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26 Cards in this Set

  • Front
  • Back
Fecal leukocytes are indicative of what?
Inflammation
Ulcerative colitis is confined to what area?
Colon - mucosa & submucosa
What is the location of Crohn's?
Anywhere in GI tract
May be transmural
What is the most common age range to be diagnosed with IBD?
20s
What is the hallmark of ulcerative colitis?
Bloody diarrhea
Tenesmus, weight loss, bloody diarrhea, and abdominal pain are indicative of what?
Ulcerative colitis
What is the most common location for UC?
Distal/left sided colitis (40%)
What is the most common location for Crohn's?
Ileocolitis (40%)
Perianal disease, diarrhea, and chronic abdominal pain and tenderness are indicative of what?
Crohn's disease
After how many years of having the disease should UC patients get frequent colonoscopies?
10 years
What does transmural mean?
Going all the way through the intestinal wall
What are the skin complications of IBD?
Erythema nodosum
Pyoderma gangrenosum
What are the joint disorders associated with IBD?
Peripheral arthritis
Sacroiliitis
Ankylosing spondylitis
What are common hepatobiliary complications of IBD?
Gallstones
Sclerosing cholangitis
Cholangiocarcinoma
What is the therapy for mild IBD?
Aminosalicylates (1st line)
Antibiotics
Oral corticosteroids
Elemental diets
What is the therapy for moderate IBD?
Oral/parenteral corticosteroids
Elemental diets
Antimetabolites
What is the therapy for severe IBD?
Infliximab
Parenteral corticosteroids
Bowel rest
Surgery
What drugs are effective for UC?
Sulfasalazine
Olsalazine (Dipentum)
Mesalamine (Asacol) delayed release
Mesalamine (Pentasa) controlled release
What is the maintenance therapy of remission of distal UC?
Topical mesalamine
Aminosalicylates
What are the drugs used for maintenance of remission for moderate extensive colitis?
Oral aminosalicylates
Oral azathioprine or 6-mercaptopurine
What are the drugs used for management of severe UC?
IV steroids
IV infliximab
What drugs are used for management of mild-moderate distal UC?
Oral aminosalicylates
Topical mesalamine
Topical steroids
What drugs are used for management of mild-moderate extensive UC, active disease?
Oral aminosalicylates
Oral prednisone
Oral azathioprine or 6-mercaptopurine
What are the drugs for management of severe colitis?
IV steroids
IV infliximab
IV cyclosporine
Surgery
What are the drugs used for treatment of mild-moderate active Crohn's?
Oral aminosalicylates
Antibiotics - Metronidazole, Ciprofloxacin
Budesonide
What are the drugs used for treatment of moderate-severe active Crohn's?
Prednisone
Immunomodulators - azathioprine/6-MP, methotrexate
Anti-TNF therapy - infliximab, certolizumab, adalimumab