"UC or not UC" "Characteristically UC" "Down on the Pharm" "Cut me to the Quick!" "It's Complicated!"
100
What is UC
Usual age of onset is young adult to middle age (30-50)
100
Who are Ashkenazi Jews
Group of people afflicted the most with ulcerative colitis.
100
What are corticosteroids
Used to treat severe and fulminant disease; administered orally, parenterally, topically. Reduces inflammation.
100
What are indications for surgery
Lack of improvement and continued deterioration, profuse bleeding, perforation, continued stricture formation, cancer
100
What is nystatin powder (Mycostatin)
If irritation and yeast growth occur, this can be dusted lightly on the peristomal skin.
200
What is not UC
Frequent fatty stool or steatorrhea
200
What are crypt abscesses
Infiltrate seen in mucosa and submucosa, with clumps of neutrophils found in the lumens of the crypt
200
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
200
What is Proctocolectomy with ileostomy
Type of surgery recommended when the rectum is severely diseased
200
What is peristomal skin irritation
Most common complication of an ileostomy which results from leakage of effluent.
300
What is UC
Abdominal pain with predefecation
300
What is tenesmus
The feeling that you need to pass stools, even though your bowels are already empty. It may involve straining, pain, & cramping
300
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)
300
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
300
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
400
What is not UC
Noncontinuous segment inflammation
400
What is proctitis
Inflammation of the anus & the lining of the rectum affecting only the last 6 inches of the rectum
400
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.
400
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.
400
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
500
What is not UC
Course of disease is prolonged & variable. Complications are bowel abscess, fistula formation, and intestinal obstruction
500
What is pancolitis
Ulcerative colitis that involves the entire colon (large intestine)
500
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.
500
What is "pouchitis"
Inflammation of the ileoanal pouch due to altered microbial levels
500
What is corticosteroid therapy
Increased risk of osteoporotic fractures due to decreased bone mineral density contributed to by this.






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