Exam Cram

Outline

Background 

Diagnosis

Diagnostic criteria: 

Exacerbation severity assessment

• Stools

  • • • Mild: < 4/ d

      • Severe > 6/d

History:

Examination:

Ix

Differentials

Management

Acute

Rectal inflammation only: PR Mesalazine/ steroids

Mild exacerbation: PO mesalazine

Severe exacerbation: 

1. Prednisolone

2. Ciclosporin

3. Infliximab

4. Subtotal colectomy & ileostomy

Chronic Mx

PR > PO if rectal disease only

1. Mesalazine

2. Azathiopine

Indications for subtotal colectomy & ileostomy

• Colon > 6cm  (British society of gastroenterology)

• Not responded to 7d of rescue therapy (infliximab/ ciclosporin)

• Complications: toxic megacolon, perforation

• Bowels > 9/d predicts 80% treatment failure

Deeper Dive

References

Page written in 2024. 

Produced off FOAM basis: free, open access, medical education. This is not clinical advice, education for multiple choice questions only! 

Produced to the best of the author's ability. Any issues please contact contact: MunroMedics@gmail.com