IBD - McGowan Flashcards
painless rectal bleeding in a todler, abd pain distention, and vomiting
Meckel’s diverticulum
Pts with UC are at risk of developing
- ankylosing spondylitis
- primary sclerosing cholangitis
- Multiple sclerosis
- Toxic megacolon
- Pyoderma gangrenosum
- Cholangiocarcinoma
- pleuritis
- uveitis
- PSC
Pts with Crohns are at risk of developing
- kidney stones
- Fistulas/strictures
- fissures
- pigmented gallstone
- malabsorption
- DVT
- Colon cancer
what neoplasm are pt with h pylori at risk of developing
MALToma
Which IBD is associated with p-ANCA mostly
UC
Which HLA is associated with UC
HLA-B27
Which IBD mimics appendicitis
Crohns’s disease
Lead pipe appearance on Xray indicates
loss of haustra as seen in UC
Enterovesical fistula is a fistula between what two structures and disease is it associated with
- Fistula between small intestine to bladder
- Associated with Crohns,
Segmented ulcerated mucosa of terminal ileum associated with which IBD
Crohns
Diffuse edema that is friable with mucopus and erosion limited to rectosigmoid area is associated with which IBD
UC
Best imaging modality to evaluate ENTIRE small bowel
Magnetic resonance enterography
Colonscopy goes up to terminal ileum
Development of small bowel adenocarcinoma is more associated with which IBD?
Crohns
Pt with IBD and stricturing disease (Crohns) and removal of 150cm of small bowel including terminal ileum, what kind of diet is recommended?
- Low residue/ low fiber diet
- IV B12 (no TI)
- Avoid high fat foods ( No TI thus no bile salt absorption)
what drug has shown to reduce need for surgeries in pt with severe IBD
anti-TNF therapy
Removing the appendix reduces risk of developing which iBD
UC
IBD Pt at risk of perforation, what modality is best to evaluate her
plain abd xray
Bloody diarrhea, in an otherwise healthy individual with no past medical history or family history and who loves bbq, red meat, fast food think_
E coli 0157
Pt with more than 8 yrs of IBD needs to have colonscopy how often?
yearly
Pt with IBD, if colonoscopy shows flat dysplasia, best recommendation
total colectomy - since it’s flat, there could be more than 1 dysplasia that may not be visible and thus to prevent colon cancer, the entire colon needs to be removed
In pts with IBD, what’s known to decrease risk of CRC development?
folic acid
Indication for surgery in UC
- severe hemorrhage
- perforation
- carcinoma
- fulminant colitis
- toxic megacolon if it doesnt resolve within 48-72hrs)
- flat dysplasia
- refractory disease requiring long term corticosteroids
