Inflammatory bowel disease Flashcards
1
Q
Crohn's Disease: Colonic disease Transmural involvement Skip lesions Rectal bleeding Abdominal pain Growth failure Perianal disease Mouth Ulceration
A
Colonic disease: 50-75% Transmural involvement: Common Skip lesions: Common Rectal bleeding: Sometimes Abdominal pain: Common Growth failure: Common Perianal disease: Sometimes Mouth Ulceration: Common
2
Q
UC: Colonic disease Transmural involvement Skip lesions Rectal bleeding Abdominal pain Growth failure Perianal disease Mouth Ulceration
A
Colonic disease: 100% Transmural involvement: Unusual Skip lesions: Not present Rectal bleeding: Common Abdominal pain: Variable Growth failure: Variable Perianal disease: Unusual Mouth Ulceration: Unusual
3
Q
Clinical features
A
Cramping lower abdo pain Bloody diarrhoea Weight loss/faltering growth Perianal disease (abscess/fistula formation) Delayed puberty Arthritis Spondylitis Erythema Nodosum
4
Q
Crohn’s management
A
Initially elemental diet with steroids for active relapse
Second line = immunosuppression agents eg azathioprine
Third line = anti-TNF Ab eg infliximab
Surgery
5
Q
UC management
A
Aminosalicylates
Steroids in active disease
Surgery
