UC vs Crohn's Flashcards

1
Q

In which is bloody diarrhoea more common?

A

Ulcerative colitis

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2
Q

Where is there abdominal pain in UC?

A

LLQ
Tenesmus

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3
Q

In which condition is weight loss more prominent?

A

Crohn’s disease

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4
Q

What extra-intestinal condition is associated with UC?

A

Primary sclerosing cholangitis

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5
Q

Which extra-intestinal conditon is associated with Crohn’s?

A

Gallstones (reduced bile acid absorption)

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6
Q

What are the possible complications of Crohn’s?

A

Obstruction
Fistula
Colorectal cancer

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7
Q

In which condition is colorectal cancer more common?

A

UC

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8
Q

Where does the disease affect in Crohns?

A

Anywhere from mouth to anus

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9
Q

Where does the disease affect in UC?

A

Inflammation starts at rectum and never spreads beyond ileocaecal valve

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10
Q

How does inflammation spread in Crohn’s?

A

Inflammation in all layers from mucosa to serosa

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11
Q

How does inflammation spread in UC?

A

No inflammation beyond submucosa

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12
Q

What would you see on histology in someone with Crohn’s?

A

increased goblet cells
granulomas

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13
Q

What would you see on histology of UC?

A

Crypt abscesses
depletion of goblet cells and mucin from gland epithelium

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14
Q

What would you see on endoscopy of crohn’s?

A

Deep ulcers, skip lesions - ‘cobble-stone’ appearance

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15
Q

What would you see on endoscopy of UC?

A

pseudopolyps

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16
Q

What would you see on radiology for crohn’s? (small bowel enema)

A

strictures: ‘Kantor’s string sign’
proximal bowel dilation
‘rose thorn’ ulcers
fistulae

17
Q

What would you see on radiology for UC? ( bowel enema)

A

loss of haustrations
superficial ulceration, ‘pseudopolyps’
Short and narrowed colon -‘drainpipe colon’