IBD Flashcards
Ulcerative Colitis will be give rise to what effect seen in barium series
Collar stud
TRUE or FALSE: Ulcerative Colitis is mostly manifest in the Ileum.
False, UC is a disease of the Large intestines and 40-50% of cases will be limited in the sigmoid and rectosigmoid.
5 Major symptoms of UC are?
Diarrhea, rectal bleeding, tenesmus, passage od mucus, crampy abdominal pain.
earliest sign?
fine mucosal granularity
Dx exams that shows high sensitivity and specific marker for intestinal inflammation
Fecal Lactoferrin
DOC for management of UC
Sulfasalazine and otger 5-ASA
Distinct macroscopic characteristic of colon with Cronhs
Skip lesion
> 6 stoll/day
systemic disturbance
ESR>30
Severe
TRUE or FALSE: inflammation colon in UC is predominantly seen in the muscularis layer
False, Muscosal layer
Treatment for patient with GI bleesing and requiring 6-8u of blood within 24-48 hour?
Colectomy/resection
< 4 stools/day
No systemic disturbance
Normal ESR
Mild
TRUE or FALSE: UC has great genetic anticipation
True, patients with father experiencing UC at age 40, child may experience UC earlier than 40
Case of UC peaks at?
a) 5-15
b) 15-30
c) 30-60
d) 60-80
b&d
2 microscopic features of UC
distorted crypt architecture
inflammatory infiltrate s
typical CT or MRI findings
target appearance of rectum inhomogeneous wall density inc perirectal and presacral fat mild mural thickening adenopathy
