SBA SQA Flashcards
What condition is UC commonly associated with
Primary sclerosing cholangitis
Symptoms of PSC
Patchy inflammation
Fibrosis
Strictures in intra and extra hepatic bile ducts
What is the name of the at home bowel screening tests
faecal immunochemical test
Common treatment and preventative medication for peptic ulcers
omeprazole- proton pump inhibitor
The most common extra intestinal feature of both cd and uc
Arthritis
Episcleritis is more common in cd
What is seen on endoscopy for ulcerative colitis
Red raw mucosa
Depletion of goblet cells
Neutrophils migrate to form crypt abscesses
Barium enema for uc would show
Loss of haustrations
Superficial ulceration
Pseudopolyps
Long standing disease
Crohns is linked to a defect in what gene
NOD 2
Extra intestinal manifestations of inflammatory bowel disease - A PIE SAC
Aphthous ulcers
Pyoderma gangrenosum
Iritis
Erythema Nicosia
Sclerosing cholangitis
Arthritis
CLUBBING
what would appendicular abscess present with
- swinging fever
- common complication of acute appendicitis
typical crohns presentation
young pt with diarrhoea, apthous ulcers endscopy shows transmural inflammation and non caseating granulomas
medication to induce remission for crohns patients
prednislone
most commonly affected site of crohns
terminal ileum and parts of colon
what other things other than abdominal can link to crohns
peri anal abscess
flare up tx of crohns involves
iv oral steroids
colonoscopyu for UC will reveal
continuous inflammation with an erythematous mucosa, loss of haustral markings, and pseudopolyps.
biopsy for UC will reveal
loss of goblet cells, crypt abscess, and inflammatory cells (predominantly lymphocytes).
barium enema for UC will reveal
lead-piping inflammation (secondary to loss of haustral markings), thumb-printing (a marker of bowel wall inflammation), and pseudopolyps (due to areas of ulcerating mucosa adjacent to areas of regenerating mucosa).
systemic features of UC
Uveitis/episcleritis, arthritis/arthralgia, pyoderma gangrenosum/erythema
nodosum, mouth ulcers
Differentials for fresh bright blood in poo
Diverticulitis, UC, Crohns, haemorrhoids, anal fissure , colorectal cancer
Features of hemorrhoids
- bright red bleeding
- discomfort / pain
- pruritus ani
- pain on passing stools
- mucus in poo
Two types of hemorrhoids and how they can present
Internal - arise internally, are painless covered in mucus , can prolapse
External - form at the anal opening , painful covered with skin
Non - surgical and surgical tx of hemorroids
Non- surgical = stool softeners, high fibre diet , adequate
Surgical = band ligation, haemorrhoidectomy , sclerotherapy
chylamdia is treated with
Azithromycin
