IBD Mcgowen Flashcards
what diagnostic study do you use to evaluate the entire small bowel
magnetic resonance enterography (best answer)
CT with contrast
pleuritis
UC
pyoderma gangrenosum
UC
weight loss common in UC or chrons
chrons
spondyarthropathis
UC
after ____ years of IBD the recommendation for screening is what
8 years, is colonscopy every year
kidney stones can be a complication of what
chrons disease
aphthous ulcers intervening with normal mucosa, linear fissure
chrons
other IBD extraintestinal manifestations
oligoarticular or polyarticular sacroiliitis episcleritis hepatitis sclerosing cholangitis thromboembolic events
small bowel adenocarcinoma goes with which disease
CD
what before the age of 20 is associated with reduced risk of UC
appendectomy
crypt abscess on histology
UC
pt with UC symptoms what is first appropriate step for diagnosis or treatmetn
plain abdominal xray looking for toxic megacolon and perforation
-don’t want to do invasive procedures bc may cause perforation
HLA and UC
B27
UC or CD can mimic appendicitis?
CD
lead pipe is what disease and from what
UC, loss of haustra
pseudopolyps
UC
uveitis
UC
ankylosing spondylitis
UC
blood diarrhea with low abd cramping
UC
colonoscopy can only get how fair up in intestine
terminal ileum
indications for surgery in UC
severe hemorrhage perforation carcinoma toxic megacolon fulminant colitis invisible flat dysplasia non-endoscopicaly reseectable dysplastic lesions refractory disease requiring long term corticosteroids
serology of chrons
ASCA
eryhtema nodosum
UC
how does meckels diverticulum present
young child 3 or younger
painless rectal bleeding in similar location to appendix
can develop abdominal distension and vomiting
tenesmus
UC
when have extensive terminal ileum resection what kind of diet should pt have
low fat
parenteral vitamin B12 1000 mcg per month
-terminal ileum is where B12 is absorbed
lab work with chrons
- calprotectin
- sedimentation rate
- albumin level
- hemoglobin level
- vitamin B12 level
- what toxicity possible
calprotectin- increased sed rate- increased albumin level- decreased hemoglobin level- could be decreased vitamin B12- deficiency but not toxicity, fat soluble toxicity possible
what gives you a decreased risk of CRC development
folic acid 1 mg a day
chrons or UC has fistulas?
chrons
lab study for UC
P-ANCA
does surgery cure UC
yes
diffuse friability and erosions with bleeding
UC
