Flashcards in Inflammatory Bowel Disease Deck (10):
Where does Crohn's disease most commonly affect?
Terminal ileum and the colon.
(It can affect anywhere from the mouth the the anus)
What are the classic presentations of Crohn's disease?
Small bowel obstruction
Explain a tupical patient with Crohn's.
Bloody diarrhoea for 3/12
What are the main complications of Crohn's disease?
Malabsorption -(Vitamin deficiency, anaemia)
Anal disease (Sinuses, fissures, skin tags, abscesses, perineum falls apart)
Intractable disease - (Failure to respond to medical therapy, continuous pain or diarrhoea)
RARELY Toxic megacolon
Where is Ulcerative Colitis confined to?
Colon and Rectum
What levels of the gut lining does Ulcerative Colitis inflame?
Mucosa and Submucosa
What are the clinical presentations of Ulcerative Colitis?
Mucus and Blood PR
Describe a typical Ulcerative Colitis patient?
Bloody Diarrhoea and Mucus PR
Toilet 25 times a day.
What are the complications of Ulcerative Colitis?
Intractable disease - (Continuous diarrhoea, total colectomy needed)
Toxic megacolon (Will rupture unless removed, emergency colectomy needed)
Extra GI manifestations (Eyes - Uveitis, Liver - Primary sclerosing cholangitis, Joints - Arthritis, Ank Spondylitis, Skin - Pyoderma gangrenosum, erythema nodusum)