Showing posts with label pepid. Show all posts
Showing posts with label pepid. Show all posts

Tuesday, June 16, 2009

Crohn's Disease vs Ulcerative Colitis



Ddx between Crohn's and UC by the following features of Crohn's :
  1. Small bowel involvement
  2. Rectal sparing
  3. Absence of rectal bleeding
  4. Segmental / symmetrical distribution
  5. Perianal disease
  6. Associated mass / fistulae
  7. Patchy lesions / apthoid (small ulcer occuring in groups), longitudinal, or serpiginous (wavy margin) ulcerations at endoscopy + cobblestone appearance
  8. Transmural disease or granulomas on biopsy