Question | Answer |
What causes Ulcerative Colitis? | Cause is unknown, but perhaps infectious agent, autoimmune reaction, food allergy, stress |
Is ulcerative colitis restricted to the colon? | no, it goes to the rectum too and overtime can affect the entire GI tract |
Which descent of people have a higher risk for ulcerative colitis? | Jewish |
What does bloody D, pus in stools, abnormal BS and abd pain suggest? | Ulcerative Colitis |
What are some extra-intestinal complications that can come from Ulcerative colitis? | Inflammation of joints, skin, mouth, eyes, Anemia, leukocytosis, thrombcytosis, Erythema nodisum, pyoderma gangrenosum, Liver disease |
What is used for proctitis | hydrocortisone enemas |
What anti-inflammatory are used for Ulcerative colitis? | sulfas, PO steroids, and IV if PO not working |
At what point are immunosuppresents used in Ulcerative Colitis? | severe disease-10-25 stools/day, fever, malaise, wt loss, anorexia, tachycardia, dehydration |
What type of diet is good for ulcerative colitis patients? | high cal, high protein, and low residue |
What is the expected output for an ileostomy? | 200ml/24hours |
Where does Crohn's occur? | mostly the intestine, but can occur from mouth to anus |
What causes Crohn's? | unknown, but thought to be an autoimmune disorder |
What is elevated in the stool of Crohn's pts? | TNF-a |
What should the results of an guaiac test be for a Crohn's pt? | negative |
what are some extra-intestinal complication that can result from Crohn's? | Arthritis, liver disease, cholelithiasis, ankylosis spondylitis, pyoderma gangrenosum, erythema nodosum, nephrolithiasis, colon CA is twice as likely |
In Crohn's what drug is used if perianal area is affected? | Metronidazole |
When is Remicade (Infliximab) used? | for TNF-a, but doesn't always work |
Does surgery cure Crohn's or UC? | only UC |
In IBS which symptom is more predominate in males? In females? | males=D, females=constipation |
In regards to nutrition what is an important component with IRS? | fiber |
What med is used for D? for constipation? | D-Alosteron, Constipation-Zelnorm |