ulcerative colitis Flashcards
1
Q
where does ulcerative colitis affect?
A
- colon only
- starts at rectum- sigmoid- proximal colon
2
Q
does ulcerative colitis go through wall?
A
no
remains in mucosa
- doesn’t go through wall
3
Q
does ulcerative colitis have skip lesions?
A
NO
- its continuous
4
Q
does UC have granulomatous tissue?
A
NO
5
Q
what are the goblet cells like in UC?
A
depleted
6
Q
describe the crypt abscesses in UC
A
increased
7
Q
how is UC diagnosed?
A
- pANCA positive
- colonoscopy
- biopsy
8
Q
what would a UC colonoscopy show?
A
- continuous leadpipe sign
9
Q
what would a biopsy for UC show?
A
- mucosal inflammation with crypt hyperplasia
10
Q
how do you determine the severity of flare?
A
- truelove and witts scoring
- mild/mod/severe
11
Q
what are the symptoms for UC?
A
- LLQ pain
- Tenesmus - rectal infection pain
- Diarrhoea with blood, water and mucus
- extra intestinal symptoms
12
Q
what are the extra intestinal symptoms for UC?
A
- Uveitis/ episcleritis
- erythema nodosum
- spondylarthropathy
- PSC- Primary sclerosis cholangitis
13
Q
what are the complications of UC?
A
- toxic megacolon
14
Q
what are the risk factors of UC?
A
NSAIDS
stress
jewish
smoking protects!!!!
15
Q
how is UC treated for flares?
A
sulfasazine + prednisolone
