IBD CIS Flashcards
1
Q
3yo- painless rectal bleeding
A
-remnant of vitelline duct
2
Q
exacerbates crohns dz?
A
-smoking
3
Q
UC- at risk for?
A
- ankylosing spondylitis
- PSC–> cholangiocarcinoma!!!
- MS
- toxic megacolon
4
Q
“String sign”
A
CD
5
Q
CD- at risk for?
A
- kidney stones!!
- fistula!!
- small bowel adenocarcinoma!!
6
Q
CD and UC- serologic findings
A
- CD- ASCA, Anti Saccharomyces Cerevisiae Ab
- UC- p-ANCA
7
Q
CD- lab work?
A
elevated fecal calprotectin
8
Q
mimics appendicitis?
A
CD
9
Q
UC- xray appearance
A
-“lead pipe”- loss of haustra
10
Q
what evaluates the entire small bowel?
A
Magnetic resonance enterography
11
Q
CD- should avoid what in diet?
A
high fat foods- bile salts absorbed in TI!
12
Q
prevents recurrence of IBD
A
-Anti-TNF therapy
13
Q
appendectomy- reduced risk of?
A
UC
14
Q
20 yrs of IBD- best recommendation?
A
colonoscopy every yr!!
15
Q
dec risk of CRC?
A
-folic acid
16
Q
CD- recommendations
A
- stop smoking
- small, frequent, well balanced meal
17
Q
TI resection- need what?
A
- low fat diet (bile salts not absorbed)
- parenteral vit B12
18
Q
UC- vs CD
A
- mucosal
- colon only
- continuous lesions
- bloody diarrhea
- crypt abscess
- toxic megacolon!!! (no fistulas/fissures)
- ulcerated pseudopolyps
- smoking protective!!
- pANCA!!
19
Q
CD- vs UC
A
- transmural
- anywhere along GI tract- most common in TI!!
- skip lesions
- often w/o blood
- non-caseating granuloma
- strictures (“string sign”), obstruction, fistulas, fissures
- aphthous ulcers
- linear fissures
- “cobble-stoning”, “Creeping fat”
- smoking worsens the dz!!!
- ASCA!!!
20
Q
IBD- extraintestinal manifestations
A
- arthralgias, arthritis, iritis, uveitis, pyoderma gangrenosum, erythema nodosum
- oral aphthous lesions
- inc prevalence of gallstones- due to malabs of bile salts from TI
