Pre PACES Podcast #27 Inflammatory bowel disease (part 1)
Jan 30, 2022
Join Dr. Ajay Verma, a consultant gastroenterologist known for his insightful 'gastro twirls' on Twitter, as he dives into the world of inflammatory bowel disease. He explains the differences between Crohn's and ulcerative colitis, shares tips on effectively examining patients, and highlights key external markers during assessments. Dr. Verma emphasizes the role of family history, smoking, and social impacts on IBD management. Plus, look forward to his upcoming quiz on Premier League top scorers!
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Differentiate UC From Crohn's Quickly
- Distinguish UC and Crohn's by location and pattern of inflammation when assessing patients.
- Use cardinal symptoms: bloody diarrhoea for UC and abdominal pain plus weight loss for Crohn's disease.
Key Clinical Differences To Ask About
- In UC expect continuous mucosal disease starting distally; in Crohn's expect patchy, transmural disease often in terminal ileum and right colon.
- Ask about onset: UC flares over days, Crohn's often 'creeps up' over weeks to months.
What To Spot From The End Of The Bed
- From the end of the bed, look for cachexia, pallor, abdominal scars and stomas as clues to IBD.
- Note lines or parenteral nutrition which indicate recent severe disease or surgery.