IBD

Question 1

crohns disease clinical presentation?

Answer 1

watery diarrhea
perianal disease
abdominal pain

Question 2

UC clinical presentation?

Answer 2

diarrhoea and bleeding

Question 3

A positive family history is best established factor for IBD development? t/f

Answer 3

true

Question 4

is there a reduced antimicrobial activity in colonic crohns?

Answer 4

yes

Question 5

is smoking a risk factor for both crohns and UC?

Answer 5

Aggravates crohns but protects against UC

Question 6

Can NSAIDS-ibruprofen flare up IBD?

Answer 6

YES

Question 7

US does not start in the rectum and extends distally?

Answer 7

no starts at rectum and extends proximally

Question 8

What are symptoms of UC?

Answer 8

Diarrhoea and bleeding
increased bowel frequency 
urgency 
tenesmus-urge for toilet for nothing happens
night rising 
lower adbo pain 
proctitis- can cause constipation

Question 9

How do you tell the difference between infective diarrhoea and IBD?

Answer 9

• RECENT travel
• antibiotics
• NSAIDS
• Family history
• smoking
• skin eyes joint

Question 10

What criteria is used to determine severity of IBD?

Answer 10

truelove and Witt criteria

Question 11

What is severe UC shown as on this criteria?

Answer 11

> 6 bloody stools/24hours and 1 or more of

fever
tachycardia
anaemia
elevated ESR

Question 12

What assessments can be made for diagnosis of UC?

Answer 12

bloods-crp and albumin
plain AXR
endoscopy
histology

Question 13

What three factors incease risk of colorectal cancer?

Answer 13

severity of inflammation
duration of disease
disease extent

Question 14

Primary sclerosing cholangitis occurs from UC?

Answer 14

TRUE

Question 15

PSC is more likely in UC than crohns?

Answer 15

true

Question 16

symptoms of PSC ?

Answer 16

Mostly asymptomatic but there is itch and rigos

Question 17

Does crohns affect people from 15-40?

Answer 17

yes

Question 18

What is the distribution of crohns disease?

Answer 18

can affect any region of GI tract from mouth to anus. -transmural inflammation

Question 19

What is peri-anal disease?

Answer 19

• recurrent abscess formation
• pain
• can lead to fistula with persistent leakage and damaged sphincters

Question 20

What are the different symptoms of crohns in small intestine?

Answer 20

abdominal cramps

diarrhoea weight loss

Question 21

crohns in colon symptoms?

Answer 21

abdominal cramp-lower abdomen
diarrhoea with blood
weight loss

Question 22

crohns in mouth symptoms?

Answer 22

painful ulcers, swollen lips, angular chielitis

Question 23

crohns in anus symptoms?

Answer 23

peri-anal pain. abscess

Question 24

what will you measure in bloods for crohns disease?

Answer 24

-CRP, albumin, platelets, B12, ferritin

Question 25

What would you find in a histology examination for crohns disease?

Answer 25

patchy

granuloma-30-50%

Question 26

What are the three forms of small bowel assessment?

Answer 26

barium follow through
small bowel MRI
technetium labelled white cell scan