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8 Cards in this Set
- Front
- Back
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Location:
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UC creates a widespread inflammation of mainly the rectum and rectosigmoid colon but can extend to the entire colon when the disease is extensive. |
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Appearance:
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Mucosal lining of colon will appear hyperemic, red, and edematous. There will be formation of ulcers and shedding of the epithelium. Stools contain blood and mucus. Ulcerations are continuous. |
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Clinical Manifestations:
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acute onset, abdominal distention along the colon, fever, tachycardia, inflamed joints, lesions around the mouth, abdominal pain, nausea, and anemia. See Table 60-3 for severity and related symptoms. |
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Complications:
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SAME AS CROHNS: hemorrhage, abscess formation, toxic megacolon, perforation, malabsorption, bowel obstruction, fistulas, colorectal cancer, extraintestinal complications, and osteoporosis. Table 60-4. |
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Diagnosis: |
CBC, ESR & CRP, electrolytes, liver panel, colonoscopy
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Treatment: Meds: |
Aminosalicylates or 5-ASA drugs (sulfasalazine and balsalazide), corticosteroids (PO, IV, enema), immunomodulators (infliximab/Remicade) |
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Treatment Nutrition
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: severe – NPO, start TPN; mild – low residue diet, nutritional supplements (Vivonex); determine aggravating foods, avoid caffeine, alcohol, and smoking |
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Treatment Surgery:
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total colectomy (ileostomy with external bag, kock pouch, ileal-anal reservoir), enterostomal therapist |
