Wk4 Small intestine/Colon Pathology Flashcards
Most common cause of acute diarrhea:
infectious
Two types of inflammatory bowel disease:
ulcerative colitis
Crohn’s
Inflammatory changes involving mucosa and submucosa
limited to colon and rectum
Ulcerative colitis
Transmural inflammatory changes
any area of GI tract
“skip lesions”
Crohn’s
Pseudopolyps
UC
Ulcerations
Fissures
Crohn’s
Branched crypts
UC
non-caseating granulomas
Crohn’s
Cobblestone
Crohn’s
Creeping fat
Fistulas
Crohn’s
bloody diarrhea with mucus
UC
presentation of Crohn’s
variable
ASCA positive
Crohn’s
pANCA positive
UC
Toxic megacollon
UC
Small bowel strictures
perforation
fistulas
Crohn’s
Long term complication of UC and CD
intestinal adenocarcinoma
colitis after surgery
diversion colitis
cause of diversion colitis
loss of short chain fatty acids
chronic watery diarrhea with normal colonoscopy
microscopic colitis
Two types of microscopic colitis:
- lymphocytic
2. collagenous
Mechanism of microscopic colitis:
autoimmune
Mucosal patchy erythema
telangiectasias
Radiation enterocolitis
pneumonitis intestinalis
air bubbles
neonatal necrotizing enterocolitis
apoptotic cell death in crypts without inflammation
graft vs host disease
unexplained constipation or diarrhea
Irritable Bowel Syndrome
Common locations of Ischemic bowel disease:
watershed zones
splenic flexure
sigmoid colon
atrophy of surface epithelium
coagulative necrosis
possible sepsis
Ischemic bowel disease
Risk factor for ischemic bowel disease
cardiac or vascular disease
malformed mucosal and submucosal blood vessels
Angiodysplasia
caused by elevated intraluminal pressure in the sigmoid colon
Sigmoid diverticulitis
malfunction in puborectalis muscle
solitary rectal ulcer syndrome
fibromuscular dysplasia of lamina propria
solitary rectal ulcer syndrome