Gastroenterology & Hepatology — Flashcards

Flashcard 691: _____ is more common in Ulcerative Colitis

Answer: Episcleritis

Flashcard 692: What is the most common cause of small bowel obstruction in adults? _____

Answer: Adhesions

Flashcard 693: _____ is a collection of pus that forms in the subcutaneous tissue surrounding the anal sphincter due to an infection

Answer: Perianal abscess

Flashcard 694: What is the management for maintaining remission in severe ulcerative colitis? _____ or mercaptopurine

Answer: Azathioprine

Flashcard 695: Acutely thrombosed external haemorrhoids typically present with _____ and appear purplish & oedematous

Answer: significant pain

Flashcard 696: What ophthalmological pathologies are associated with IBD? _____ (related to disease activity) Uveitis (unrelated to disease activity)

Answer: Episcleritis

Flashcard 697: What is the investigation of choice for ulcerative colitis? _____

Answer: Colonoscopy + biopsy

Flashcard 698: When are antibiotics used in perianal abcesses? _____

Answer: If there is systemic upset secondary to the abscess.

Extra: Antibiotics are generally **not** required after I&D of a simple perianal abscess unless there is: 1. Systemic upset (fever, sepsis) 2. Significant spreading cellulitis 3. Diabetes or immunosuppression 4. Risk of endocarditis (valvular heart disease)

Flashcard 699: What is the **1st-line** medical management for **inducing remission** in Crohn's disease?\n_____

Answer: Glucocorticoids (e.g., Prednisolone or Budesonide)

Extra: 5-ASA drugs (e.g., Mesalamine) have limited efficacy in Crohn's disease and are generally not recommended for induction, unlike in Ulcerative Colitis where they are 1st-line. Glucocorticoids (Prednisolone or Budesonide) are the standard first-line choice for inducing remission in Crohn's.

Flashcard 700: Which inflammatory bowel disease is associated with a "lead pipe" appearance of the colon on AXR following barium enema? _____

Answer: Ulcerative colitis → loss of haustra