Inflammatory Bowl Disease Flashcards
what are the diagnostic tests done in crohn’s?
endoscopy and colonoscopy (just like in FAP)
what is the artery supplying the ascending colon, ileocolic part and transverse colon
superior mesenteric artery (R. colic a., Middle colic a., and ileocolic a.)
what is the artery supplying the descending colon, sigmoid and rectum
inferior mesenteric a. (L.colic a., sigmoid a., superior rectal a.)
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
ulcerative colitis
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?
ulcerative colitis
what are the clinical presentation of ulcerative colitis?
abdominal pain
mucus discharge
pain
chronic bloody diarrhea
what are the diagnostic tests done for ulcerative colitis?
-rectal exam then colonoscopy
-Lab; leukocytosis, C-reactive protein (inc), sedimentation (inc)
-stool sample
-perinuclear antineutrophil cytoplasmic antibody (p-ANCA)
which complication is specific for crohn’s?
stenosis(narrowing)
which complication is specific for UC?
cryptic abscess
what do you see in UC while doing endoscopy
no vascularization
bleeding
fragile mucosa
what are the complications in UC? oral
-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]