IBD crohns

Question 1

What is crohns

Answer 1

Inflammation GI tract from mouth to anus

Question 2

Symptoms

Answer 2

Abdominal pain , diarrhoea , rectal bleed, weight loss, low grade fever , fatigue
Rotate flare up and remission

Question 3

Complications

Answer 3

Abcesseces strictures fistula
Malnutrition, anemia
Colorectal cancer, small bowel cancers
Secondary osteoporosis
Growth failure in pubertal kids
Arthritis inflammation eyes joints skin, liver problem

Question 4

Lifestyle

Answer 4

High fibre diet
Loperamide and codeine -can be used crohns not in colitis
Smoking cessation reduce relapse

Question 5

1+ acute flare up in 12 months

Answer 5

Treat corticosteroid (pred, methyl pred, iv hydrocortisone)
Alternative budesonide or aminosalicylate in distal ileus, ileocaecal, right sided

Question 6

2+flare up 12 months or if steroid dose can’t be reduced

Answer 6

Oral azathioprine or oral mercaptopurine
Alternative; MTX

If can’t tolerate either and Mab is applicable give Mab

Question 7

Maintenance of remission

Answer 7

Oral azathiprine, mercaptopurine
Alt; MTX

Question 8

Maintenance of remission after surgery

Answer 8

Azathiprine or mercaptopurine or aminosalicylate