IBD Flashcards

1
Q

Inflammatory Bowel Disease

A

disorders involving chronic inflammation of tissues within the digestive tract

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2
Q

possible causes for IBD

A

Immune System Malfunction
genetic mutation

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3
Q

risk factors

A

age
race
smoking
nsaids

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4
Q

ulcerative colitis classified as

A

autoimmune disease

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5
Q

affects which organs/ layers

A

large intestine only
mucosa and submucosa

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6
Q

ulcers

A

areas in mucosa where tissue has been eaten away by the inflammation leaving open sores in the membrane.

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7
Q

ulcerative colitis 1

A

T-cells destroy cells lining the walls of the large intestine leaving eroded areas called ulcers

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8
Q

ulcerative colitis 2

A

pANCAs target the body’s own antigens that are within the neutrophils
- This is thought to be from an immune reaction to our own gut bacteria that are structurally similar to something else

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9
Q

ulcerative colitis 3

A

A cross reaction happens which produces sulfide

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10
Q

ulcerative colitis 4

A

The increase in sulfide will help to cause inflammation

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11
Q

Crohn’s disease def

A

a chronic inflammatory disease that interests the whole GI tract
most common in the small intestine

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12
Q

crohn’s classified as…

A

immune related disorder

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13
Q

Crohn’s thought to be triggered by which foreign pathogens in the GI

A

Mycobacterium Paratuberculosis
Pseudomonas
Listeria

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14
Q

genetic mutation

A

Frameshift Mutation in the NOD2 gene

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15
Q

inflammation cytokines released during inflammation T helper cell

A

interferon gamma and TNF-alpha

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16
Q

cytokines will attact…

A

macrophages

17
Q

crohn’s has dysfunctional step that leads to…

A

more macrophages attracted
more free radicals, proteases, and platelet-activating factor released
–>unregulated inflammation
–>tissue destruction

18
Q

4 layers of intestinal wall

A

mucosa, submucosa, muscle, and serosa

19
Q

pathogens usually not allowed into lower layers, but able to get to the submucosa and…

A

As the cells continue to invade into the lining, it will continue to inflame down into the deep mucosa and develop into granulomas

20
Q

granuloma

A

masses of immune cells that are trying to capture things that are foreign