"UC or not UC" | "Characteristically UC" | "Down on the Pharm" | "Cut me to the Quick!" | "It's Complicated!" |
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What is UC
Usual age of onset is young adult to middle age (30-50)
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Who are Ashkenazi Jews
Group of people afflicted the most with ulcerative colitis.
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What are corticosteroids
Used to treat severe and fulminant disease; administered orally, parenterally, topically. Reduces inflammation.
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What are indications for surgery
Lack of improvement and continued deterioration, profuse bleeding, perforation, continued stricture formation, cancer
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What is nystatin powder (Mycostatin)
If irritation and yeast growth occur, this can be dusted lightly on the peristomal skin.
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What is not UC
Frequent fatty stool or steatorrhea
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What are crypt abscesses
Infiltrate seen in mucosa and submucosa, with clumps of neutrophils found in the lumens of the crypt
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What are Immunomodulators
Used to alter the immune response in patients with severe disease who have not responded favorably to other therapies – in maintenance regimens to prevent relapses
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What is Proctocolectomy with ileostomy
Type of surgery recommended when the rectum is severely diseased
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What is peristomal skin irritation
Most common complication of an ileostomy which results from leakage of effluent.
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What is UC
Abdominal pain with predefecation
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What is tenesmus
The feeling that you need to pass stools, even though your bowels are already empty. It may involve straining, pain, & cramping
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What are Aminosalicylates (5-ASA)
Treats mild-to-moderate inflammation; used to prevent or reduce recurrences in long-term maintenance regimens.Examples are sulfasalazine (Azulfidine), olsalazine (Dipentum), mesalamine (Asacol, Pentasa)
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What is Continent Ileostomy
Type of surgery in which a continent ileal reservoir (i.e. Kock pouch) is created by diverting a portion of the distal ileum to the abdominal wall and creating a stoma
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What is cholelithiasis
Complication which occurs more commonly in patients with an ileostomy then in members of the general population because of changes in the absorption of bile acids that occur post operatively
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What is not UC
Noncontinuous segment inflammation
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What is proctitis
Inflammation of the anus & the lining of the rectum affecting only the last 6 inches of the rectum
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What is budesonide (Entocortec)
First-line therapy for IBD; encapsulated to prevent significant absorption in the stomach or duodenum; when absorbed, almost entirely removed by first-pass metabolism of the liver.
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What is Restorative Proctocolectomy with Ileal Pouch Anal Anastomosis
Surgical procedure of choice where the rectum can be preserved in that it eliminates the need for a permanent ileostomy.
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What is Toxic megacolon
Clinical term for an acute toxic colitis with dilatation of the colon. The dilatation can be either total or segmental. Inflammatory process extends into the muscularis; inhibits ability to contract
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What is not UC
Course of disease is prolonged & variable. Complications are bowel abscess, fistula formation, and intestinal obstruction
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What is pancolitis
Ulcerative colitis that involves the entire colon (large intestine)
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What is infliximab (Remicade)
Tumor necrosis factor inhibitor shown to effectively reduce acute symptoms and provide maintenance therapy for both ulcerative colitis & Crohn's disease.
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What is "pouchitis"
Inflammation of the ileoanal pouch due to altered microbial levels
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What is corticosteroid therapy
Increased risk of osteoporotic fractures due to decreased bone mineral density contributed to by this.
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