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8 Cards in this Set
- Front
- Back
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Location:
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Location: CD is an inflammatory disease of the small intestine, the colon, or both. |
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Appearance:
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Inflammation occurs in segments. There will be edema and thickening of intestinal mucosa as well as ulcer formation (cobblestone appearance). |
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Clinical Manifestations:
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diarrhea, abdominal pain, low grade fever, steatorrhea (fatty stools), weight loss, and nutritional deficits (anemia, low albumin). |
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Complications: SAME AS UC:
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hemorrhage, abscess formation, toxic megacolon, perforation, malabsorption, bowel obstruction, fistulas, colorectal cancer, extraintestinal complications, and osteoporosis. Table 60-4 |
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Diagnosis:
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CBC, folic acid & vitamin B, albumin, total protein, ESR & C-reactive protein, urinalysis, upper GI series, endoscopy – biopsy, CT scan. |
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Treatment: Meds: |
Aminosalicylates or 5-ASA drugs (sulfasalazine and mesalamine), corticosteroids (PO prednisone or IV hydrocortisone), immunomodulators (cyclosporine, methotrexate, infliximab), antidiarrheals (lomotil, Imodium), anti-infectivs. |
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Nutrition:
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TPN, low-residue, high protein high calorie, avoid caffeine, alcohol, and smoking |
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Treatment:Surgery:
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laparoscopic release of strictures, small bowl or colon resection (ileostomy, colostomy) |
