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Inflammatory Bowel Disease Emily Hodgson and Abby Johnson
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Mrs. H presents with diarrhoea and lethargy What else do you want to know? o How long has she had it? o Any abdominal pain? SQUITAS o Describe the diarrhea- blood, mucus? o Any other symptoms e.g. anaemia o Red flags o ICE o Family history What do you suspect? o Ulcerative colitis
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What investigations do you want to do? o Routine bloods o Sigmoidoscopy o Abdominal XR o Ultrasound How could you treat it? o IV hydrocortisone o IV fluids o Oral Aminosalicylates o Immunosuppressants o Methotrexate o Monoclonal antibodies o Surgical resection
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Miss. Fox has been suffering with ulcers in her mouth and complains of a ‘funny tummy’. What else do you want to know? o How long has she had it? o Any abdominal pain? SQUITAS o Describe the diarrhea- blood, mucus? o Any other symptoms e.g. anaemia o Red flags o ICE o Family history What do you suspect? o Crohn’s disease
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What investigations do you want to do? o Routine bloods o Colonoscopy/endoscopy o CT/MRI How would you treat? o Smoking cessation o Glucocorticoids o Oral Aminosalicylates o Immunosuppressants o Methotrexate o Monoclonal antibodies o Surgical resection, removal of fistula
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Physical Examination Any extra intestinal signs you would look for?
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Thank you!
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