Inflammatory Bowel Disease

Emily Hodgson and Abby Johnson

Mrs. H presents with diarrhoea and lethargy• What else do you want to know?

o How long has she had it?o Any abdominal pain? SQUITASo Describe the diarrhea- blood, mucus?o Any other symptoms e.g. anaemiao Red flagso ICEo Family history

• What do you suspect?o Ulcerative colitis

• What investigations do you want to do?o Routine bloodso Sigmoidoscopyo Abdominal XRo Ultrasound

• How could you treat it?o IV hydrocortisoneo IV fluidso Oral Aminosalicylateso Immunosuppressantso Methotrexateo Monoclonal antibodieso Surgical resection

Miss. Fox has been suffering with ulcers in her mouth and complains

of a ‘funny tummy’.• What else do you want to know?

o How long has she had it?o Any abdominal pain? SQUITASo Describe the diarrhea- blood, mucus?o Any other symptoms e.g. anaemiao Red flagso ICEo Family history

• What do you suspect?o Crohn’s disease

• What investigations do you want to do?o Routine bloodso Colonoscopy/endoscopyo CT/MRI

• How would you treat?o Smoking cessationo Glucocorticoidso Oral Aminosalicylateso Immunosuppressantso Methotrexateo Monoclonal antibodieso Surgical resection, removal of fistula

Physical Examination• Any extra intestinal signs you would look for?

Thank you!