Inflammatory Bowel Disease

Question 1

Ulcerative Colitis

Answer 1

Involves the mucosal surface of colon with the formation of crypt abscesses.
includes the rectum, spreads proximally
Flare-ups and remissions

Question 2

Ulcerative Colitis signs and sx.

Answer 2

*Bloody diarrhea (hallmark)..differentiate crohns
Lower abdominal cramps Relieved with defecation
Fecal urgency
Arthritis
Uveitis

Question 3

Crohn’s Disease

Answer 3

Transmural involvement with formation of fistulas, narrowing of lumen, obstruction
Can involve any segment of the G.I. tract
Usually RECTAL SPARING

Question 4

Irritable Bowel Syndrome Diagnosis

Answer 4

dominal discomfort/pain with 2 of the following 3 features for at least 12 weeks, not necessarily consecutive, for the past 12 months:
Relief with defecation.
Onset associated with change in stool frequency.
Onset associated with change in stool formation.

Question 5

IBS Warning Signs & Red Flags

Answer 5

Any abnormality on physical exam
Anemia
Clinical or biochemical evidence of malnutrition
Family history of GI cancer, inflammatory bowel disease, or sprue
Fever
Hematochezia
Nocturnal symptoms
Onset of symptoms after age 50

Question 6

Diverticulitis Antibiotic Treatment

Answer 6

Augmentin (amoxicillin/clavulanate)
Flagyl (metronidazole) 500mg TID + Ciprofloxacin 500mg BID or bactrim (trimethoprim-sulfamethoxazole) BID
All x 7-10 days

Question 7

Meckel’s Diverticulum

Answer 7

Most common form of congenital abnormality of the small intestine, resulting from an incomplete obliteration of the vitelline duct in 5th week of fetal development
Present’s similar to appendicitis but can bleed from rectum unlike appendicitis

Question 8

Meckel’s Diverticulum Rules of 2’s

Answer 8

occurs in about 2% of the population
is found about 2 feet from the ileocecal valve, and is about 2 inches long.
Approximately 2% of patients develop a complication over their lifetime
Usually present by age 2
male to female ratio is 2:1