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IBD done (Diagnostic test (stool testing (C & ST, Clostridium difficle…

- - - - Crohn's disease
  - - - for patient with diarrhea
    - - preferable to flexible sigmoidoscopy visualizing terminal ileum
  - - - e.g. abscess / fistula
- - - - ab pain
      - inflammation mainly @ SI
        
        weight loss
        
        diarrhea
      - stricture
        
        anorexia
        
        Inestinal obsturction
      - fever
- - - - rectum only
    - - rectum & sigmoid
    - - colon up to splenic flexure
    - - up to hepatic flexure
    - - whole colon
  - - - cardinal symptoms
        
        bloody diarrhea
        
        anaemia
      - bowel urgency
        
        frequent bowel need
      - cloicky ab pain
      - Peritonitis
- - - - impede drainage
        
        rectal bleeding
      - infection
        
        peritonitis/ perforation
- - - - PO
        
        Prednisolone
        
        prednisone
      - IV
        
        hydrocortisone
        
        methylprednisolone
      - suppositories/enemas form
        
        reduce systemic side effect while directly to the site of IBD
      - Thiopurines
        
        steroid sparing
    - - AZA Azathioprine
      - MP Mercaptopurine
      - MTX Methotrexate for maintain remission of CD in Pt intolreant of AZA/MP
    - - IFX Infliximab (Remicade)
    - - caution
      - indicate when diarrhea, rectal urgency, cramping
  - - - continet illeostomy
      - restorative proctocolectomy with illleal pouch anal anastomsis IPAA
      - Colectomy
    - - UC
        
        poorly controlled/ non responsive to medicine
        
        dysplasia / carcinoma
        
        reccurent of acute on chronic UC
      - CD
        
        Only for symptomatic as CD can be panenteric
        
        recurrence often follow surgery
        
        resection should be cnservative
        
        intestinal transplant