inflammatory bowel disease
DESCRIPTION
Inflammatory Bowel Disease. Emily Hodgson and Abby Johnson. Mrs. H presents with diarrhoea and lethargy. What else do you want to know? How long has she had it? Any abdominal pain? SQUITAS Describe the diarrhea- blood, mucus? Any other symptoms e.g. anaemia Red flags ICE - PowerPoint PPT PresentationTRANSCRIPT
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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? SQUITASo Describe the diarrhea- blood, mucus?o Any other symptoms e.g. anaemiao Red flagso ICEo Family history
• What do you suspect?o Ulcerative colitis
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• What investigations do you want to do?o Routine bloodso Sigmoidoscopyo Abdominal XRo Ultrasound
• How could you treat it?o IV hydrocortisoneo IV fluidso Oral Aminosalicylateso Immunosuppressantso Methotrexateo Monoclonal antibodieso 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? SQUITASo Describe the diarrhea- blood, mucus?o Any other symptoms e.g. anaemiao Red flagso ICEo Family history
• What do you suspect?o Crohn’s disease
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• What investigations do you want to do?o Routine bloodso Colonoscopy/endoscopyo CT/MRI
• How would you treat?o Smoking cessationo Glucocorticoidso Oral Aminosalicylateso Immunosuppressantso Methotrexateo Monoclonal antibodieso 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!