IBD Flashcards
1
Q
UC stools can be?
A
• blood & mucous in stool
2
Q
CD stool?
A
dark colour - bleed in proximal bowel
3
Q
Cramping before stool in CD?
A
abdominal pain
abdominal mass
UC: Cramping pain before passing stool.
No abdominal mass.
4
Q
Severe UC symptoms
A
- tachycardia >90bpm
* temp >37.8ºC
5
Q
Site of UC
A
- Colon
- continuos mucosal inflammation/ surface
- rectum
- extends promiximally
6
Q
Site of CD
A
- GIT mouth to anus
- commonly illeocaecal/ terminal ileum & proximal colon
- transmural - through gut wall
- fibrosis
- strictures causing obstruction & fistulae
7
Q
IBD tests
A
- Hb - less, GI inflammation
- WBC - high, infection
- Platelets - high
- Ferritin -
- CRP or ESR - high, GI inflammation
- Albumin - less, GI inflammation, malabsorption
8
Q
IBD other tests
A
- K - less, diarrhoea
- Na+ - less, diarrhoea
- Cr raised - dehydration
- Urea - high, dehydration
- Mg - low, diarrhoea
- LFT - high, sepsis
- VitB12 - less,
- VitD - less, poor bone health/recurrent corticosteroid
9
Q
IBD tender, red patches on both shin
A
- Erythema nodosum
- can be w. joint pain/swelling and fever
- IBD complication.
10
Q
Extraintestinal complication of UC
A
- Joints – ankylosing spondylitis, arthritis
- Skin – pyoderma gangrenosum
- Eye – uveitis
- Bone – osteoporosis
- Liver and biliary tree
- Malnutrition – kg loss, anaemia, vitamins (all more common in CD as it involves small intestine)
- Thromboembolic risk – needs VTE prophylaxis
11
Q
reduced vitamin C, Ca, Mg
A
scurvy
12
Q
Malnutrition - reduced Zinc =
A
taste impaired
13
Q
Malnutrition - reduced VitB12 =
A
anaemia
14
Q
Malnutrition - reduced Folate =
A
anaemia
15
Q
Malnutrition - reduced Fe =
A
anaemia
