Differential Dx of Signs and Symptoms
| SYMPTOMS | Crohn’s Disease | Ulcerative Colitis |
| Defecation | Will present porridge-like stool and possibly fatty diarrhea (steatorrhea) | Mucus like and will often PRESENT WITH BLOOD/PUS (90%) |
| Tenesmus | Less Common | More Common |
| Fever | Common (Affects everywhere) | Less Common (would indicate a severe disease state) |
| SYSTEMIC MARKERS (CRP, Erythrocyte Sedimentation Rate [ESR], | Common (Affects everywhere) | Less Common (would indicate a severe disease state) |
| Weight loss | Common | Less Common |
| BOTH: will often have often vomiting, diarrhea and bleeding from the rectum | ||
Differential Dx of Histologic/ Pathologic Findings
| FINDING | Crohn’s Disease | Ulcerative Colitis | |
| Inflammation in Terminal Ileus | Usually | Almost never | |
| Colon Involvement | Usually | 100% (50% if just colon/ rectum, 30% until left splenic flexure, 20% is the entire colon) | |
| Rectum Involvement | Almost never | Always | |
| Continuous or Skipping | SKIPPING (skip lesions) | CONTINUOUS |
|
| Higher Rate Of Primary Sclerosing Cholangitis | No | YES | |
| Depth of the Disease | Transmural | Contained within the mucosal layer | |
| Strictures and Fistulas | Yes | No | |
| Granuloma | If present, it will rule out UC and give diagnosis of Crohn’s if symptoms fit | Never | |
| Abdominal Masses | May have one in RLQ | Almost Never | |
| Toxic Megacolon | No | Yes | |
Obstructive sleep apnea (OSA) is thought to lead to secondary polycythemia due to intermittent hypoxia,…
Catabolism of hemoglobin leads to the release of heme, which converts to biliverdin and then…
Tongue scalloping refers to the series of indentations along the sides of the tongue that…
Older age is recognized as a risk factor for obstructive sleep apnea.[1] But why? Suspected…
Being overweight (BMI ≥ 25 kg/m2)/Obese (BMI ≥ 30 kg/m2) is one of the most…
Nocturia is a common symptom associated with obstructive sleep apnea. [1] Img Cred: Am J…
This website uses cookies.