Inflammatory bowel disease Flashcards

1
Q

How does the montreal classification grade crohns and ulcerative colitis on?

A

crohns - location and behaviour

UC - spread of disease

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

What are some environmental causes, possibly, of inflammatory bowel disease?

A

diet, bacteria, vaccines, diet, ethnicity

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

How does ulcerative colitis present?

A

bloody diarrhoea, abdominal pain and weight loss

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

What are the clinical features of severe ulcerative colitis?

A

> 6 bloody stools per day along with tachycardia, fever, CRP increase, anaemia, albumin and leucocytosis

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

Clinical features of crohns?

A

diarrhoea, abdominal pain, weight loss, malaise, malabsorption leading to anaemia and vitamin deficiency

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

What is calprotectin?

A

biomarker present in the faeces when there is colon inflammation

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

List the extra-intestinal manifestations of IBD

A
eyes - uveitis
joints
renal calculi
liver and biliary tree sclerosis 
skin - erythema nodosum
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

What does crohns look like microscopically and in scans which is a differential diagnosis?

A

ileocaecal TB

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

What is sclerosing cholangitis?

A

disease of the bile ducts with multiple strictures progressing to cirrhosis

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

Why are there regular surveillance colonoscopies in people with prolonged colitis?

A

increased risk of colonic carcinoma

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

what are the outpatient medical management of IBD?

A

5ASA, steroids and immunosuppressants

also biological agents

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

What do immunosuppressants show an increased risk of?

A

lymphoma

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

How are 5ASA beneficial and what effects their route of administration?

A

better for ulcerative colitis and if the disease is distal can administer rectally
reduce number and severity for relapse due to higher mucosal levels and reduce CRC risk

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

What are some other treatment methods for IBD (hospital and others)

A

anticoagulant
antibiotics
elemental feeding

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

What are some ways in which medical management of IBD fail?

A

relapse or fail to control disease
adverse effects of steroids eg osteoporosis, diabetes, psychosis
fistulas, peri-anal disease, strictures

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

What are the acute surgical treatments for severe colitis?

A

subtotal colectomy with rectal preservation and an ileostomy

17
Q

Why in acute colitis is an ileostomy used and rectum preserved?

A

so at a later date the rectum can be connected up and the ileostomy can be taken away but just in acute cases do it quickly

18
Q

What are the surgical treatment methods for chronic colitis?

A

pouch procedure - no ileostomy

proctocolectomy - ileostomy

19
Q

What is the pouch procedure?

A

Make rectum out of small intestine

20
Q

What can you do to allow anal crohns to heal?

A

take out temporary stoma to allow it to heal without the bacteria irritating it more

21
Q

Triangle for IBD treatment

A

surgery
biological agents
immunosuppressants
prednisolone (steroids)
5ASA

  • with nutritional support