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IBD QUIZ. N ick R hodes & Emma Jongman. 1) Symptoms. UC. Diarrhoea with blood and mucus Abdominal pain on right Vomiting Lethargy Weight loss Anaemia . Crohn’s. Crohn’s. UC. Crohn’s. UC. UC. Crohn’s. 2) Macroscopic Features. Crohn’s. Skip lesions
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IBD QUIZ Nick Rhodes & Emma Jongman
1) Symptoms UC • Diarrhoea with blood and mucus • Abdominal pain on right • Vomiting • Lethargy • Weight loss • Anaemia Crohn’s Crohn’s UC Crohn’s UC UC Crohn’s
2) Macroscopic Features Crohn’s • Skip lesions • Superficial mucosa ulceration • Cobblestone appearance • Rectal involvement • Strictures UC Crohn’s Crohn’s (90%) UC Crohn’s
3) Microscopic Features Crohn’s • Granulomas • Loss of goblet cells • Crypt abscesses UC UC
4) Radiological Features Crohn’s • String sign • Loss of haustrations • Toxic megacolon • Thumbprinting IBD QUIZ UC UC Crohn’s UC
5) Complications Pyoderma gangrenosum
Summary • Crohn’s • Transmural skip lesions anywhere mouth to anus (classically terminal ileum) • “Cobblestone appearance” • UC • Bloody mucusydiarrhoea • Superficial ulcers start at anus and move up • High risk of bowel cancer