Crohns and Ulcerative Colitis

Question 1

Does Crohns have continous or discontinuous inflammation?

Answer 1

Discontinuous, focal lesions

Question 2

Is Crohns or UC transmural?

Answer 2

Crohns

Question 3

Is crohns or UC found in any part of the digestive tract?

Answer 3

Crohns

Question 4

Which type of IBD does smoking increase the risk for?

Answer 4

Crohns

Question 5

When does IBD typically present?

Answer 5

20-40years

Question 6

Which Medications exacerbate uc?

Answer 6

Nsaids

Question 7

What is the time course of IBD?

Answer 7

Relapsing and remitting

Question 8

Symptoms of IBD

Answer 8

Abdo pain, Diarrhoea (can be bloody in UC), Nausea, vomiting, weight loss, rectal bleeding, fever, malaise, loss of appetite, fatigue, urgency, tenesmus

Question 9

Signs of IBD

Answer 9

UC may have none, in severe UC there may be fever, tachycardia, tender distended abdomen, clubbing, oral ulcers, erythema nodosum, conjunctivitis, iritis, arthritis, saroillitis, ankylosing spondylitis. Abdo mass in CD, personal fistula, analysing strictures

Question 10

Investigations for IBD

Answer 10

Faecal calprotectin, bloods, FBC, ESR, CRP, U+E, LFT, INR, ferritin, TIBC, B12, foliate. M&C to exclude other causes such as e coli or c diff, colonoscopy and biopsy, endoscopy, abdo x Ray-mucosal thickening.

Question 11

IBD complications

Answer 11

Bowel obstruction, perforation, dilation, abscesses, colon ca, malnutrition.

Question 12

IBD management

Answer 12

Immuno suppressants, immuno modulation, surgery