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G2F > IBD CIS > Flashcards

IBD CIS Flashcards

1
Q

3yo- painless rectal bleeding

A

-remnant of vitelline duct

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2
Q

exacerbates crohns dz?

A

-smoking

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3
Q

UC- at risk for?

A
  • ankylosing spondylitis
  • PSC–> cholangiocarcinoma!!!
  • MS
  • toxic megacolon
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4
Q

“String sign”

A

CD

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5
Q

CD- at risk for?

A
  • kidney stones!!
  • fistula!!
  • small bowel adenocarcinoma!!
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6
Q

CD and UC- serologic findings

A
  • CD- ASCA, Anti Saccharomyces Cerevisiae Ab

- UC- p-ANCA

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7
Q

CD- lab work?

A

elevated fecal calprotectin

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8
Q

mimics appendicitis?

A

CD

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9
Q

UC- xray appearance

A

-“lead pipe”- loss of haustra

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10
Q

what evaluates the entire small bowel?

A

Magnetic resonance enterography

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11
Q

CD- should avoid what in diet?

A

high fat foods- bile salts absorbed in TI!

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12
Q

prevents recurrence of IBD

A

-Anti-TNF therapy

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13
Q

appendectomy- reduced risk of?

A

UC

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14
Q

20 yrs of IBD- best recommendation?

A

colonoscopy every yr!!

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15
Q

dec risk of CRC?

A

-folic acid

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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

G2F (17 decks)

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