trigger colon and rectrum Flashcards
chronic RLQ pain w intermittent non-bloody diarrhea
crohns
arthralgia, arthritis, apthour ulcers
extraintestinal manifestations crohns
also include:
pyoderma gangrenosum
erythema nodosum
fistulas
iritis, uveitis
kidney stones
arthralgia
arthritis
apthous ulcers
pyoderma gangrenosum, erythema nodosum
extraintestinal manifestations crohns
also include:
pyoderma gangrenosum
erythema nodosum
fistulas
iritis, uveitis
kidney stones
arthralgia
arthritis
apthous ulcers
fistulas, iritis, uveitis, kidney stones
extraintestinal manifestations crohns
also include:
pyoderma gangrenosum
erythema nodosum
fistulas
iritis, uveitis
kidney stones
arthralgia
arthritis
apthous ulcers
hot red tender nodules 1-5cm in diameteer on surface of lower legs, ankles and calves
erythema nodosum as extraintestinal manifestation of crohns
these correlate w bowel symptoms (happens after bowel symptoms appear)
pustule lesions that can become ulcers with necrotic tissues. usually on dorsal feet and legs but can occur on arms and chest
pyoderma gangrenosum
extraintestinal manifestation of crohns. assocaited with SEVERE disease
cobblestoning appearance on colonoscopy
crohns disease
what labs can you order in crohns
CBC
Serum albumin
CMP
ESR
CRP
Iron
Vit D
B12
stool studies
goal of disease is minimize symptoms and complications NOT curative
crohns
smoking crazy assocaited with this dx
crohns
inflammation of only the colon
ulcerative colitis
mostly rectal and sigmoid colon
Step UP therapy with enteric coated budesonide (corticosteroid)
ileum/cecum low risk crohns treatment.
Mass in RLQ
crohns affecting terminal ileum
MC in female caucasions with western diet
crohns
MC in male caucasions with western diet
ulcerative colitis
oral prednisone for one week then taper off. can use 5 ASA as alternatice
mild to mod crohns (diffuse colitis or Left colonic involvement)
what is used for relapse of mild to moderate crohns
second course of glucocorticoid, Immunomodulator (azathioprine), biologic (infliximab)
infection, hygeien issues, abscess, malnutrition and diarrhea
complications of ulcers in crohns
start therapy with biologics (infliximab) + immunomodulators (azathioprine)
treatment to induce and maintain remission of high risk (mod-severe) crohns
hallmark sign is bloody diarrhea
ulcerative colitis
presents with fecal urgency, crampy lower abd pain that relieves with urgency, and anemia.
ulcerative colitis
also hallmark of bloody diarrhea
fever, fatigue, pus in diarrha
presents with fever, fatigue, pus in diarrhea
ulcerative colitis
also presents with bloody diarrhea, fecal urgency, crampy lower abd pain that relieves with urgency, and anemia.
complication including toxic megacolon and fulminant colitis.
ulcerative colitis
also see: perforation and severe bleed
ankylosing spondylitis
ulcerative colitis extraintestinal manifestation
also see: arthritis
smoking makes this better actually
ulcerative colitis
UC w a hematocrit of 26% and an albumin of 2.8
mild, mod or severe?
severe
sigmoidoscopy showing continuous friable mucosa
with pus, erosions, bleeding and erythema
ulcerative colitis gold standard
DO NOT do a colonoscpy w/ this
severe/fulminant colitis
colonic epithelial dysplasia and carcinoma are higher risk w what
ulcerative colitis
decrease caffeine
ulcerative colitis