Inflammatory Bowel Disease (IBD)

Crohn’s Disease & Ulcerative Colitis (also Microscopic Colitis)
  • Distinguish by biopsy
  • Microscopic Colitis [rare] requires biopsy of normal mucosa]
Send to G-I for work-up if Chronic Diarrhea plus any of following:
  • Weight Loss
  • Bloody Diarrhea
  • Fevers
  • Elevated Sed Rate (ESR)
  • Anemia (iron deficiency OR anemia of chronic disease)
  • Family Hx of IBD
Extra-intestinal Manifestations (also send to G-I):
  • Oligoarthritis, Ankylosing Spondylitis
  • Eye Pain (iritis, episcleritis, scleritis)
  • Erythema nodusum
  • Elevated Alkaline Phosphatase
  • Aphthous ulcers

See posting Chronic Diarrhea.