IBS (irritable bowel syndrome)
(Ans- syndrome that can be reversed
IBD (inflammatory bowel disease)
(Ans- autoimmune disease like crohns and UC
Where is Crohn's disease located?
(Ans- anywhere in the GI tract
...
IBS (irritable bowel syndrome)
(Ans- syndrome that can be reversed
IBD (inflammatory bowel disease)
(Ans- autoimmune disease like crohns and UC
Where is Crohn's disease located?
(Ans- anywhere in the GI tract. segmental
Where is ulcerative colitis found?
(Ans- in the colon only. affects mucosal layer
Crohn's disease symptoms
(Ans- diarrhea, abd cramping, wt loss, decreased absorption, rectal bleeding
meds contraindicated with crohns
(Ans- NSAIDs and contraceptives
ulcerative colitis symptoms
(Ans- bloody diarrhea, abd cramping (mild), acute perforations, rectal blood, intestine may tear open
Mild UC
(Ans- 4 stools/day. semi formed with small amount of blood
Moderate UC
(Ans- up to 10 stools/day, bleeding, systemic symptoms
(fever, malaise, mild anemia, anorexia)
Severe UC
(Ans- up to 20 stools/day. bloody, mucous, fever, rapid wt loss (10% of total body wt), anemia, tachycardia, dehydration
IBD complications
(Ans- hemorrhage, strictures, perforation, fistulas, abcesses, c diff, toxic megacolon
Strictures
(Ans- nothing goes through intestine
Fistula
(Ans- abnormal passageway
cancer risk with crohns disease
(Ans- GI, colorectal, small intestine cancer
systemic complications of IBD
(Ans- circulating cytokines trigger inflammation. joint, eye, mouth, kidney, bone, vascular, skin, liver failure
IBD/IBS diagnostic tests
(Ans- hx & phys, labs, stool sample, culture
imaging for IBD/IBS
(Ans- double contrast barium enema study, small bowel series, trans abdominal ultrasonography, CT/MRI, colonoscopy
IBD/IBS possible lab findings
(Ans- anemia, decreased electrolytes, increased WBCs, low albumin, high ESR and c-reactive protein
what does high esr and c reactive protein indicate
(Ans- inflammation
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