Flashcards in Prof Russell Tutorial #2 Deck (18):
1
key features of inflammatory pain?
improves with movement
worse with rest
morning stiffness
swelling
erythema
2
what are the 2 types of joint complications in IBD: UC Crohn's?
small joint arthritis
Axial arthropathy
3
axial arthropathy in UC associated with which joints?
sacroileitis
4
what is a crystal arthropathy?
gout
5
Describe the location, histology, pattern and treatment for crohn's?
transmural
granulomas
skips lesions
no J-pouch surgery
6
Describe the location, histology, pattern and treatment for UC?
starts in rectum
neutrophils
not patchy
surgery - J Pouch surgery
7
what is colitis mean?
bloody diarrhoea
8
12 causes of colitis?
Ulcerative
Crohn’s
Bacterial infection- salmonella, shigella, campylobacter
Clostridium difficile subsequent to antibiotic use
Entamoeba histolytica infection
Neutropenic
Radiotherapy
Viral infection- CMV
Ischaemic- due to arterial disease
Collagenous colitis (though this causes more of a watery diarrhea.) Often associated with NSAIDs and coeliac disease
Oral contraceptive pill use?
Vasculitis
9
what infections cause colitis?
salmonella
shigella
campylobacter
C. Diff
10
What virus causes colitis?
CMV
11
before prescribing steroids what 4 things to ask?
TB
HIV
Strongyloids
Hep B (chronic)
12
6 organs affected by IBD?
Joints
Liver
Skin
Eye
Brain
Kidney
13
what is PSC? what does it lead to?
primary sclerosing cholangitis, leads to biliary cirrhosis
14
where can NSAIDS cause ulceration?
from oesophagus to small/large bowel, not just stomach
15
small bowel diarrhoea characteristics?
watery
secretory
voluminous
16
4 causes of general fluid retention?
Heart Failure
Renal Failure
Hypoalbuminaemia
Chronic Liver Disease
17
3 causes of localised fluid retention?
venous (thrombus)
Capillary
lymphatics
18