Term
| Conditions associated with IBD: |
|
Definition
- Oral ulcers
- Polyarticular peripheral arthritis
- Spondylitis
- Sacrilitis
- Episcleritis- uveitis
- Erythema nodosum
- Pyoderma gangrenosum
- Hepatitis
- Sclerosing Cholangitis
- Thromboemoblic events
(all autoimmune inflammatory reactions) |
|
|
Term
|
Definition
- Anemia (Fe deficiency)
- Hypoalbuminemia
- Leukocytosis
- Thrombocytosis
- Fecal leukocytes
- P-ANCA + |
|
|
Term
| Ulcerative Colitis treatment: |
|
Definition
SPICS
- Sulfasalazine (mainstay)
- Prednisone
- Infliximab
- Cyclosporine
- Surgery (only 25% of pts with UC get surgery) |
|
|
Term
|
Definition
SCAMIS
- Sulfasalazine
- Ciprofloxacin
- Azathiopurine
- Metronidazole
- Infliximab
- Surgery (75% of pts with Crohn's get surgery) |
|
|
Term
| Pts with IBD are at increased risk for what type of renal calculi and why? |
|
Definition
| oxalate renal calculi b/c impaired absorption of fatty acids |
|
|
Term
| IBD increases risk for what 3 types of cancers: |
|
Definition
- Colorectal cancer
- Adenocarcinoma of the small bowel
- Lymphoma |
|
|
Term
| Risk factors for cancer with IBD: |
|
Definition
- Long duration of IBD (> 8-10 years)
- Early age at onset
- Severity of inflammation
- Family history of colorectal cancer
- Concomittant PSC
- Premalignant dysplasia of epithelium- low grade dysplasia on flat mucosa= HIGH RISK |
|
|
Term
|
Definition
- Colonoscopy 8 years after dx, repeat every 1-2 years
- Random 4 quandrant biopsies every 10 cm throughout colon
- Colectomy for low grade dysplasia |
|
|
Term
|
Definition
- Loperamide
- Cholestyramine
- Alosetron |
|
|
Term
|
Definition
- Psyillium husk
- Methyl cellulose
- Clacium polycarbophil
- Lactulose syrup
- Polyethylene gycol
- Lubipristone
- Magnesium hydroxide |
|
|
Term
| IBS tmt for abdominal pain: |
|
Definition
- Bentyl (smooth muscle relaxant)
- TCA: Elavil
- SSRI: Celexa |
|
|
Term
| chronic anal fissure tmt: |
|
Definition
- topical nitroglycerin or diltiazem
- injected botulinum toxin into internal anal sphincter |
|
|
