Abdominal Pathology 2 Flashcards Preview

Hugh's MD2 Gen Med > Abdominal Pathology 2 > Flashcards

Flashcards in Abdominal Pathology 2 Deck (16):
1

How does bowel obstructions appear on CT?

Distention proximally

Shrunken distally

+/- Mass

2

What are some GIT complications of Crohn's?

Perforation

Strictures

Fistulas 

Abscess formation

Malabsorption (B12 particularly)

(cancer)

2

How do left sided colon cancers present?

Bright blood rectal bleeding

Obstruction

Pain

2

What is an adenocarcinoma?

Gland forming, epithelial origin malignancy

4

What influences the risk of cancer development in UC?

Activity of disease

Duration of disease

Extent of the disease

5

What is a severe complication of severe UC?

Toxic megacolon

6

What are some predisposing factors for colon cancer?

Obesity

Family Hx - FAP, Lynch

Smoking

 

7

Where does colon cancers metastasize to?

Liver

Peritoneal

(Lung)

8

What is the aetiology of IBD?

Not complelety know but probably some break down in the colon barrier 

9

In which IBD do you get granulomas?

Crohn's

10

What are some complications of UC?

Primary sclerosing cholangitis (more so than Crohn's)

Cancer

Toxic megacolon

Perforation, fistulas are much less common as the ulcers aren't knife like

11

Where do rectal cancers metastasize to?

Lung

Bone

Liver

12

How do right sided colon cancers present?

Fe deficiency anaemia

Fatigue

Metastases (later presentation)

13

Why do R- and L-sided colon cancer present differently?

R bowel is wider so obstructions are less likely

 

15

What is the mode of inheritance of Lynch's syndrome?

Autosomal dominant

16

What are some extraintestinal manifestations of Crohn's?

Erythema nodosum

Primary sclerosing cholangitis

Arthritis

UVitis