Crohns Flashcards
1
Q
Ix for UC and crohns
A
Hx Exam CRP, FBC eg microcytic fe defic, cult if acute, pl high in inflamm, LFL alb. Palin XR- obstruc, toxic dialt colon, perforat, wall oedema thumb print. Barium enema CT MRI Colonoscopy Flex sig Capsule endosc unless strictures Biop Stool sample
2
Q
Px
A
Malaise Anorexia, wl Intermitt diarr Urgency Pain Mouth ulcer Recurr parianal abcess Fistula Eye probs Jnt probs Skin probs Liver probs, gallstone
3
Q
feats
A
Sep patches, skip lesions Most comm termin ileum req ileocaecal resection Mesentery wraps SI Scarring Strictures
4
Q
mx
A
Steroids- topical, oral, IV. Often budecanide as 1st pass liver so less adrenal eff.
ASA preps
Imm supp- azathiprine, methotrex, 6MP mercaptopurine
Metronidazole if anal dis
Abs
5
Q
indics for surg
A
SURG NEVER CURATIVE. More conservative as relpases. Failed medical Fistula with or without abcess Obstruc due to stricture CA Haemorrhage Perforation Growth reatrd
