Ulcerative colitis Flashcards

1
Q

what areas of the GI tract can be affected by ulcerative colitis(UC)

A

confined to the colon and rectum

starts in rectum and works proximally

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2
Q

describe the onset of UC

A

over weeks

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3
Q

describe the lesions seen in UC

A

continuous(no skipping)

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4
Q

describe what affect NSAIDs and smoking have on UC

A
NSAIDs = make it worse
smoking = protective
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5
Q

describe the presentation of UC

A

diarrhoea with blood + mucus, lower abdominal pain, faecal urgency, rectal bleeding on exam

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6
Q

describe the affect of UC on crypts

A

cryptitis, crypt abscesses, branching + irregular crypts and plasma cells are common at base of crypts

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7
Q

describe the ulceration seen in UC

A
superficial ulceration(submucosa and mucosa only)
(pseudopolyps)
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8
Q

what are some complications of UC

A

toxic megacolon, colorectal cancer, blood loss

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9
Q

what complication of UC requires emergency surgical treatment

A

toxic megacolon

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