IBD Flashcards
what are the two conditions associated with IBD?
UC
Chron’s
what are features of Chron’s
can affect any part of the digestive system, from the mouth to the anus. Tends to be transmural (deeper) and has the cobblestone effect and tends to miss some bits out (skip lesions).
would also see loss of vascular pattern due to inflammation.
what are features of UC?
only affects colon and is continous and tends to start distally.
what does smoking cause flare ups?
Chron’s
not really protective for UC.
what are the general symptoms of IBD?
- Abdominal pain/distension
- Diarrhoea
- Vomiting
- Weight loss
- Extra GI manifestations • Abdominal pain/distension
- Diarrhoea
- Vomiting
- Weight loss
- Extra GI manifestations
what are the different types of ulcerative colitis? (3)
proctitis = affects just the rectum.
left sided colitis = extends to the part of the colon
pancolitis = entire colon
where does UC never spread to?
proximal to the ileocaecal valve. (except in backwash ileus)
what is the cause of UC?
Inappropriate immune response against (? abnormal) colonic flora in genetically susceptible individuals
what is the incidence of UC?
20-40 years old. UC is 3-fold as common in non-smokers (the opposite is true for Chron’s disease) – symptoms may relapse on stopping smoking.
symptoms of UC? (8)
• Episodic or chronic diarrhoea (+- blood and mucus)
• Crampy abdominal discomfort
• Bowel frequency relates to severity (look at table)
• Urgency / tenesmus = ? proctitis
(a continual or recurrent inclination to evacuate the bowels, caused by disorder of the rectum or other illness)
• Systemic symptoms in attacks :
• Fever
• Malaise
• Anorexia
• Decreased weight
signs of UC (5)
- May be none
- In acute, severe UC there may be:
- Fever
- Tachycardia
- Tender distended abdomen
