Flashcards in GI - Colitis Deck (17):
Differential diagnosis for colitis?
Mesenteric ischemia – typical patient?
Patient older than 50 years, with known atherosclerotic vascular disease. Pain is he cute and often after meals. No fever.
IBD is most commonly diagnosed at what age groups?
Bimodal: 15 to 25, and 60 to 70 year of age
Anemia in IBD due to?
1. Iron deficiency anemia from bleeding
2. Anemia of chronic disease
IBD that presents with grossly bloody stool?
IBD that can present anal fissures and nonhealing ulcers?
IBD that can present with strictures caused by fibrosis which leads to?
Crohn's disease. Can lead to bowl obstruction
Extraintestinal manifestations: Crohn's disease Chris's ulcerative colitis
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
Treatments used in Mild–moderate and moderate–severe ulcerative colitis?
Moderate – severe: Corticosteroids
Treatments used in severe ulcerative colitis?
Severe: 6MP, azathioprine, methotrexate, infliximab
When is surgery performed for ulcerative colitis?
Carcinoma, toxic megacolon, perforation, uncontrollable bleeding
Definition of toxic megacolon? Associated with?
Colon Dilated >6 cm.
Gen: Fever, leukocytosis
heart: tachycardia, hypertension, CNS: altered mental status
Patient arrives with suspected toxic megacolon - immediate management?
1. IV fluids
2. NG tube
3. IVM biotics (in anticipation perforation)
4. IV steroids
Patients with ulcerative colitis should begin getting annual colonoscopies when?
8 years after diagnosis of pancolitis
Patients with IBD are at an increased risk for what bile duct pathology?
Primary sclerosing cholangitis
Crohn's disease v ulcerative colitis
1. Site of origin
1. Terminal ileum versus rectum
2. Skip lesions versus continuous
3. Transmural versus mucosal
4. Cramps versus bloody diarrhea