Nick Rhodes & Emma Jongman IBD QUIZ Nick Rhodes & Emma Jongman
1) Symptoms UC Crohn’s Crohn’s UC Crohn’s UC UC Crohn’s Diarrhoea with blood and mucus Abdominal pain on right Vomiting Lethargy Weight loss Anaemia UC Crohn’s Crohn’s UC Crohn’s UC Crohn’s UC
2) Macroscopic Features Skip lesions Superficial mucosa ulceration Cobblestone appearance Rectal involvement Strictures Crohn’s UC Crohn’s UC Crohn’s (90%) 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
Episcleritis
Erythema nodosum
Summary Crohn’s Transmural skip lesions anywhere mouth to anus (classically terminal ileum) “Cobblestone appearance” UC Bloody mucusy diarrhoea Superficial ulcers start at anus and move up High risk of bowel cancer