Duke PA Inflammatory Bowel Disease
Quiz yourself by thinking what should be in
each of the black spaces below before clicking
on it to display the answer.
Help!
|
|
||||
|---|---|---|---|---|---|
| what are the two types of IBD | Crohn's, and ulcerative colitis
🗑
|
||||
| incidence of IBD is highest in | westernized countries
🗑
|
||||
| Crohn's disease is more common in | whites (traditionally Ashkenazi Jews have been at higher risk)
🗑
|
||||
| there is a low incidence of Crohn's disease in __ populations | Hispanics and Asian
🗑
|
||||
| common symptoms of IBD | diarrhea (often bloody), fatigue (anemia), weight loss, anorexia, N/V, crampy abdominal pain
🗑
|
||||
| can affect any portion of the GI tract (lips to anus), disease tends to skip areas, disease is transmural (involves the entire thickness of the wall) | Crohn's disease
🗑
|
||||
| limited to the colon, disease starts in the rectum (proctitis), disease is usually continuous, more superficial disease | Ulcerative colitis
🗑
|
||||
| proctitis often results in __ | tenesmus
🗑
|
||||
| feeling of incomplete evacuation of the rectum | tenesmus
🗑
|
||||
| IBD tends to have a __ course | relapsing and remitting
🗑
|
||||
| IBD is an __ disorder not infectious | immune
🗑
|
||||
| IBD exact etiology | unknown, but the working hypothesis is that this is an abnormal immune response to bacteria within the gut
🗑
|
||||
| with ulcerative colitis b/c the rectum is almost universally involved, __ is more common | bloody diarrhea
🗑
|
||||
| CD is associated with __ both around the anus and internally | fistula
🗑
|
||||
| fistulas can lead to __ | abscesses
🗑
|
||||
| CD is associated with __ of the intestine which can lead to blockages | stricture
🗑
|
||||
| __ + Crohn's = BAD | smoking
🗑
|
||||
| for UC.CD there is a strong association with __ | primary biliary cirrhosis
🗑
|
||||
| primary biliary cirrhosis is often first recognized by __ | alkaline phosphatase
🗑
|
||||
| primary manifestation of biliary cirrhosis is __. There is no effective therapy for this, refer to hepatologist | stricturing of the bile ducts
🗑
|
||||
| arthralgia associated with IBD flares | type 1-self limited, short lived, affecting 6 or fewer joints
🗑
|
||||
| arthralgia not associated with IBD flares | type 2-multiple joints, can be migratory, can be more chronic
🗑
|
||||
| raised tender red-purplish nodules parallels IBD activity and responds to IBD therapy | erythema nodosum
🗑
|
||||
| wide spectrum of necrotic inflammation. parallels IBD activity about half the time, may respond to therapy aimed at IBD, dermatology should be involved, do not biopsy | pyoderma gangrenosum
🗑
|
||||
| big concern, eye pain, blurred vision, photophobia, headaches associated with IBD. prompt diagnosis and treatment to prevent complications. Get Ophtho involved | Uveitis
🗑
|
||||
| IBD is most often diagnosed in the __ | young
🗑
|
||||
| tenesmus is suggestive of __ | proctitis
🗑
|
||||
| gold standard diagnostic for IBD | there is none. diagnosis relies on a combination of endoscopy, histology, radiography, laboratory, and clinical data
🗑
|
||||
| do not order __ if IBD is suspected | serologies
🗑
|
||||
| #1 risk factor for IBD | family history
🗑
|
||||
| Ulcerative colitis treatment | 5-ASA, corticosteroids, 6-MP/azathioprine, Infliximab
🗑
|
||||
| Crohn's disease | 5-ASA, Corticosteroids, 6-MP/azathioprine, methotrexate, infliximab, natalizumab
🗑
|
||||
| with IBD use as little __ as possible | steroids
🗑
|
||||
| mild ulcerative colitis | no more than 4 BM/d (with/without blood) no signs of systemic toxicity (i.e. fever, tachycardia, anemia), and normal ESR
🗑
|
||||
| severe ulcerative colitis | >6 BM/d and evidence of systemic toxicity.
🗑
|
||||
| goal of corticosteroids in IBD | is to use sparingly and for a limited time (to induce remission during a flare)
🗑
|
||||
| drug that impairs T cell function, Slow onset of action (3-6 months), often introduced with steroids and steroids are then weaned off, AE's-cytopenia, liver toxicity, pancreatitis | 6-MP/Azathioprine
🗑
|
||||
| high risk for tuberculosis with __ for IBD. Must have a PPD before onset of medication | anti-TNF antibodies
🗑
|
||||
| __ may necessitate colectomy | dysplasia, cancer, or toxic colitis
🗑
|
||||
| __ may necessitate segmental resection in Crohn's | fibrotic strictures, obstruction, fistulae
🗑
|
||||
| generally try to avoid __ in Crohn's unless absolutely necessary | surgery
🗑
|
||||
| air in pee(pneumaturia) makes you think __ | fistula to bladder
🗑
|
||||
| high fever/abdominal mass with IBD = | abscess, liver abscess
🗑
|
||||
| severe abdominal pain with IBD = | perforation
🗑
|
||||
| N/V with IBD = | obstruction
🗑
|
||||
| severe rectal pain with IBD = | perirectal abscess
🗑
|
||||
| frequent UTI's/pneumaturia with IBD = | fistula to bladder
🗑
|
||||
| in the case of flares with IBD steroids should work quickly, if things aren't improving __ may be warranted | endoscopy
🗑
|
Review the information in the table. When you are ready to quiz yourself you can hide individual columns or the entire table. Then you can click on the empty cells to reveal the answer. Try to recall what will be displayed before clicking the empty cell.
To hide a column, click on the column name.
To hide the entire table, click on the "Hide All" button.
You may also shuffle the rows of the table by clicking on the "Shuffle" button.
Or sort by any of the columns using the down arrow next to any column heading.
If you know all the data on any row, you can temporarily remove it by tapping the trash can to the right of the row.
To hide a column, click on the column name.
To hide the entire table, click on the "Hide All" button.
You may also shuffle the rows of the table by clicking on the "Shuffle" button.
Or sort by any of the columns using the down arrow next to any column heading.
If you know all the data on any row, you can temporarily remove it by tapping the trash can to the right of the row.
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
Created by:
bwyche
Popular Medical sets