Ulcerative Colitis Flashcards
1
Q
age peak
A
15-30
60
2
Q
gender
A
M=F
3
Q
smoking risk
A
protective
4
Q
pathology
A
confluent, non-granulomatous inflammation
inflammation of distal terminal ileum (backwash ileitis)
ulcers are linear and may overlie taenia coli
surviving patches of mucosa form pseudo-polyps
5
Q
location
A
rectum is commonest site
rectum to ileocaecal valve
proctitis (rectum only affected)
6
Q
presentation
A
bloody diarrhoea
perianal lesions uncommon
crampy lower abdo discomfort
urgency and tenesmus if in rectum
7
Q
cancer risk
A
higher than CD
but better prognosis Ca
8
Q
local complications
A
blood and fluid loss
toxic megacolon
perforation
dysplasia and carcinoma
