IBD

Question 1

Which is more common UC or chrons

Answer 1

UC

Question 2

What is the hallmark feature of ulcerative colitis

Answer 2

Proctitis
Ulcerative colitis is a continuous uninterruptible inflammation of the colonic mucosa beginning in distal rectum and extends proximally for variable distance

Question 3

Intestinal features of ulcerative colitis

Answer 3

Rectal bleeding main symptom
Tenesmus urgency
Watery diarrhea, mucoid
Tender Abdominal mass(phlegmon or abscess)
Acute abd discomfort but moreso with chrons

Perianal disease in 25% of patients (75
In those with chrons)

Question 4

Extra intestinal features of ulcerative colitis

Answer 4

Rheumatological: peripheral arthritis, ankylosing spondylitis(inflam disease that over time cause some of vertebrae to fuse)

Dermatological: erythema nodosum, pyoderma gangrenosum( erythematoud plaque on pretibial area usually that ulcerates

Ophthal: anterior uveitis which is vision threatening

Hepatobiliary: primary sclerosis cholangitis mainly in men.. progressive and fatal if liver transplant not done

Question 5

What are features an individual may present with of his ulcerative colitis that may make you suspect cancer

Answer 5

Pancolitis

A colonic structure in a patient (malignancy until proven otherwise)

Prolong duration of disease

Question 6

Gold standard investigation of choice for ulcerative colitis

Answer 6

Proctosigmoidoscopy

Question 7

Main therapy of ulcerative colitis of mild to moderate disease

Answer 7

Sulfasalazine

Question 8

Most effective treatment of uc for acute attacks

Answer 8

Corticosteroids
Methylprednisolone

Hydrocortisone in treating disease limited to rectum and left colon

Question 9

Pathognomic histology cal feature of crohns

Answer 9

Noncaseating granuloma