Crohn's Vs Ulcerative Colitis Flashcards

1
Q

which features are seen commonly in both Crohn’s and ulcerative colitis?

A

diarrhoea
arthritis
erythema nodosum
pyoderma gangrenosum

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2
Q

which features are seen almost exclusively in Crohn’s?

A
mouth to anus skip lesions
fistulae, strictures, adhesions
inflammation of all layers 
granulomas
abdominal pain
weight loss
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3
Q

which features are seen almost exclusively in ulcerative colitis?

A
bloody diarrhoea
uveitis
colorectal cancer
primary sclerosis cholangitis
no inflammation beyond the submucosa
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4
Q

which blood test is almost diagnostic for crohns?

A

stool calprotectin -

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5
Q

what is a common sign in Crohn’s in children?

A

failure to grow

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6
Q

what IBDU?

A

Irritable bowel disease unclassified

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7
Q

which IDB is more common in adults?

A

ulcerative colitis

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8
Q

which IBD is more common in children?

A

crohns

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9
Q

In adults, which gender is affected more by IBD?

A

females

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10
Q

in children, which gender is more commonly affected by IBD?

A

males

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11
Q

what are seen on histology for crohns?

A

granulomas

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12
Q

what is the pyramid treatment for crohns in children?

A

1st line - polymeric diet or oral prednisolone
2nd line - steroids (azathioprine or methotrexate)
3rd line - biologics (infliximab or adalibumab)
4th line - surgery

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13
Q

where does crohns commonly affect in children?

A

the terminal ileum and colon

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14
Q

when is surgery done in crohns disease?

A

when its only affecting a tiny part and theres no symptoms apart form restricted growth

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15
Q

what is another common sign of crohns in children?

A

A fall off in height.

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16
Q

what are the red flags for ulcerative colitis?

A

nocturnal diarrhoea

bloody diarrhoea

17
Q

what is the form of ulcerative colitis that most children have?

A

Pancolitis -affecting the entire colon - more severe than adults which is usually just proctitis.

18
Q

what surgery can be done for ulcerative colitis?

A

Total colectomy and pouch surgery.