GI 9 - Inflammatory Bowel Disease Flashcards
mucosa inflammation involving only the colon. Starts in rectum and may extend proximally in a continuous fashion to involve part or all of colon
Ulcerative colitis
What is ulcerative colitis? How does it spread?
mucosa inflammation involving only the colon. Starts in rectum and may extend proximally in a continuous fashion to involve part or all of colon
Patchy inflammation involving any segment of the gastrointestinal tract from the mouth to the anus
Crohn’s Disease
What is Crohn’s disease? Where does Crohn’s disease occur?
Patchy inflammation involving any segment of the gastrointestinal tract from the mouth to the anus
proctosigmoiditis refers to:
Ulcerative Colitis
Confined to rectosigmoid region
left-sided colitis refers to:
Ulcerative Colitis
that extends to splenic flexure
extensive colitis refers to:
Ulcerative Colitis
Extends more proximally (beyond splenic flexure)
friability and erosions
Idiopathic inflammatory condition involving mucosal surface of colon
Ulcerative colitis
Frequency of BM, Rectal bleeding, Cramps
Abdominal pain, Fecal urgency, Tenesmus – urge to go! Fever Wt change, Extraintestinal manifestations are all symptoms of:
Ulcerative colitis
ANCA is a good test for:
ASCA is a good test for:
ANCA - Ulcerative colitis
ASCA - Crohn’s disease
In acute colitis, the diagnosis is readily established by __ with biopsy
sigmoidoscopy
sigmoidoscopy sees Edema, friability, mucous, and erosions
Ulcerative colitis
Don’t do which imaging test for Ulcerative colitis?
Barium enema. Little utility in evaluating ulcerative colitis
__ – means the whole colon is involved.in UC
Pancolitis
Patients gets surgery for UC and then comes down with what?
Pouchitis
Treatment for Severe UC
Methylprednisolone
X-ray shows the colon is much wider in one area
Toxic Megacolon
Cigarette smoking
Strongly associated with development of ___
Crohn’s disease
What is ileitis?
involve small bowel only, only the ileum
What is ileocolitis?
% involve small bowel and colon, most often terminal ileum and adjacent proximal ascending colon
Most Crohn’s disease cases are considered
Ileocolitis
If a patient has Fistulas, they have __
Crohn’s disease
Most common presentation & often seen in patients with ileitis or ileocolitis. Low-grade fever and malaise. Weight loss. Loss of energy. Diarrhea (typically nonbloody and often intermittent). Cramping or steady RLQ or periumbilical pain
Chronic Inflammatory Disease
Narrowings found in small bowel are called __ and are associated with __ because __
String sign. Associated with Crohn’s dis because only Crohn’s affects small bowel.
Sinus tracts that penetrate through the bowel and form __ to a number of locations
Fistulas (fistulaization)
Granulomas seen in 25%; highly suggestive of
Crohn’s disease
Tender abdominal mass with fever and leukocytosis
Abscess
2 drugs for Fistulas
Metronidazole and Cipro
8 or more years of Crohn’s colitis is called
Carcinoma
5 reasons for Malabsorption
Bacterial overgrowth Fistulas Strictures Jejunal inflammation Surgical resections
Rule out ___ with Crohn’s disease
Lactose intolerance
Main treatment for Crohn’s disease
Well-balanced diet.
Drug for severe Crohn’s disease
Prednisone
