Inflamatory bowel disease

Question 1

conditsion included in ibd

Answer 1

chrones, uc and microcpic oloitns

Question 2

where does uc start and psread to

Answer 2

rectum and spreds proximmary but is contiane in colon

Question 3

where is chones found

Answer 3

it is found in patches anywehre in the body,

Question 4

what is when you have both uc and chrones

Answer 4

it is ibdu - unclaise inflatioary bowol disease

Question 5

what is the two types of microscopci bowel disease

Answer 5

collangous colits and lympathcoic cytis

Question 6

who is colangous colanits mainly seen in

Answer 6

females

Question 7

what are the sympons of collangeous colonitis

Answer 7

belly pain
watery diharrea

Question 8

cause of collangous colantis

Answer 8

inflatmo of the cell, reduice the absoaptonof water due to thicekn of eptilum

Question 9

wha tis lympathic coltois

Answer 9

increas in lympathc cell

Question 10

what is lympathc colotis asosiced with

Answer 10

meds such a sppi and ns aids
auto immune conditions such as rhmaoid artheris and celiac disease

Question 11

symptons of lymphocytic colitis

Answer 11

dirahes and abdoal pain, simlar to collangeous colitis

Question 12

treatmetn for lymphoticy colits

Answer 12

budenidies

Question 13

does smokng increase risk for chones or uc

Answer 13

increase risk for chrones
reuces risk for UC

Question 14

symptons of ibd

Answer 14

diahre, rectal bleeding, weight loss, fatique and abdomal pain

Question 15

what bacteira are presnt in ibd more than in nroaml immenune system

Answer 15

acinobacteria and proteobacteria

Question 16

what bacteira is presnet less in ibd

Answer 16

bacteroidets and lachnospiracease

Question 17

what is the average age for uc

Answer 17

20 - 40

Question 18

what is the symptson of uc

Answer 18

bloody diarrhoea
abdomal pain
weight loss
fatique

Question 19

what area if inlfatin in procitis

Answer 19

rectum only

Question 20

wjat area is inflatiend in procisgnitis

Answer 20

recutm and sigmoid col

Question 21

what area is inflaed in left side colholits

Answer 21

all of hte left side of the colon

Question 22

what area is inflated in pancolitis

Answer 22

whole colon

Question 23

sympons of procitis

Answer 23

freqycl urgen, incotin an tenesums
blood
proxla faecl status constiapion

Question 24

how to treat procitsi

Answer 24

topical therpaty

Question 25

what is acute severe colitis

Answer 25

life threatening meidcial emercey with high mortaily of 2%`

Question 26

scale of severity fo uc

Answer 26

mild less than 4 stools per day, with or with blood, normal esr, no sight of toxicity moderate - 4- 6 stools per day, occasaioal blood, minla sings of toxicity , reduced crp severe colitis , 6 or more blood stool, and any of , raised temp , tachycardia, anemai esr and raised crp fulmainat - 10 stools per day, contius bleeding, toxicity k abdal tendersns or distion, tranfusion requice, colic dilation on x ray

Question 27

bloods fuction in uc

Answer 27

inflamation marker, normocytic microcytic anemai crp, wcc platlels, incrased albumin reudced

Question 28

stool test for uc

Answer 28

look for calprotecign and cultrue for incetion

Question 29

colonsocpy for uc

Answer 29

to look for maliganyc and polyops

Question 30

what is 1 and 2 on brisl tsotl tat

Answer 30

1 rabbit droping 2 - saus sheped byut lumps

Question 31

what is type 3, 4 and 5 on bristol stool chart

Answer 31

3 - sausage with cracks on surface 4 - sausag or smake and smoth and soft 5 - soft blobs with clear out edges

Question 32

what is 6 and 7 on bristol stool caht

Answer 32

6 - flffy pcies with ragged edge 7 ligquid

Question 33

tests for acute sever coloitsn in first 24 hours

Answer 33

blood tests stool chart 4 cidf cultres

Question 34

drug tramtesn for first 24 hours for colitis

Answer 34

avoid / stop non sterold analgsi, opidaes, and dihrsl ant coholanse iv glucocorticoids, iv hydration

Question 35

what is the sympoosn of choroens disease

Answer 35

diharrheoa, abdomal pain, weight loss, malsais, lethary, anoxia, low grade fever, malabsobition, anemai, vi deifion

Question 36

blood for chornes

Answer 36

look for inflations

Question 37

stool for crones

Answer 37

to rule out infection if dihrar and fecla claproteicino

Question 38

what level of felauproic is normal, equivola nd elevated

Answer 38

0-50 nroal, 50 -200 equivol , greater than 200 raised

Question 39

what scan are done for crones

Answer 39

capusl endocpys, colonsocpy, mri small bowel stuy, occasional ct scan if acutly unwell

Question 40

what is the differen in histolgy bwtwen crones and uc

Answer 40

uc - goblet cell deped greater cyrpa abcess limited to mucoa cd - tranmulra infalton granumlomas

Question 41

what are some stucla complication ue to chroesn

Answer 41

inflation sticure fistula

Question 42

what is perianal choens disasesympons

Answer 42

unable to sit pus secretion perianal pain

Question 43

investigation for perianal crohns disease

Answer 43

mri pelvis examion under anemaiths

Question 44

treatment for perianal choens

Answer 44

surgyer to drain it and put stent in place medicaiton

Question 45

extrainteal manfiion of ibd

Answer 45

mot ulcer, skin / lesion, mucaion erthy nodum, pydodrl gancer, parim sclerous cholangitws

Question 46

cuase of choicn digrea

Answer 46

malabopoi e.g. pancreai inusigo or biel acid malabion, coleica diase, ibs, overflow diarra

Question 47

why does biel acid malbaion cause dihora

Answer 47

as bile acid is an laxative

Question 48

what are other diffencatno for ibd

Answer 48

ileocacel tb, coltiis, invfacein, amoberi, ishcmic

Question 49

who is most at risk fo rcolonic carcina

Answer 49

pancolits and those who have it for longest

Question 50

how oftne should low risk, medu risk and high risk people with adenocarino have colonsocpy from 10 years of onset of disease

Answer 50

low - 5, medium 3, high 1 year interval

Question 51

treatment pyimad of ibd

Answer 51

5 asa / sulfaszalide predinsone or budensoid immuno modulatrs biologic gaens surgery

Question 52

what is amiosaclicyates exampels

Answer 52

penseate which work on small bolw

Question 53

can 5asa be used in choesn

Answer 53

no , only effect in uc

Question 54

how can 5asa be used

Answer 54

orally dialy during flairups rectal topically

Question 55

who can recive steroid

Answer 55

both uc and cd

Question 56

common steroid

Answer 56

budesonid and prenosale

Question 57

what is required of rprenisole

Answer 57

calcium and vid d supplement

Question 58

what can metoterxate be used for

Answer 58

choesn only

Question 59

issue with methotreaat

Answer 59

it is a tetartogenic

Question 60

hwo qalify for methotrexate

Answer 60

steroid dependednt paitiens

Question 61

who can methoga be used on

Answer 61

crones only

Question 62

what are hte monc cona antiboids which can be used

Answer 62

infliximan - anti tnf alph antib 8 wekk iv infion

Question 63

new treatm for ibs

Answer 63

tonacinib, pan jak inahtor and is used orally

Question 64

how to give inflimab

Answer 64

8 weekly iv infuions

Question 65

what is the preiclp of elemtal feeding

Answer 65

feeding of only certain food snad othering else, non effecig in adults

Question 66

what is emergy cusry requied for ibd

Answer 66

acute sever colitis athat is not resond to high dose iv setoids complatio such as perforation, absfes and fobsution

Question 67

what is the elective surgyer for in ibd

Answer 67

frequent relapse despite medical treatment not able to tolerate medical treatment steroid dependant patient choice

Question 68

what is hte pouhc sueryg

Answer 68

wher the rmain reculaa stump can be use as a pouch to soer feauces

Question 69

wha is the downside of the pouch

Answer 69

it can lead to severla times per day need to go to toiled can become infelcteld and inlfamed can have obstions