Gastroenterology
Help!
|
|
||||
|---|---|---|---|---|---|
| show | Diarrhea (often bloody); Fatigue (poss rel to anemia, not nec); wt loss; anorexia; N/V; crampy abdominal pain (d/t obstructive sx?)
🗑
|
||||
| show | Any part of GI tract (most commonly terminal ileum); skip lesions; transmural
🗑
|
||||
| Features of UC | show 🗑
|
||||
| Specific clinical features of UC | show 🗑
|
||||
| show | fistula: abscesses; more common at anus; strictures of the intestine; CRC risk increased if > 1/3 colon involved; smoking & CD: bad
🗑
|
||||
| show | may involve any area; usu eye, skin, liver, and joints (arthralgias, AS)
🗑
|
||||
| EIM: arthralgia Type 1: | show 🗑
|
||||
| EIM: arthralgia Type 2: | show 🗑
|
||||
| Primary sclerosing cholangitis (PSC) | show 🗑
|
||||
| show | erythema nodosum; sx of Crohn dz. May require steroids
🗑
|
||||
| Pyoderma gangrenosum | show 🗑
|
||||
| IBD eye complications | show 🗑
|
||||
| show | infxs diarrhea; ischemia (elderly, PVD, thrombosis); meds (PCN, NSAID, CellCept); diverticular dz; perianal fistula
🗑
|
||||
| show | Combo of endoscopy, histology, radiography, labs & clinical data; Colonoscopy with ileal intubation & bx (should see chronic colitis/enteritis); Small bowel follow-through, enteroclysis (+/- CT), MR enterography
🗑
|
||||
| show | often anemic (Fe def & chronic dz), leukocytosis, elevated CRP (CD); DO NOT ORDER serologies (ASCA, Cbir, OmpC & Crohns; p-ANCA & UC)
🗑
|
||||
| Genl principles of tx of IBD | show 🗑
|
||||
| show | ≤5 BM/day; no sx systemic toxicity; normal ESR
🗑
|
||||
| show | >5 BM/day and <10lb wt loss; no sx systemic toxicity
🗑
|
||||
| IBD tx options | show 🗑
|
||||
| 6MP/AZA MOA: | show 🗑
|
||||
| show | CD/UC colitis >1/3 colon: colonoscopies starting 8 yrs from sx onset; q1-3 years; if comorbid PSC: immed start annual colonoscopy; FH also inc CRC risk
🗑
|
||||
| show | necessitate colectomy.
🗑
|
||||
| show | necessitate segmental resection in CD (try to avoid surg if poss in CD)
🗑
|
||||
| show | frequent UTIs/pneumaturia (fistula to bladder); High fever/abd mass (abscess, liver abscess); severe abd pain (perf); N/V (obstruction); severe rectal pain (perirectal abscess)
🗑
|
||||
| Managing IBD flares | show 🗑
|
||||
| Granulomas on bx are highly suggestive of: | show 🗑
|
||||
| show | thickened, matted bowel loops, intra-abdominal abscess
🗑
|
||||
| show | Hourly BMs; toxic appearance, fever, tachy, Hct <25; 10-20lb wt loss
🗑
|
||||
| Test of choice for UC | show 🗑
|
||||
| Contraindicated in eval of acute UC: | show 🗑
|
||||
| UC treatment | show 🗑
|
||||
| UC tx if intractable: | show 🗑
|
||||
| IBD and smoking | show 🗑
|
||||
| Crohn Dz findings | show 🗑
|
||||
| show | wide spectrum of necrotic inflam; IBD tx, topical tx, or poss colectomy; DO NOT Bx
🗑
|
||||
| IBD eye complications | show 🗑
|
||||
| IBD colon ca risk/surveillance | show 🗑
|
||||
| Pseudopolyps in CD: | show 🗑
|
||||
| Koilonychia = | show 🗑
|
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:
Abarnard
Popular Medical sets