IBD CIS Flashcards Preview

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Flashcards in IBD CIS Deck (20):
1

3yo- painless rectal bleeding

-remnant of vitelline duct

2

exacerbates crohns dz?

-smoking

3

UC- at risk for?

-ankylosing spondylitis
-PSC--> cholangiocarcinoma!!!
-MS
-toxic megacolon

4

"String sign"

CD

5

CD- at risk for?

-kidney stones!!
-fistula!!
-small bowel adenocarcinoma!!

6

CD and UC- serologic findings

-CD- ASCA, Anti Saccharomyces Cerevisiae Ab
-UC- p-ANCA

7

CD- lab work?

elevated fecal calprotectin

8

mimics appendicitis?

CD

9

UC- xray appearance

-"lead pipe"- loss of haustra

10

what evaluates the entire small bowel?

Magnetic resonance enterography

11

CD- should avoid what in diet?

high fat foods- bile salts absorbed in TI!

12

prevents recurrence of IBD

-Anti-TNF therapy

13

appendectomy- reduced risk of?

UC

14

20 yrs of IBD- best recommendation?

colonoscopy every yr!!

15

dec risk of CRC?

-folic acid

16

CD- recommendations

-stop smoking
-small, frequent, well balanced meal

17

TI resection- need what?

-low fat diet (bile salts not absorbed)
-parenteral vit B12

18

UC- vs CD

-mucosal
-colon only
-continuous lesions
-bloody diarrhea
-crypt abscess
-toxic megacolon!!! (no fistulas/fissures)
-ulcerated pseudopolyps
-smoking protective!!
-pANCA!!

19

CD- vs UC

-transmural
-anywhere along GI tract- most common in TI!!
-skip lesions
-often w/o blood
-non-caseating granuloma
-strictures ("string sign"), obstruction, fistulas, fissures
-aphthous ulcers
-linear fissures
-"cobble-stoning", "Creeping fat"
-smoking worsens the dz!!!
-ASCA!!!

20

IBD- extraintestinal manifestations

-arthralgias, arthritis, iritis, uveitis, pyoderma gangrenosum, erythema nodosum
-oral aphthous lesions
-inc prevalence of gallstones- due to malabs of bile salts from TI