Gastroenterology & Hepatology — Flashcards

Flashcard 621: On auscultation of small bowel obstruction a "_____" sound may be heard

Answer: tinkling

Flashcard 622: Why can Crohn's cause vitamin B12 deficiency? _____

Answer: Damage to the terminal ielum

Flashcard 623: Perianal abscesses can be caused by underlying IBD, especially _____

Answer: Crohn's

Flashcard 624: _____ on a blood test correlates well with disease activity of Crohn's

Answer: CRP

Flashcard 625: _____ is more common in Ulcerative Colitis

Answer: Episcleritis

Flashcard 626: What is an important differential for Crohn's? _____

Answer: Appendicitis

Flashcard 627: _____ is a relapsing-remitting inflammatory bowel disease that involves full-thickness inflammation from the mouth to the anus

Answer: Crohn's disease

Flashcard 628: _____ is the most common type of anorectal abscess

Answer: Perianal abscess

Flashcard 629: In a patient with a perianal abscess, _____ may be used to identify an underlying cause (e.g., Crohn's disease).

Answer: colonoscopy and blood tests

Extra: While the acute management of a perianal abscess is incision and drainage, investigations like colonoscopy are focused on identifying underlying causes such as Crohn's disease or malignancy. Blood tests (CRP/ESR) help assess systemic inflammation.

Flashcard 630: What is the management for maintaining remission in Crohn's? 2nd-line: _____

Answer: methotrexate