IBD

Question 1

IBD is divided in 2 diseases known as

Answer 1

1. Ulcerative colitis
2. Crohn’s disease

Question 2

ulcerative colitis presentation

Answer 2

typically presents w/ bloody diarrhea
> 6 Bus per day
Lower Abdominal cramping
Bowel urgency
cramping rectal pain

Question 3

Crohn’s disease can present with ….

Answer 3

RLQ ABD pain
some bloody diarrhea
fever
malaise
weightloss

Question 4

Diagnostic for IBD

Answer 4

Endoscopy (especially UC)

CT and MRIs (Better for CD)

Question 5

UC treatment

Answer 5

steroids

Question 6

Treatment of moderate to severe UC flare

Answer 6

Screen for C diff

If negative: intravenous methylprednisolone doses of 40–60 mg/d or equivalent are the mainstay of therapy.

Question 7

Severe pain and or high fever order

Answer 7

CT scanning to rule out acute abdomen and need for immediate intervention:

Question 8

The following complictations require immediate intervention:

Answer 8

Obstruction
Perforation
Mega colon
Abscess
3

Question 9

IBD w/u

Answer 9

CBC-may see anemia (malabsorption, bleeding, chronic disease), elevated plts or wbc
CMP-electrolyte imbalances, low albumin, elevated liver studies
CRP-inflammation
ESR-inflammation
IRON STUDIES-evaluate for deficiency related to bleeding or malabsorption
B12-malabsorption
STOOL STUDIES-Rule out infection
FECAL CALPROTECTIN-inflammatory marker in stool. May be normal or elevated
GOLD STANDARD FOR DIAGNOSIS IS ENDOSCOPIC EVALUATION AND PATHOLOGY

Question 10

IBD + Cdiff treat with

Answer 10

oral vancomycin or fidaxomicin.