IBD QUIZ

Nick Rhodes & Emma Jongman

1) SYMPTOMS

i) Diarrhoea with blood and mucus

ii) Abdominal pain on right

iii) Vomiting

iv) Lethargy

v) Weight loss

vi) Anaemia

Crohn’s

UC

UC

UC

Crohn’s

Crohn’s

Crohn’s UC

2) MACROSCOPIC FEATURES

i) Skip lesions

ii) Superficial mucosa ulceration

iii) Cobblestone appearance

iv) Rectal involvement

v) Strictures

UC

UC

Crohn’s

Crohn’s

Crohn’s

Crohn’s (90%)

3) MICROSCOPIC FEATURES

i) Granulomas

ii) Loss of goblet cells

iii) Crypt abscesses

Crohn’s

UC

UC

4) RADIOLOGICAL FEATURES

i) String sign

ii) Loss of haustrations

iii) Toxic megacolon

iv) Thumbprinting

Crohn’s

Crohn’s

UC

UC

IBD QUIZ

UC

5) COMPLICATIONS

Pyoderma gangrenosum

Episcleritis

Erythema nodosum

SUMMARY

• Crohn’s • Transmural skip lesions anywhere mouth to anus (classically terminal ileum)• “Cobblestone appearance”

• UC• Bloody mucusy diarrhoea • Superficial ulcers start at anus and move up• High risk of bowel cancer