1. Inflammatory Bowel Disease Emily Hodgson and Abby Johnson

2. 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

3. 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

4. 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

5. 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

6. Physical Examination Any extra intestinal signs you would look for?

13. Thank you!