Inflammatory Bowl Disease Flashcards

1
Q

what are the diagnostic tests done in crohn’s?

A

endoscopy and colonoscopy (just like in FAP)

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2
Q

what is the artery supplying the ascending colon, ileocolic part and transverse colon

A

superior mesenteric artery (R. colic a., Middle colic a., and ileocolic a.)

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3
Q

what is the artery supplying the descending colon, sigmoid and rectum

A

inferior mesenteric a. (L.colic a., sigmoid a., superior rectal a.)

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4
Q

which disease is described as continuous proximal inflammation of the colon mainly the rectum and sigmoid affecting the mucosa and submucosa; left colon involvement> R.colon
-men=women
-pancolitis 30-50% of pt
-spreads proximally from the rectum

A

ulcerative colitis

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5
Q

which disease has the following morphology;
-cryptic abscess is specific to this dis
-mucosa is granular, edematous, fragile, & ulcerated
-continuous, uninterrupted involvement
-disappearance of haustra
-column &Meso shorten?

A

ulcerative colitis

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6
Q

what are the clinical presentation of ulcerative colitis?

A

abdominal pain
mucus discharge
pain
chronic bloody diarrhea

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7
Q

what are the diagnostic tests done for ulcerative colitis?

A

-rectal exam then colonoscopy
-Lab; leukocytosis, C-reactive protein (inc), sedimentation (inc)
-stool sample
-perinuclear antineutrophil cytoplasmic antibody (p-ANCA)

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8
Q

which complication is specific for crohn’s?

A

stenosis(narrowing)

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9
Q

which complication is specific for UC?

A

cryptic abscess

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10
Q

what do you see in UC while doing endoscopy

A

no vascularization
bleeding
fragile mucosa

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11
Q

what are the complications in UC? oral

A

-fissure
-fistula
-abscess
-bleeding
-incontinence
-colon perforation due to fulminant colitis
-dysplasia and colon ca [3% risk for 1st 10yrs, then 1-2% risk for each yr after that]

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12
Q
A
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