Inflammatory Bowel Disease Flashcards
What is tenesmus?
you always feel like you have to poo
p 354 in first aid 2014
p362 in 2015
memorize those.
What treatment cures ulcerative colitis?
Colectomy
Goals of treatment for IBD
get them into remission and keep ‘em there
start treatment of IBD with what?
5-aminosalicylic acids
treatment for moderate IBD
steroids, immune modulators like inflixumab, azothioprine, methotrxate.
treatment for severe IBD
Surgery
steroids are used to induce, or maintain remission?
induce.
maintain = 5-asa’s, azathioprine, inflixumab, 6Mercaptopurine
pregnancy, treatment for IBD
whatever has been working, unless it’s methotraxate. it’s category X
serology of CD and UC
CD - ASCA - anti-saccharomyces cervisiae antibodies
UC - pANCA - perinuclear antineutrophil cytoplasmic antibodies
resection of this part of the gut makes you at risk for gall stones
terminal ileum (this is where most bile is re-uptaken)
can also cause diarrhea when you poop out that bile
loss of terminal ileum can do what to your kidney
causeses oxalate stones
more fat in your shit means that it complexes with calcium
calcium then doesn’t complex with oxalate, and the oxalate is reabsorbed in great quantities, causing stones
Primary sclerosing cholangitis
what is it
assc with what disease
disease of the bile ducts that causes inflammation and obliterative fibrosis of bile ducts inside and or outside of the liver
assc with UC
if someone has proctitis due to IBD, do you give budesonide?
no, it reaches the terminal ilium and right colon, but not the anus
use prednisone
are steroids maintenance therapy for IBD
na
