Crohns and ulcerative colitis

Question 1

inflammatory disease of the mucosal and submucosal layers of the colon and rectum

Answer 1

ulcerative colitis

Question 2

Most prevalent in Caucasians; most in those of Jewish ancestry

Answer 2

UC

Question 3

Increased incidence of colon cancer
Increased systemic complications and high mortality rate
High mortality rate -struggling with malnutrition and infection

Answer 3

UC

Question 4

-Affects superficial mucosa of colon
-Characterized by multiple ulcerations, diffuse inflammation, shedding of colonic epitheliumbleedingmucosa becomes edematous and inflamed
-Lesions occur one right after another______and causes abscesses to form______________________

Answer 4

UC

Question 5

Where does UC usually start?

Answer 5

at the rectum and spreads prximally until it involves the entire colon

Question 6

results in bowel narrowing, shortening and thickening Inflammatory process affects only the inner lining so don’t often see fistulas, obstruction, fissures

Answer 6

UC

Question 7

diarrhea, passage of mucus and pus, diarrhea is sometimes bloody, text book answer is that they have left lower quadrant pain, intermittent tenesmus (painful straining during a bowel movement), always feeling like they need to go to the bathroom after they’ve already emptied their bowels, bleeding can be mild but it can also be very severe (anemia, fatigue), can become anorexic and have weight loss,

Answer 7

s/s of UC

Question 8

Anorexia, weight loss, fever, vomiting, dehydration, cramping, feeling of urgency for defecation, passage of 10-20 liquid stools per day
Classified as: fulminant (sudden with great intensity and severity), or mild,
Rebound tenderness in right lower quadrant
Extraintestinal symptoms: skin lesion, eye lesions, joint abnormalities, liver disease

Answer 8

s/s of UC

Question 9

To Determine Severity of the Disease, Assess for: hydration, nutritional status, anorexic, malnutrition, bowel sounds, abdominal distension, tenderness, bowel sounds, (for perforation or obstruction), bleeding, FEVER -perforation

Answer 9

assessment for UC

Question 10

Stool sample, Hematocrit and Hemoglobin, WBC, Albumin, Electrolytes
Abdominal x-ray
Sigmoidoscopy and colonscopy
If they have a perforation -it may be contraindicated
Barium enema - _____mucosal abnormalities, focal strictures, or fistulas ____

Answer 10

assessment for UC