IBD Flashcards

1
Q

How might a kid with IBD present?

A

With diarrhoea
Rectal bleeding
Abdo Pain
Fever
Weight loss
Growth failure
Arthritis
Mass

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2
Q

Difference between UC & Crohn’s presentation?

A

UC predominantly features diarrhoea, bleeds and abdo pain

Crohn’s features more systemic symptoms incl arthritis, fever, growth problems and erythema nodosum

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3
Q

What else would you want to know about a kids history if we suspect IBD?

A

FH
Growth development
Sex development
Nutritional Status
Intestinal and other symptoms

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4
Q

How do you approach a kid you suspect of IBD?

A

Exclude an inf with stool culture etc

FBC, ESR, CRP, Albumin

Stool Calprotectin

MRI or Barium Meal

Endoscopy & Biopsy

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5
Q

What would blood tests show in IBD?

A

FBC - Anaemia & Thrombocytosis
ESR & CRP - raised
Albumin - Low

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6
Q

When would we use a barium meal in place of an MRI?

A

Barium meal is good for younger kids who can’t sit through an MRI

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7
Q

Which tests are definitive for IBD?

A

MRI/Barium Meal
Endoscopy & biopsy

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8
Q

How do we manage IBD?

A
  • Anti-inflammatories e.g. 5ASA mesalazine
  • Steroids (for flare ups)
  • Immunosuppressants e.g. azathioprine
  • Biologics e.g. Infliximab
  • Surgery

Also a polymeric diet is first line for crohn’s

Nutrional supplements and immunomodulation can help

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