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Inflammatory Bowel Disease - Coggle Diagram
Inflammatory Bowel Disease
Ulcerative colitis
Eyes
Episcleritis
Iritis
COnjunctivitis
Skin
Pyoderma gangrenosum
Erythema nordosum
Clubbing
MSK
Arthrtis
Sacroileitis
Ankylosing spondylitis
GI
Primary sclerosing cholangitis
Cholangiocarcinoma
Gallstones
Haematology
Thromboembolic disease
Risk factors for mortaility
Severity
6 stools /day
HR>90
Tempreture >37.8
Hb <105
ESR >30
Immunosuppression
Nutrition
Causes of mortaility
Perforation
Toxic megacolon
transverse colon >5.5cm
Caecum >9cm
Acute GI haemorrhage
Hypokalameia
Sepsis
Management
Drugs
Aminosalicylates
Mesalasine
Sulphasalazine
Corticosteriods
Thiopurines
Azithioprine
Mercaptapurine
Anti-metabolite
Methotrexate
Calcineurin
Ciclosporin
Anti-TNF
Infliximab
Adalimumab
Medical
Fluid resiscutation
Broad spectrum antibiotics
NBM
NG tube placement
Surgery
Colonic diameter does not decrease in 24 hours
No improvement
Differential
Ulcerative Colitis
Crohns colitis
Diverticular disease
Ischaemic colitis
Infection
e.coli
shigella
salmonella
campylobacter
C.Diff
Psudomembranous coitis
Drug induced
Typhlitis