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Flashcards in IBD - McGowan Deck (22)
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1

painless rectal bleeding in a todler, abd pain distention, and vomiting

Meckel's diverticulum

2

Pts with UC are at risk of developing

- ankylosing spondylitis
- primary sclerosing cholangitis
- Multiple sclerosis
- Toxic megacolon
- Pyoderma gangrenosum
- Cholangiocarcinoma
- pleuritis
- uveitis
- PSC

3

Pts with Crohns are at risk of developing

- kidney stones
- Fistulas/strictures
- fissures
- pigmented gallstone
- malabsorption
- DVT
- Colon cancer

4

what neoplasm are pt with h pylori at risk of developing

MALToma

5

Which IBD is associated with p-ANCA mostly

UC

6

Which HLA is associated with UC

HLA-B27

7

Which IBD mimics appendicitis

Crohns's disease

8

Lead pipe appearance on Xray indicates

loss of haustra as seen in UC

9

Enterovesical fistula is a fistula between what two structures and disease is it associated with

- Fistula between small intestine to bladder
- Associated with Crohns,

10

Segmented ulcerated mucosa of terminal ileum associated with which IBD

Crohns

11

Diffuse edema that is friable with mucopus and erosion limited to rectosigmoid area is associated with which IBD

UC

12

Best imaging modality to evaluate ENTIRE small bowel

Magnetic resonance enterography

(Colonscopy goes up to terminal ileum)

13

Development of small bowel adenocarcinoma is more associated with which IBD?

Crohns

14

Pt with IBD and stricturing disease (Crohns) and removal of 150cm of small bowel including terminal ileum, what kind of diet is recommended?

- Low residue/ low fiber diet
- IV B12 (no TI)
- Avoid high fat foods ( No TI thus no bile salt absorption)

15

what drug has shown to reduce need for surgeries in pt with severe IBD

anti-TNF therapy

16

Removing the appendix reduces risk of developing which iBD

UC

17

IBD Pt at risk of perforation, what modality is best to evaluate her

plain abd xray

18

Bloody diarrhea, in an otherwise healthy individual with no past medical history or family history and who loves bbq, red meat, fast food think_

E coli 0157

19

Pt with more than 8 yrs of IBD needs to have colonscopy how often?

yearly

20

Pt with IBD, if colonoscopy shows flat dysplasia, best recommendation

total colectomy - since it's flat, there could be more than 1 dysplasia that may not be visible and thus to prevent colon cancer, the entire colon needs to be removed

21

In pts with IBD, what's known to decrease risk of CRC development?

folic acid

22

Indication for surgery in UC

- severe hemorrhage
- perforation
- carcinoma
-fulminant colitis
- toxic megacolon if it doesnt resolve within 48-72hrs)
- flat dysplasia
- refractory disease requiring long term corticosteroids