Crohn's disease Flashcards

1
Q

F:M ratio?

A

F>M

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2
Q

ages affected?

A

any age inc. childhood

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3
Q

peak ages affected?

A

20-30yrs and 60-70yrs

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4
Q

populations with higher incidence?

A

caucasians, jewish population

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5
Q

distribution of CD in the intestines?

A

SI - 40%
LI - 30%
SI and LI - 30%

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6
Q

pathology of CD?

A
thickened mesentery 
skip lesions
narrowing of lumen 
grey appearance of colon
"cobblestone" ulceration
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7
Q

4 histological features of CD?

A

NON-CASEATING GRANULOMAS
deep ulceration
fibrosis
“chain of pearls” of transmural inflammation

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8
Q

5 long term features of CD?

A
SI malabsorption 
strictures 
fistulas and abscesses 
perforation 
increased risk of malignancy
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9
Q

risk of cancer?

A

x5 increased risk

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10
Q

CD v.s. UC?

A
CD:
colon and ileum affected 
skip lesions 
thickened wall 
moderate fibrosis 
transmural inflammation 
UC:
colon only 
diffuse distributions 
thin wall 
mild fibrosis 
only mucosa is inflammation
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11
Q

key difference CD v.s. UC for exam qu?!

A

CD - any part of GI tract

UC - limited to colon

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