Ulcerative Colitis vs. Crohn's Disease

Question 1

Chronic inflammatory process affecting the mucosa and submucosa of the sigmoid colon and rectum

Answer 1

Ulcerative Colitis

Question 2

Subacute or chronic inflammatory bowel disease affecting segmental areas along the entire wall of the GI tract

Most commonly noted within the terminal ileum

Answer 2

Crohn’s Disease (Regional entiritis)

Question 3

Location: distal ileum/ascending colon

Answer 3

Crohn’s Disease (regional enteritis)

Question 4

Location: Rectum/lower colon

Answer 4

Ulcerative Colitis

Question 5

Cause:

Unknown
Familial
Jewish race
Emotional stress
Auto immune

Hint: ito lang ang merong “Auto immune, emotional stress, and Familial”

Answer 5

Ulcerative Colitis

Question 6

Cause:

Jewish race
Unknown
Environmental

Hint: “JUE” - 3 letters - 3 sa alphabet

Answer 6

Crohn’s Disease (regional enteritis)

Question 7

Age: 15-40yrs old

Answer 7

Ulcerative colitis

Question 8

Age:

20-30yrs
40-60yrs
50-80yrs

Answer 8

Crohn’s Disease (regional enteritis)

Question 9

Bleeding:

Severe
Stool with pus, mucus, and blood

Hint: ito lang merong blood sa stool

Answer 9

Ulcerative colitis

Question 10

Bleeding:

Moderate
Stool with pus and mucus

Answer 10

Crohn’s Disease (regional enteritis)

Question 11

Perianal involvement:

Rare-mild

Answer 11

Ulcerative colitis

Question 12

Perianal movement:

Severe; Common

Answer 12

Crohn’s Disease (regional enteritis)

Question 13

Rectal involvement: 100%

Answer 13

Ulcerative colitis

Question 14

Rectal involvement: 20%

Answer 14

Crohn’s Disease (regional enteritis)

Question 15

Diarrhea: 10-20 watery stools/day

Hint: watery stools, not soft

Answer 15

Ulcerative colitis

Question 16

Diarrhea: 5-6 soft stools/day

Hint: soft stools, not watery

Answer 16

Crohn’s Disease (regional enteritis)

Question 17

Abdominal pain: yes

Answer 17

Ulcerative colitis

Question 18

Abdominal pain: Crampy pain after meals

Answer 18

Crohn’s Disease (regional enteritis)

Question 19

Weight loss: yes

Answer 19

Ulcerative colitis and Crohn’s Disease (regional enteritis)

Question 20

Interventions:

Diet, total parenteral nutrition (TPN)
Steroids, Azulfidine
Antibiotics

Ileostomy or Proctosigmoidoscopy

Answer 20

Ulcerative colitis

Question 21

Interventions:

TPN, antibiotics
Azulfidine, (steroids, sulfonamide)

Ileostomy or Colectomy (recurrence is common)

Answer 21

Crohn’s Disease (regional enteritis)

Question 22

Fever: low-grade fever

Answer 22

Ulcerative colitis and Crohn’s Disease (regional enteritis)

Question 23

Food intolerance

Intolerance to dairy, spicy, and greasy foods

Answer 23

Ulcerative colitis

Question 24

Food intolerance:

None

Answer 24

Crohn’s Disease (regional enteritis)

Question 25

Stool: bloody

Answer 25

Ulcerative colitis

Question 26

Stool: loose

Answer 26

Crohn’s Disease (regional enteritis)

Question 27

Abdominal pain:

Cramping (LLQ)

Answer 27

Ulcerative colitis

Question 28

Abdominal pain:

Periumbilical (RLQ)

Unrelieved by defecation

Answer 28

Crohn’s Disease (regional enteritis)

Question 29

Other signs

tenesmus, urgency
Anorexia, fatigue
Rebound tenderness (RLQ)

Answer 29

Ulcerative colitis

Question 30

Other signs

Steatorrhea

Answer 30

Crohn’s Disease (regional enteritis)

Question 31

IBD: Diet

Answer 31

1. Low residue, High Protein, High Calorie, with supplemental vitamins and iron supplements
2. Pt with steroids = take calcium and vitamin D
3. Probiotic supplements

Question 32

IBD: Diet

If client has severe symptoms

Answer 32

1. NPO
2. TPN

Question 33

IBD: Diet

What to avoid

Answer 33

Whole wheat grains
Nuts
Fresh fruits and vegetables
Lactose containing foods
Caffeine, pepper
Alcohol and smoking