2. What other questions should be
asked?
• Ask about puberty-->Delayed puberty in IBD.
• Ask about recurrant oral ulcers, uveitis, arthralgia
and erythima nodosum.
• Increase symptoms after consumption of certain
foods? Or any known food allergies?
• Foul smelling stool?
• Ask about vomiting?
• Ask about periods of constipation?
• History of same illness?
3. What is the deferential diagnosis?
• IBD.
• Celiac disease.
• Giardiasis.
• Appendicitis.
• Lactose intolerance following Acute
gastroentritis .
4. Mention the investigations needed for
diagnosis?
• Cbc.
• ESR, CRP.
• Stool analysis
• Colonoscopy and biopsy.
6. What is the difference between Cohn’s
disease and Ulcerative colitis?
• Crohn’s disease is a localized transmural
chronic inflammatory bowel disease, most
commonly affecting distal ilium and proximal
colon, and is associated with perianal and/or
mouth ulcers.
• Ulcerative colitis is a inflammatory bowel
disease causing recurrent ulcerations to the
mucosal wall of the colon.
