GI 9 - Inflammatory Bowel Disease Flashcards Preview

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Flashcards in GI 9 - Inflammatory Bowel Disease Deck (33)
1

mucosa inflammation involving only the colon. Starts in rectum and may extend proximally in a continuous fashion to involve part or all of colon

Ulcerative colitis

2

What is ulcerative colitis? How does it spread?

mucosa inflammation involving only the colon. Starts in rectum and may extend proximally in a continuous fashion to involve part or all of colon

3

Patchy inflammation involving any segment of the gastrointestinal tract from the mouth to the anus

Crohn's Disease

4

What is Crohn's disease? Where does Crohn's disease occur?

Patchy inflammation involving any segment of the gastrointestinal tract from the mouth to the anus

5

proctosigmoiditis refers to:

Ulcerative Colitis
Confined to rectosigmoid region

6

left-sided colitis refers to:

Ulcerative Colitis
that extends to splenic flexure

7

extensive colitis refers to:

Ulcerative Colitis
Extends more proximally (beyond splenic flexure)

8

friability and erosions
Idiopathic inflammatory condition involving mucosal surface of colon

Ulcerative colitis

9

Frequency of BM, Rectal bleeding, Cramps
Abdominal pain, Fecal urgency, Tenesmus – urge to go! Fever Wt change, Extraintestinal manifestations are all symptoms of:

Ulcerative colitis

10

ANCA is a good test for:
ASCA is a good test for:

ANCA - Ulcerative colitis
ASCA - Crohn's disease

11

In acute colitis, the diagnosis is readily established by __ with biopsy

sigmoidoscopy

12

sigmoidoscopy sees Edema, friability, mucous, and erosions

Ulcerative colitis

13

Don't do which imaging test for Ulcerative colitis?

Barium enema. Little utility in evaluating ulcerative colitis

14

__ – means the whole colon is involved.in UC

Pancolitis

15

Patients gets surgery for UC and then comes down with what?

Pouchitis

16

Treatment for Severe UC

Methylprednisolone

17

X-ray shows the colon is much wider in one area

Toxic Megacolon

18

Cigarette smoking
Strongly associated with development of ___

Crohn's disease

19

What is ileitis?

involve small bowel only, only the ileum

20

What is ileocolitis?

% involve small bowel and colon, most often terminal ileum and adjacent proximal ascending colon

21

Most Crohn's disease cases are considered

Ileocolitis

22

If a patient has Fistulas, they have __

Crohn's disease

23

Most common presentation & often seen in patients with ileitis or ileocolitis. Low-grade fever and malaise. Weight loss. Loss of energy. Diarrhea (typically nonbloody and often intermittent). Cramping or steady RLQ or periumbilical pain

Chronic Inflammatory Disease

24

Narrowings found in small bowel are called __ and are associated with __ because __

String sign. Associated with Crohn's dis because only Crohn's affects small bowel.

25

Sinus tracts that penetrate through the bowel and form __ to a number of locations

Fistulas (fistulaization)

26

Granulomas seen in 25%; highly suggestive of

Crohn’s disease

27

Tender abdominal mass with fever and leukocytosis

Abscess

28

2 drugs for Fistulas

Metronidazole and Cipro

29

8 or more years of Crohn’s colitis is called

Carcinoma

30

5 reasons for Malabsorption

Bacterial overgrowth
Fistulas
Strictures
Jejunal inflammation
Surgical resections

31

Rule out ___ with Crohn's disease

Lactose intolerance

32

Main treatment for Crohn's disease

Well-balanced diet.

33

Drug for severe Crohn's disease

Prednisone