Gastroenterology

Question 1

What is classified as mild severity ulcerative colitis ( UC )?

Answer 1

<4 stools/day, only a small amount of blood

Question 2

What is moderate severity UC?

Answer 2

4-6 stools/day, varying amounts of blood, no systemic upset

Question 3

What characterises severe UC?

Answer 3

> 6 bloody stools/day + features of systemic upset ( pyrexia, tachycardia, anaemia, raised inflammatory markers )

Question 4

Persistent biliary colic symptoms
Associated with anorexia, jaundice and weight loss.
Palpable mass in the RUQ ( Courvoisier sign )
Periumbilical lymphadenopathy ( Sister Mary Joseph nodes ) and left supraclavicular adenopathy ( Virchow node )

Answer 4

Cholangiocarcinoma

Question 5

Infection of the bile ducts commonly secondary to gallstones.
Triad of fever + RUQ pain + jaundice

Answer 5

Ascending cholangitis

Question 6

Large-joint arthritis + sacroilitis + pyoderma gangrenosum

Answer 6

Ulcerative colitis