SECRETS GI - IBD

Question 1

IBD

Answer 1

Crohn’s

Ulcerative colitis

Question 2

Crohn’s assoc

Answer 2

Ashkenazi Jews

Question 3

UC assoc

Answer 3

ppl who just QUIT smoking

Question 4

Crohn’s location

Answer 4

anywhere
mostly terminal ileum

skip lesions
spares rectum

Question 5

UC location

Answer 5

limited to colon

continuous from rectum

Question 6

Crohn’s wall thickness

Answer 6

transmural

‘cobblestone’ appearance of mucosa

Question 7

UC wall thickness

Answer 7

mucosal only

Question 8

Crohn’s complications

Answer 8

strictures, fistulas, abscess, malabsorption, colon cancer

Question 9

UC complications

Answer 9

toxic megacolon, hemorrhage, primary sclerosing cholangitis, ++ colon cancer

Question 10

Crohn’s derm assoc

Answer 10

erythema nodosum

Question 11

UC derm assoc

Answer 11

pyoderma gangrenosum

Question 12

Crohn’s other assoc

Answer 12

arthritis, aphthous ulcers, uveitis, perianal fistulas, cholelithiasis

Question 13

UC other assoc

Answer 13

uveitis

Question 14

Hirschsprung’s disease

Answer 14

neural crest cells that form myenteric plexus fail to migrate to colon

rectum is always involved

assoc with down syndrome

tx surgical resection

Question 15

fat-sol vitamins IBD assoc

Answer 15

Crohn’s

terminal ileum - where B12 is absorbed & bile salts reasorbed (diarrhea)

Question 16

Crohn’s sx tx

Answer 16

cholestyramine

Question 17

IBD tx

Answer 17

sulfasalazine

precursor to 5-aminosalicylic acid (anti-inflam)
converted in distal ileum, colon

Question 18

UC + obstructive jaundice

Answer 18

primary sclerosing cholangitis

fibrosis of large bile ducts

Question 19

Anklyosing spondylitis

Answer 19

bamboo spine
bilateral sacroilitis

Crohn’s