Inflammatory Bowel Disease Case Study

1523 Words 7 Pages
“Inflammatory bowel disease (IBD) describes a chronic idiopathic relapsing and remitting disorder of the gastrointestinal (GI) tract characterised by GI inflammation” (Bettany, Gardiner, 2013). Crohn’s disease is a type of inflammatory bowel disease that affects a portion of the gastrointestinal tract. According to Elaine Cronin,
CD is an idiopathic, chronic, transmural process of the bowel, in which 90% of patients have involvement of the terminal ileum. Inflammation extends through the entire thickness of the bowel wall, and can appear in multiple areas of the gastrointestinal (GI) tract – from mouth to anus – at any one time, in which case it is known as skip lesions (2011).
This paper will discuss the digestive system and contraction of
…show more content…
Signs and symptoms depend on how severe the disease has affected an individual, and also the location of where the disease has affected them. There are many different clinical manifestations of crohn’s disease and they are as follows according to Cronin, “diarrhea, abdominal pain, rectal bleeding, anorexia, weight loss, anaemia, abdominal tenderness, palpable masses, anal tags, and fissure and fistulae” (2011). The diagnosis of crohn’s disease has many different factors that it relies on. “The standard for diagnosis relies on results of colonoscopy and biopsy samples” (Mahapatra, Scheuffler, Tielbeek, Buhmann, and Vos, 2013). A colonoscopy is used to determine how badly the ulcerations are. The Crohn’s disease Endoscopic Index of Severity is used to determine to what extent the lesions have affected an individual. Other methods used in diagnosing crohn’s disease include physical examination, blood tests, stool cultures, endoscopic examination, radiology, cross-sectional imaging and MRI. A physical exam is used to determine any pain and the location of where the pain is. The physical exam includes the abdomen and perineum. “Haematological studies are used as an initial assessment, looking for any abnormalities. A raised erythrocyte sedimentation rate (ERP), c-reactive protein (CRP) and platelet count will usually be raised during periods of acute inflammation” (Cronin, 2011). Stool cultures are used to rule out different bacteria that could be present. Endoscopic examination is used in discovering an aphthous ulcer. Radiology is not used diagnostically, but used for quick imaging before other procedures take place. Cross-sectional imaging is used to “provide information on bowel wall thickening (eccentric and segmental), strictures, fistulae, sinus tracks, increased vascularity, and loss of colonic haustra” (Cronin, 2011). MRI is used to capture the bowel in detail to help determine how badly the

Related Documents