A 45-year-old man presented with difficult #defecation, abdominal #colic, and sometimes #diarrhea underwent #colonoscopy. The scope revealed #ulcerated mucosa with debris, #bleeding, and whitish mucosa (picture of #ulcerative_ colitis). The whole colon is affected apart from the ascending colon and the right half of the transverse colon. Colonic #biopsies were taken for #histopathology. The patient gives a history of a previously operated anal abscess.
QUESTIONS:
1- how do you calculate the score of ulcerative colitis, and what scoring system do you use?
2- in these cases, do you take biopsies from healthy and unhealthy mucosa or the sick only, and why?
3- as you noticed from the video, the anorectal region is affected. Do you prefer a particular type of treatment, and is ulcerative colitis the cause of difficult defecation or the previous operation?
4- Some OF the patient symptoms are more common in patients with Crohn's disease than ulcerative colitis. Mention them?
Comments