Inflammatory Bowel Disease Flashcards Preview

Gastrointestinal > Inflammatory Bowel Disease > Flashcards

Flashcards in Inflammatory Bowel Disease Deck (10):
1

Where does Crohn's disease most commonly affect?

Terminal ileum and the colon.
(It can affect anywhere from the mouth the the anus)

2

What are the classic presentations of Crohn's disease?

Abdo pain
Small bowel obstruction
Diarrhoea
Bleeding PR
Anaemia
Weight loss

3

Explain a tupical patient with Crohn's.

22 y/o
Male
Abdo pain
Bloody diarrhoea for 3/12
Tender abdo

4

What are the main complications of Crohn's disease?

Malabsorption -(Vitamin deficiency, anaemia)
Gallstones
Fistulas
Anal disease (Sinuses, fissures, skin tags, abscesses, perineum falls apart)
Intractable disease - (Failure to respond to medical therapy, continuous pain or diarrhoea)
Obstructions
Perforations
Malignancy
Amyloidosis
RARELY Toxic megacolon

5

Where is Ulcerative Colitis confined to?

Colon and Rectum

6

What levels of the gut lining does Ulcerative Colitis inflame?

Mucosa and Submucosa

7

What are the clinical presentations of Ulcerative Colitis?

Diarrhoea
Mucus and Blood PR

8

Describe a typical Ulcerative Colitis patient?

32 y/o
Female
Bloody Diarrhoea and Mucus PR
Toilet 25 times a day.

9

What are the complications of Ulcerative Colitis?

Intractable disease - (Continuous diarrhoea, total colectomy needed)
Toxic megacolon (Will rupture unless removed, emergency colectomy needed)
Colorectal Carcinoma
Blood loss
Electrolyte disturbance
Anal fissures
Extra GI manifestations (Eyes - Uveitis, Liver - Primary sclerosing cholangitis, Joints - Arthritis, Ank Spondylitis, Skin - Pyoderma gangrenosum, erythema nodusum)

10

How does Crohn's disease affect the lining of the GI tract?

Thickened bowel and stricture.
Transmural inflammation.