SG LI

Question 1

What type anemia would Crohn’s have?

Answer 1

Microcytic anemia due:

• Fe def if duodenal involvement
• Blood loss due to bleeding

Question 2

Where does Fe get absorbed in the gut?

Answer 2

Duodenum

Question 3

Why would a Crohn’s pt have high platelet count?

Answer 3

Acute phase reactant

Increased during Fe def

Question 4

What would a Crohn’s pt have if “nodules on the shins”

Answer 4

Erythema nodosum
*Follow the course of disease - when disease gets better, rash gets better
Also see in UC

Question 5

Extra-GI manifestations of IBD

Answer 5

Gall stones - bile salts reabsorbed in terminal ileum
- Losing bile salts
- Also fat malabsorption
PSC
Pyoderma gangrenosum = painful ulcers, indep of disease
Arthritis/arthralgia
Scleritis: pain + photophobia
*Terminal ileum complications favor Crohn’s obviously

Question 6

Crohn’s histo

Answer 6

Granuloma

Transmural inflam

Question 7

Complications of Crohn’s

Answer 7

Strictures
Fistula
Obstruction
Abscess

Question 8

Why use 5-ASA (mesalazine) for IBD

Answer 8

Anti-inflam

Mild disease UC > Crohn’s

Question 9

What colon for diverticulosis vs diverticulitis

Answer 9

Osis - R side

Itis - L side

Question 10

Presentation for diverticulitis

Answer 10

LLQ pain
High wt ct
Fever

Question 11

Treat diverticulitis

Answer 11

Antibiotics to cool down - maybe consider surg after acute resolved