Crohns/UC/Celiac

Question 0

colicky RLQ pain, chronic intermittent nocturnal diarrhea, anal fissures/abscesses/fistulas

Answer 0

Crohn’s

Question 1

most common site of Crohn’s

Answer 1

distal ileum

Question 2

distinguishing extracolonic features of Crohn’s (2)

Answer 2

apthous ulcers

gallstones

Question 3

key diagnostic findings for Crohn’s (3)

Answer 3

string sign on CT
elevated ESR/CRP in active disease
Skip lesions on colonscopy

Question 4

tx difference between Crohn’s and UC

Answer 4

antibiotics for Crohn’s, not UC

Cipro & Flagyl

Question 5

UC disease sites (3 things)

Answer 5

colon only
distal –> proximal
mucosal surfaces only

Question 6

signs of inflammation in UC (3)

Answer 6

friability
erosions
bleeding

Question 7

most common site of UC

Answer 7

rectum (proctitis)

Question 8

rectal bleeding, nocturnal bloody diarrhea, crampy abd pain, tenesmus, constipation in some cases

Answer 8

UC

Question 9

PE: anemia, fever, wt. loss, abd tenderness, + guiac test, elevated alk. phos

Answer 9

UC

Question 10

extracolonic manifestations of UC (4)

Answer 10

arthralgias (most common)
erythema nodosum
uveitis
sclerosing cholangitis

Question 11

colonoscopy findings for UC (4)

Answer 11

continuous lesions
loss of haustral folds
inflammation: friability, erosions, bleeding, petechiae
Crypt abscess on pathology

Question 12

lab findings for UC (2)

Answer 12

ESR, CRP elevated in moderate-severe disease

elevated alkaline phos

Question 13

complications of UC (2)

Answer 13

Toxic megacolon

colon CA

Question 14

colonic dilation > 6 cm w/ toxicity signs

Answer 14

toxic megacolon

Question 15

celiac disease (3 characteristics)

Answer 15

mucosal inflammation
crypt hyperplasia
villous atrophy of small intestine

Question 16

diarrhea w/ bulky stools, steatorrhea, bloating, flatulence, constipation, lactose intolerance, rash

Answer 16

Celiac disease

Question 17

dermatitis herpetiformis indicates

Answer 17

celiac disease

Question 18

celiac disease diagnostics (2)

Answer 18

celiac panel for IgA Abs
Small bowel biopsy- villous atrophy is confirmation

both done while pt is eating gluten

Question 19

AEIOU of Celiac

Answer 19

Anemia
Elevated LFTs
Iron deficiency
Osteopenia
Uncomfortable digestion

Question 20

celiac disease extra-GI findings

Answer 20

iron deficiency anemia, B vitamin deficiency
osteopenia
dermatitis herpetiformis
elevated LFTs
wt. loss