Ch. 336 - IBD Flashcards Preview

Nelson - The Digestive System > Ch. 336 - IBD > Flashcards

Flashcards in Ch. 336 - IBD Deck (47):
1

most common time of onset of IBD is during

the preadolescent/adolescent era and young adulthood

2

IBD may begin as early as

1st yr of life

3

UC vs Crohn: pANCA

UC

4

UC vs Crohn: Smoking is a risk factor

Crohn

5

UC vs Crohn: Smoking is protective

UC

6

UC vs Crohn: Rectal bleeding

UC

7

UC vs Crohn: Diarrhea, mucus, pus

UC

8

UC vs Crohn: Abdominal pain

Crohn

9

UC vs Crohn: Abdominal mass

Crohn

10

UC vs Crohn: Growth failure

Crohn

11

UC vs Crohn: Perianal disease

Crohn

12

UC vs Crohn: Rectal involvement

UC

13

UC vs Crohn: Pyoderma gangrenosum

UC

14

UC vs Crohn: Erythema nodosum

Crohn

15

UC vs Crohn: Mouth ulceration

Crohn

16

UC vs Crohn: Thrombosis

UC

17

UC vs Crohn: Colonic disease

UC

18

UC vs Crohn: Ileal disease

Crohn

19

UC vs Crohn: Backwash ileitis

UC

20

UC vs Crohn: Stomach-esophageal disease

UC

21

UC vs Crohn: Chronic gastritis

UC

22

UC vs Crohn: Strictures, fissures, fistulas

Crohn

23

UC vs Crohn: Toxic megacolon

UC

24

UC vs Crohn: Sclerosing cholangitis

UC

25

UC vs Crohn: Risk for cancer GREATLY increased

UC, increased in both but more with UC

26

UC vs Crohn: Skip lesions

Crohn

27

UC vs Crohn: Transmural involvement

Crohn

28

UC vs Crohn: Crypt abscess

UC

29

UC vs Crohn: Granulomas

Crohn

30

UC vs Crohn: Linear ulcerations

UC

31

UC vs Crohn: Localized to the colon and spares the upper GIT

Idiopathic chronic UC

32

Fulminant colitis is defined as

Fever, severe anemia, hypoalb, leukocytosis, >5 bloody stools/day for 5 days

33

Colon cancer is preceded by changes of mucosal dysplasia hence it is recommended that patients with UC >___ should be screened with colonoscopy and biopsies every 1-2 years

10 years

34

Management for intractable UC and fulminant disease unresponsive to medical management

Colectomy

35

Major complication of total colectomy for UC

Pouchitis

36

Used to prevent pouchitis as a complication of total colectomy for UC

Probiotics

37

UC vs Crohn: Aka regional ileitis/enteritis

Crohn

38

UC vs Crohn: Systemic signs and symptoms

Crohn

39

May be the only manifestation of Crohn

Growth failure

40

UC vs Crohn: Associated with Anti-saccharomyces cervisiae, antibody to E. coli, and anti-flagellin antibodies

Crohn

41

Most characteristic histologic finding in Crohn disease

Noncaseating granulomas similar to sarcoidosis

42

UC vs Crohn: Partial small bowel obstruction or thumbprinting of the colon wall on plain abdominal films

Crohn

43

UC vs Crohn: Cobblestone appearance of ulcerations

Crohn

44

Trial of this medication may be attempted for mild terminal ileal disease or mild Crohn disease of the colon

Mesalamine

45

Used for infectious complications and first-line therapy for perianal disease of Crohn

Metronidazole

46

Mainstay of therapy for acute exacerbation of pediatric Crohn disease

Corticosteroids

47

Crohn: Treatment of choice for localized disease unresponsive to medical treatment, bowel perforation, fibrosed stricture with partial obstruction, and intractable bleeding

Surgery