GI

Question 1

IBD definition

Answer 1

• Causes acute episodes of non-infectious inflammation of the gut

Question 2

causes of IBD

Answer 2

• Multifactorial causes (mainly genetic predisposition and environmental factors)

Question 3

what other conditions are associated with IBD

Answer 3

colorectal cancer

Association of joint, eye, skin or liver conditions caused by possible immune cell deposition

Question 4

complications of IBD

Answer 4

Fistula
Stricture
Abscess

Question 5

where does U. colitis affect

Answer 5

colorectal region

Question 6

common complication of U. colitis

Answer 6

crypt abscess

Question 7

which layers of the intestines affects U/Colitis

Answer 7

submucosa and mucosa

Question 8

where does chrons affect

Answer 8

mouth to anus

Question 9

common area that is effected by chrons

Answer 9

terminal ileum and proximal colon

Question 10

which condition is smoking a risk factor for and which is protective in IBD

Answer 10

protective in ulcerative colitis

Risk factor: crohns

which disease is worse?

Question 11

which layers of the GI tract does chrons effect

Answer 11

all 4- mucosa, submucosa, muscularis, adventatia

Question 12

systemic symptoms of IBD

Answer 12

Tiredness malaise
Weight loss (malabsorption)
Fever

Question 13

symptoms of u. colitis compared to crohns

Answer 13

U.colitis has more GI and rectal symptoms

Crohns has malabsorption and mouth ulcers along with GI symptoms

both have pain

Question 14

bleeding is more common in which condition in IBD and why

Answer 14

ulcerative colitis because it only effects the colon

Question 15

growth failure is more common in which condition in IBD and why

Answer 15

crohns because cant absorb anything properly form whole GI tract

Question 16

diaherria is more common in which condition in IBD and why

Answer 16

u.colitis because it only effects the colon

Question 17

tenesmus is more common in which condition in IBD and why

Answer 17

having the feeling of needing to pass stool

u.colitis- only effects colon

Question 18

endoscopic finding of IBD conditoon

Answer 18

u. colitis: pseudopolyps (crypt distortion)

crohns: cobblestoning: thickened wall

Question 19

pattern of inflammation in IBD

Answer 19

u.colitis: continous inflammation with ulcers inflamed mucosa

Crohns: discontinous, ulcers innormal mucosa

Question 20

medical treatment of iBD

Answer 20

aminosalcylates
corticosteroids
immunosuppressants

Question 21

diverdiculum defintion

Answer 21

A diverticulum is a small, mucosa lined pouch with a narrow neck which protrudes through the colonic wall.

Question 22

common site for diverticula formation

Answer 22

sigmoid and descending

Question 23

diverticulosis

Answer 23

The presence of a diverticula thats asymptomatic

Question 24

diverticular diease

Answer 24

same as diverticulosis but there are symptoms now (blood in stool)

Question 25

symptom of diverticular disease

Answer 25

blood is stool

Question 26

diverticulitis

Answer 26

diverticula becomes inflamed

Occurs when feces blocks neck of diverticula allowing bacteria to enter the space

Question 27

who is commonly affected by diverticulosis

Answer 27

Commonly affects older and is characterized by left sided pain

Question 28

complications of diverticulitis

Answer 28

Complications:
•	Fistula
•	Adhesions
•	Anemia (Malabsorption)
•	Abscesses (in pouch)
•	Perforation 
•	Shock

Question 29

treatment of diverticuitis

Answer 29

• IV Fluids
• Antibiotics
• Surgery- resect bowel
• Uncomplicated: fiber diet

Question 30

presentation of diverticular

Answer 30

left sided pain and fever

Question 31

what would make uyou think a patient has diverticula

Answer 31

old, left sided pain, blood in stool