Crohn's Vs Ulcerative Colitis Flashcards
which features are seen commonly in both Crohn’s and ulcerative colitis?
diarrhoea
arthritis
erythema nodosum
pyoderma gangrenosum
which features are seen almost exclusively in Crohn’s?
mouth to anus skip lesions fistulae, strictures, adhesions inflammation of all layers granulomas abdominal pain weight loss
which features are seen almost exclusively in ulcerative colitis?
bloody diarrhoea uveitis colorectal cancer primary sclerosis cholangitis no inflammation beyond the submucosa
which blood test is almost diagnostic for crohns?
stool calprotectin -
what is a common sign in Crohn’s in children?
failure to grow
what IBDU?
Irritable bowel disease unclassified
which IDB is more common in adults?
ulcerative colitis
which IBD is more common in children?
crohns
In adults, which gender is affected more by IBD?
females
in children, which gender is more commonly affected by IBD?
males
what are seen on histology for crohns?
granulomas
what is the pyramid treatment for crohns in children?
1st line - polymeric diet or oral prednisolone
2nd line - steroids (azathioprine or methotrexate)
3rd line - biologics (infliximab or adalibumab)
4th line - surgery
where does crohns commonly affect in children?
the terminal ileum and colon
when is surgery done in crohns disease?
when its only affecting a tiny part and theres no symptoms apart form restricted growth
what is another common sign of crohns in children?
A fall off in height.