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Ulcerative Colitis vs Crohn's Disease - IBD Comparison Table
Ulcerative Collitis
 - Location
Crohn's Disease - IBD ... Always affects rectum ... sparing of the rectum ... Crohns #Disease #IBD
Mesalamine (Mesalazine) Therapy Simplified by Location
Orals - Terminal Ileum, Ascending Colon, Transverse Colon
Enemas - Reach the
Suppositories - Rectum ... Mesalamine #Mesalazine #IBD
Ulcerative Colitis - Surgical Options
 • Proctocolectomy - Ileostomy: ileum is attached to an external bag
after colon & rectum ... gastroenterology #IBD
Lower GI Bleed - Differential Diagnosis Framework
Structural:
 - Diverticulosis
 - Post-Polypectomy Bleeding
 - Hemorrhoids
 - Polyps
- Colonic and Rectal ... Angiodysplasia, Colonic or rectal ... Ischemic Colitis - IBD
IBD Mimics
Infectious - Always RULE OUT infection (CMV, C. diff esp.) obtain travel & exposures history:
IBD Mimics Infectious ... SROS (solitary rectal ... inflammation: IBS ... lymphomas, others) #IBD
Upper and Lower Causes of GI Bleed
Upper:
 • Esophagus: Tear (Mallory Weiss, Boerhaave syndrome), Variceal, Esophagitis,
, Hemorrhoids, Rectal ... colitis, UC/Chrons (IBD
Mild-to-Moderate Ulcerative Colitis - Management Algorithm
Curcumin:
 • Natural phytochemical from turmeric
 • 2g/day divided in 2-3
enemas if severe rectal ... Algorithm #treatment #IBD
Ankylosing Spondylitis: Extra-articular Manifestations
 • Ocular - Inflammation of the iris, the anterior part of the
Bowel Disease (IBO ... ), but IBD is more ... the bladder and rectum
Colitis - Differential Diagnosis by Segment Location

Ascending Colon:
 - Shigella
 - Salmonella
 - Amebic colitis
Hepatic flexure:
Ischemia (Watershed) Cecum ... Yersinia - TB Recto-Sigmoid ... Lymphoma - E Coli Rectum
Ulcerative Proctitis
Proctitis:
 • Affects 1/3 patients
 • Predictors of extension:
     - Disease
Alternative Dx: IBS ... , rectal prolapse ... Ulcerative #Proctitis #IBD