Help
Options
Didn't know it?
click below
click below
Knew it?
click below
click below
Don't Know
Remaining cards (0)
Know
retry
shuffle
restart
0:00
Embed Code - If you would like this activity on your web page, copy the script below and paste it into your web page.
Normal Size Small Size show me how
Normal Size Small Size show me how
WEEK 1:
Plenary:
| Question | Answer |
|---|---|
| symptom | physical/ mental feature indicating a disease that patient complains of |
| sign | indication of a disease detectable by medical practitioner even if patient not aware |
| symptoms of crohns disease | diarrhoea (+/- presence of blood), abdominal pain, weight loss, intestinal obstruction due to strictures, fistulae (often perianal), abscesses, good and bad days, systemic systems eg anorexia |
| signs of crohns disease | dehydration, anaemia, abdominal tenderness, weight loss, and during severe exacerbation/ sepsis - hypotension, tachycardia and pyrexia |
| what diagnostic test is used for patients with suspected severe IBD | AXR for initial assessment |
| calprotectin | small calcium binding protein |
| what to use when differentiating between IBD and IBS | calprotectin |
| how does calprotectin work in a positive test | concentration in faeces correlates well with severity of intestinal inflammation |
| normal faecal calprotectin predictive value for IBD | very high negative |
| investigations that can be used | endoscopy into ileum with biopsies, CT scan, MRI, ultrasound, and small bowel capsule |
| how are diagnosis confirmed | clinical evaluation and endoscopic, histological radiological, and biochemical investigations |
| when would a patient with crohn's be admitted to hospital | severe abdominal pain, severe diarrhoea (>8 times a day), patient is systemically unwell with a fever, evidence of bowel obstruction |
| treatment for crohns | IV fluids, analgesia, steroids, close monitoring, if complications eg bowel obstruction then consider surgery |
| long term management for crohn's | long term therapy as chronic disease |
| how is remission induced and maintained | induced by steroids and maintained by immunomodulators |
| complications of crohn's | strictures in bowel (leading to bowel obstruction), short bowel syndrome, malnutrition, osteoporosis, deficiencies (iron, B12, folate), and gallstones |
| therapeutic drug monitoring (TDM) as treatment for crohns | increase use of infliximab levels, adalimumab levels, anti drug antibodies |
| importance in nutrition in crohn's | iron deficiency management, vitamin B12 monitoring, vitamin D replacement, dietician involvement |
| example of malabsorptive condition | short bowel syndrome |
| short bowel syndrome | malabsorption disorder following removal of/ part of small bowel |
Created by:
22tango
Popular Medical sets