Chrons Disease Flashcards
(9 cards)
What does chrons affect
Whole GI
What is chrons
Inflammation of GI tract
Which presents as recurrent attacks
SE of chrons
Abdo pain, diarrhoea, fever, weight loss and rectal bleeding
Non drug treatment of chrons
Smoking cessation, attention to nutrition
What is given as drug treatment of chrons
Corticosteroids (prednisone or methylprednisolone) or IV Hydrocortisone
Right sided chrons - budenoside (less effective but may cause fewer SE too)
Aminoglycosides
Is relapse better than active treatment
Yes, preventing relapse is better
When is add on treatment usednin chrons
If there have been 2 or more inflammatory exacerbation in a 12 month period
What add on treatment is used in chrons
Azathioprine or mercaptopurine
Alt = methotrexate
Once the patient is in remission, what should we do with azathioprine and mercaptopurine
Can be used as monotherapy
Methotrexate can be used as monotherapy only if it was used to induce remission in the first place
