UC is an idiopathic IBD that affects the colonic mucosa.
Hallmark of UC is bloody diarrhea often with prominent symptoms of rectal urgency and tenesmus.
The clinical course is marked by exacerbations and remissions.
The diagnosis of UC is suspected on clinical grounds and supported by the appropriate findings on
Proctosigmoidoscopy or colonoscopy
Biopsy
By negative stool examination for infectious causes
esophageal varices are the second most common cause of upper GI bleed after PUD.These are actually the dilated veins which occur secondary to increase in the pressure in the portal circulation called as Portal Hypertension..
UC is an idiopathic IBD that affects the colonic mucosa.
Hallmark of UC is bloody diarrhea often with prominent symptoms of rectal urgency and tenesmus.
The clinical course is marked by exacerbations and remissions.
The diagnosis of UC is suspected on clinical grounds and supported by the appropriate findings on
Proctosigmoidoscopy or colonoscopy
Biopsy
By negative stool examination for infectious causes
esophageal varices are the second most common cause of upper GI bleed after PUD.These are actually the dilated veins which occur secondary to increase in the pressure in the portal circulation called as Portal Hypertension..
Understanding Failure to Thrive –We know that about half the population of children in India are stunted. This means they are very likely to mental health and developmental problems. We need to know what these problems are, if we are to design programmes to help these children out of this situation.
Dr. David Pearson, Consultant Clinical Psychologist
Ulcerative colitis explanation, management and therapyYuliaDjatiwardani2
A chronic, inflammatory bowel disease that causes inflammation in the digestive tract.
Ulcerative colitis is usually only in the innermost lining of the large intestine (colon) and rectum. Forms range from mild to severe. Having ulcerative colitis puts a patient at increased risk of developing colon cancer.
Symptoms include rectal bleeding, bloody diarrhoea, abdominal cramps and pain.
Treatment includes medication and surgery.
These both are inflammatory bowel diseases characterized by chronic .pdfanandatalapatra
These both are inflammatory bowel diseases characterized by chronic inflammation of the
digestive tract.
SimilaritiesFactorulcerative colitisCrohn diseaseDistributionAffects large bowel onlyAffects
small bowel and large bowelHistologyGranulomata absent
Inflammation usually confined to mucosa
The increase in white cells tend to be polymorphsPresence of granulomas are almost diagnostic
Inflammation extends through the mucosa and
muscle of the bowel
The increase in white cells tend to be lymphocytesRadiologyStrictures and fissures are much
less common in UC
Symmetrical inflammationStrictures are common
Deep fissures and fistulae are common
Asymmetrical inflammationEndoscopy findingRectum always aff ected
Inflammation is uniform
Bowel wall is thin with loss of vascular pattern
(blood vessels not visible)Rectum frequently spared
Inflammation not continuous (presence
of skip lesions)
Bowel wall is thickened and has a ‘cobblestoned’
appearance due to deep ulcers and swelling
of the tissue
DietUnaffected by dietRemission achieved with enteral feed followed by
exclusion/ elimination dietClinical appearanceWeight loss usually related to the severity of
active disease
Bloody diarrhoea
Abdominal mass uncommonPatients often thin and may be malnourished due to
intestinal malabsorption of nutrients
Diarrhoea - only sometimes with blood
Abdominal mass commonSmokingAssociated with non-smokers
Appears to protect against diseaseStrongly associated with smoking
Predicts a worse course of disease
Increases risk of surgery & further surgery
Solution
These both are inflammatory bowel diseases characterized by chronic inflammation of the
digestive tract.
SimilaritiesFactorulcerative colitisCrohn diseaseDistributionAffects large bowel onlyAffects
small bowel and large bowelHistologyGranulomata absent
Inflammation usually confined to mucosa
The increase in white cells tend to be polymorphsPresence of granulomas are almost diagnostic
Inflammation extends through the mucosa and
muscle of the bowel
The increase in white cells tend to be lymphocytesRadiologyStrictures and fissures are much
less common in UC
Symmetrical inflammationStrictures are common
Deep fissures and fistulae are common
Asymmetrical inflammationEndoscopy findingRectum always aff ected
Inflammation is uniform
Bowel wall is thin with loss of vascular pattern
(blood vessels not visible)Rectum frequently spared
Inflammation not continuous (presence
of skip lesions)
Bowel wall is thickened and has a ‘cobblestoned’
appearance due to deep ulcers and swelling
of the tissue
DietUnaffected by dietRemission achieved with enteral feed followed by
exclusion/ elimination dietClinical appearanceWeight loss usually related to the severity of
active disease
Bloody diarrhoea
Abdominal mass uncommonPatients often thin and may be malnourished due to
intestinal malabsorption of nutrients
Diarrhoea - only sometimes with blood
Abdominal mass commonSmokingAssociated with non-smokers
Appears to protect against diseaseStrongly .
Enfermedad Inflamatoria de Intestino ¿Como Diagnosticarla? - www.grupodeapoyo...Grupo De Apoyo EII
Enfermedad Inflamatoria de Intestino ¿Como Diagnosticarla?
Forma parte del taller del Grupo De Apoyo De Enfermedades Inflamatorias Del Intestino. Para mas informacion visita: www.grupodeapoyoeii.org
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