IBD

Question 1

IBD Presentation

Answer 1

Changes in BH, PR bleeding, abdo pain, weight loss, nigh sweats, tenesmus, incomplete feeling

Question 2

IBD Risks

Answer 2

FmHX, Autoimmunes (ank spon, psoriatic arthritis, coeliac)
Smoking

Question 3

IBD Investigations

Answer 3

Colonoscopy + Gastroscopy
Bloods: nutrition, anti-TTG, HLA-B27
Biopsy? Swallow a camera pill?

Question 4

IBD Treatments

Answer 4

Low FODMAP diet
DMARDs: mesalazine, sulfasalzine
- This is for UC and not CD
Immunosuppressants: azathioprine, metacapurine
Biologics: infliximab, adalimumab
Surgery

Question 5

IBD Complications

Answer 5

SE of meds, compliance
- GI upset, skin cancer, infections
Hospital admissions
Bowel perfs, fisulta/abscess, malabsorption
Extra intestinal manifestations: joint, eye, skin, gallbladder, kidney problems?
Cancer. Osteoporosis

Question 6

What are extra intestinal manifestations of IBD?

Answer 6

arthritis, PSC, gallstones, uveitis/conjunctivitis/scleritis, erythema nodosum, pyoderma gangrenosum

Question 7

IBD Progress

Answer 7

Is it stable, worse or better?
How many flares last year?
Frequency of bowel motions? (M,4,M,6,S)
Vaccinations?
DEXA scan?

Question 8

IBD Review

Answer 8

Who monitors your IBD? How often?
When is your next colonoscopy? 3 yearly (++cancer risk if w/ PSC)
Bloods how often: for malabsorption