complication of surgery for Crohn’s disease?
Bowel obstruction
What is the common surgery performed?
Bowel resection w/ possible temp colostomy
