GI Crohn's & Colitis Flashcards

You may prefer our related Brainscape-certified flashcards:
1
Q

What is Crohns disease?

A

An inflammatory disease of the GI tract

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

What does Crohn’s disease cause?

A

Inflammation and ulceration in the digestive tract

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

Is Crohn’s disease in one area or in multiple segment?

A

Can be in one area or multiple segments

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

Where is crohns disease normally found?

A

Most usually found in the end of the ileum and the ascending column

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

What layers of the bwoel does crohns affect?

A

All the layers through to the serosa, causing a cobblestone appearance

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

What is the aetiology of crohns disease?

A

It’s idiopathic however is linked to faulty immune system and environmental factors. ?Genetic

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

How is crohns disease diagnosed?

A

GP would ask for a food diary
Blood test
Faecal test
Colonoscopy
Biopsy
MRI/CT
Gastroenterologist examinations

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

Who has crohns most commonly?

A

Presents most commonly in adolescence and early adulthood, but it may occur at any age. About 20-30% present before the age of 20 years old.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

What are the signs and symptoms of crohns?

A

.Abdo pain - most common - low/mid R side
.Diarrhoea
.Dehydration
.Joint pain/arthritis
.Fatigue
.Weight loss
.Flare ups and remission

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

What are the common medications for crohns?

A

-Corticosteroids
-Immunosuppressive drugs
-Boiling therapy
-Amino salicylates
-Enteral nutritional supplementation
-Loperamide, mebeverine, colestyramine
-Psychological impact

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

Is there a cure for crohns?

A

No cure

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

What is ulcerative colitis?

A

An inflammatory bowel disease of the GI tract

Inflammation damages the bowel wall and ulcers from

These areas bleed and produce more mucus and pus

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

What are the four types of ulcerative colitis?

A

Ulcerative proctitis
Proctosigmoiditis
Left sided colitis (distal)
Pancolitis (total colitis)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

Where does ulcerative proctitis effect?

A

Limited to the rectum - the most mild type

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

Where does proctosigmoiditis effect?

A

Affects the rectum and the sigmoid colon

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

Where does pancolitis effect?

A

Total colitis

17
Q

What are some differenced between crohns and ulcerative colitis?

A

Chrons:
Affects whole intestine
Usually begins in the ilium
Can affect all layers of bowel wall

Ulercative colitis:
Affects large intestine
Affects inner lining of colon
Starts in rectum
Affects the bowel wall in a “sheet”

18
Q

What are some differences between the signs and symptoms of crohns and ulcerative colitis?

A

Ulcerative colitis will have:
Watery diarrhoea w blood/mucus/pus
Electrolyte imbalances
Low appetite
Bowel strictures
And are at risk of colon cancer

19
Q

What does the Mnemonic ULCERS stand for and what is it used for?

A

Urgent bowel movement
Loss of weight & low RBC
Cramps in abdo
Electrolyte imbalance
Rectal bleeding
Severe diarrhoea w blood/mucus/pus

Used for signs and symptoms of ulcerative colitis

20
Q

What is the aetiology of ulcerative colitis?

A

Idiopathic
?Genetic

?NSAIDS make it worse

21
Q

What is the diagnosis for ulcerative colitis?

A

Takes time
Food diary
Anaemia tests
Inflammatory markers test
Test for blood in stools
Colonoscopy
Barium enema

22
Q

What are some treatment methods for ulcerative colitis?

A

Steroids
Amino salicylates
Immunosuppressants
Antibiotics
Surgery

23
Q

What is the epidemiology of crohns and ulcerative colitis?

A

One in every 123 people in uk have one of them. Around over 500,000 people in UK have this condition. Ulcerative is more common at 0.4% prevalence compared to crohns 0.3% prevalence.

Generally, they are young onset diseases

24
Q
A