Paediatric lower GI - Crohns

Question 1

What is the presentation of crohns in infants

Answer 1

• Diarrhoea
• Slight rectal bleeding
• abdominal pain
• fever
• large weight loss
• Big growth failure
• arthritis
• A mass

Question 2

What is the presentation of ulcerative colitis in infants

Answer 2

• Prominent diarrhoea
• Prominent rectal bleeding
• abdominal pain
• fever
• weight loss
• growth failure
• arthritis

Question 3

What are the extra-intestinal manifestations of crohns

Answer 3

• Erythema nodosum
• Orofacial granulomatosis
• Angular chellosis
• Mouth ulcers
• anal fistulas, abscesses..

Question 4

What is seen on full blood count in IBD

Answer 4

• Anaemia
• Thromvocytosis
• Raised ESR

Question 5

What is the result findings in investigation for crohns

Answer 5

• Raised stool calprotectin
• Raised CRP
• Low albumin in crohns

Question 6

What is used to diagnose crohns disease

Answer 6

• MRI
• Colonoscopy
• Mucosal biopsy

Question 7

What treatment is given for ulcerative colitis to induce remission

Answer 7

• 5ASA - sulfasalazine
• Prednisolone
• Biologics - infliximab

Question 8

What treatment is given to mantain remission in ulcerative colitis

Answer 8

5-ASA - sulfasalazine
with or without azathioprine

Question 9

What is the treatment for crohns

Answer 9

• Oral prednisolone
• Azathioprine or methotrexate
• Biologics - infliximab or adalibumab