GI

Question 1

Management of mild Crohn’s

Answer 1

Induce remission:

1. Pred
2. 5-asa (sulphasalzine, mesalazine)
3. Mercaptopurine, azathioprine
4. Inflixumab

Maintain remission:

1. 5-asa
2. Methotrexate

Question 2

Management of mild/mod UC

Answer 2

Induce remission:
Topical 5-asa +/- pred

Maintaining remission:
5-asa

Surgery:
Sub total colectomy
Total proctocolectomy

Question 3

Truelove and Witt criteria

Answer 3

Assessing severity of UC

Mild: <4 bowel movements per day
Mod: 4-6
Severe: 
>6
Pyrexia
Anaemia
ESR >30
HR >90
Visible blood

Question 4

Extra intestinal manifestations of IBD

Answer 4

MSK:
Arthritis
Clubbing
MBD

Skin:
Erythema no do sum
Pyoderma gangrenosum

Eyes:
Episcleritis
Scleritis
Anterior uveitis

HPB:
Primary sclerosis cholangitis -> Ca
Gall stones

Renal stones

Question 5

Investigations for IBD

Answer 5

Bloods: FBC, LFT, ESR, CRP, clotting, albumin

Imaging:
AXR
Colonoscopy + biopsies

Stool sample:
MC+S
Faecal calprotectin