Ulcerative Colitis Flashcards
1
Q
Where does the pathology of UC extend to
A
Rectum–> Extends proximally
2
Q
4 pathological features in UC?
A
Pancolitis (inflammed colon)
Proctitis(inflammed inner lining of rectum)
Left sided Colitis (Involves sigmoid and descending colon)
Backwash Ileitis in the terminal ileum
3
Q
How do UC pt present?
A
- Painless
- bloody diarhea with mucous
- Fever and remission to normal
4
Q
2 ways to diagnose UC?
A
Colonoscopy and Biopsy
5
Q
5 key features seen in colonscopy
A
- Friability of tissue
- Continuous Granularity
- Loss of vascular pattern
- Superficial inflammation with loss of haustration
- Ulceration
6
Q
4 Macroscopic changes in UC
A
- Shallow Ulcers
- Redness
- Pus exudate (We see benign small white+ yellow pustules)
- Bleeds easily
7
Q
Dental relevance of UC
A
-Apthous Ulcers Pystomatitis Vegetans -Tongue coating -Acid taste -Halistosis -Ging/Perio
8
Q
Other complications of UC
A
- Pyoderma gangrenum
- Vasculitis
- Erythema Nodosum
- Scleorsing cholangitis (damage to bile ducts)
9
Q
Drugs to treat UC:
A
Immunomodulator: 5-Aminosalicyclic acid+ Mesalazine
Steroids
10
Q
Other ways to treat UC
A
Surgery
High fibre diet
