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Flashcards in GI - Colitis Deck (17)
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0
Q

Mesenteric ischemia – typical patient?

A

Patient older than 50 years, with known atherosclerotic vascular disease. Pain is he cute and often after meals. No fever.

1
Q

Differential diagnosis for colitis?

A
  1. Ischemic
  2. Infectious
  3. Radiation
  4. IBD
  5. Mesenteric
2
Q

IBD is most commonly diagnosed at what age groups?

A

Bimodal: 15 to 25, and 60 to 70 year of age

3
Q

Anemia in IBD due to?

A
  1. Iron deficiency anemia from bleeding

2. Anemia of chronic disease

4
Q

IBD that presents with grossly bloody stool?

A

Ulcerative colitis

5
Q

IBD that can present anal fissures and nonhealing ulcers?

A

Crohn’s disease

6
Q

IBD that can present with strictures caused by fibrosis which leads to?

A

Crohn’s disease. Can lead to bowl obstruction

9
Q

Extraintestinal manifestations: Crohn’s disease Chris’s ulcerative colitis

  1. Skin
  2. Joints
  3. Ocular
  4. Hepatobiliary
  5. Urologic
A
  1. Erythema nodosum versus erythema nodosum/pyoderma gangrenosum
  2. Asymmetric arthritis/ankylosing spondylitis versus less
  3. Uveitis for both
  4. Cholelithiasis fatty liver versus fatty liver/primary sclerosing cholangitis
  5. Nephrolithiasis verses nothing
10
Q

Treatments used in Mild–moderate and moderate–severe ulcerative colitis?

A

Mild-moderate: Sulfasalazine/Mesalamine

Moderate – severe: Corticosteroids

11
Q

Treatments used in severe ulcerative colitis?

A

Severe: 6MP, azathioprine, methotrexate, infliximab

12
Q

When is surgery performed for ulcerative colitis?

A

Carcinoma, toxic megacolon, perforation, uncontrollable bleeding

13
Q

Definition of toxic megacolon? Associated with?

A

Colon Dilated >6 cm.

Gen: Fever, leukocytosis
heart: tachycardia, hypertension, CNS: altered mental status

14
Q

Patient arrives with suspected toxic megacolon - immediate management?

A
  1. IV fluids
  2. NG tube
  3. IVM biotics (in anticipation perforation)
  4. IV steroids
15
Q

Patients with ulcerative colitis should begin getting annual colonoscopies when?

A

8 years after diagnosis of pancolitis

16
Q

Patients with IBD are at an increased risk for what bile duct pathology?

A

Primary sclerosing cholangitis

17
Q

Crohn’s disease v ulcerative colitis

  1. Site of origin
  2. Pattern
  3. Thickness
  4. Sx
A
  1. Terminal ileum versus rectum
  2. Skip lesions versus continuous
  3. Transmural versus mucosal
  4. Cramps versus bloody diarrhea
18
Q
Crohn's disease versus ulcerative colitis
1. complications
2 radiographic findings
3 risk of colon cancer
4. surgery used for?
A
  1. Fistulas/abscess/extraction versus hemorrhage/toxic megacolon
  2. String sign versus leadpipe:
  3. Slight increase verses marked increase
  4. Strictures versus cure

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