Inflammatory bowel disease (IBD) is a group of autoimmune related intestinal inflammatory diseases, and there are two major heads in this kingdom, CD (Crohn’s disease) and UC (Ulcerative Colitis). The relationship between these two diseases can be described as The relationship between these two diseases can be described as “similar”, as the clinical manifestations of patients with UC and CD are largely similar, such as chronic abdominal pain, diarrhea, and mucopurulent stools. However, because of the differences in the consequences of these two diseases – complications and some differences in treatment, they still need to be distinguished clinically, and the points of differentiation mainly include clinical symptoms, extent of lesions, abdominal plain films, colonoscopy, pathology and complications, etc., but these points are often easy to remember to mix. Swollen bowel, what to do? Come see the Charles Atlas to quickly grasp the points of differentiation between UC and CD in two minutes.
CD is a king, because he wears a crown (Crown), so he gave himself a CD (Crohn’s disease) the name of the god! King CD is brutal by nature, and everywhere he goes, he leaves deep cracks in the ground, and he can only walk on the paving stones. CD often likes to play with the funnel, the water dripping down the funnel, you have to use in the tank then. CD also loves to hunt, he has a kangaroo, because where CD will leave deep cracks in the ground, the kangaroo can only follow his butt jump, the kangaroo loves to eat a plant called non-cheese granuloma, although not made of cheese, but the fleshy leaves are also Very tasty.
OK, so now when it comes to Crohn’s disease CD, what do you think of, Crohn’s, well it reminds me of a king with a crown on his head, and everywhere the brutal king went he became – deep fissures (deep longitudinal ulcers), so he had to walk on paving stones (paving stone like changes in the lining of the intestine seen on colonoscopy). ). The king walks on the right side, that is where CD often leads to involvement of the terminal ileum (right side stomach pain). When the king is on the move, the spread is so great that the entire GI tract from the mouth to the jugular can be involved. Despite the extent, not every part of the body can be involved, but in a jumpy lesion (kangaroo), and the plant that kangaroos love to eat is called non-caseating granuloma. The king takes the funnel, which is a unique feature of the complications of CD: the formation of a fistula, which drips into the tank and forms a perianal abscess. In fact the formation of fistulas is quite understandable because CD forms deep ulcers that are easily penetrated and over time a channel is formed between the intestines and the skin.
The king’s wife is particularly beautiful, walking on the road with a high rate of return, everyone said: look at you (You see-UC)! UC compared to the king CD to be much more gentle, women like water, the queen has a strange hobby is to walk on the ground with water. Her specialty is pole dancing, steel pipe with her, both to dance, but also to defend themselves, but also to pry cans. She also raised a pig sealed as a “purifier”, but because of greed to eat the queen planted poisonous mushrooms, eat bloating died ~ that now, you know: the beautiful queen named UC (You see), she is not like CD so brutal, where the line that is longitudinal deep ulcers, UC is very gentle, she formed are only located in the mucosa and She likes to walk on water, so these shallow ulcers are also diffuse. The queen planted poisonous mushrooms are characteristic of UC inflammatory pseudopolyposis (so-called pseudopolyposis is actually the remnants of inflammatory mucosa, because the rest of the mucosa is eroded by ulcers dwarfed, the remnants are high out as if polyps), think about seeing the intestines under the colonoscope full of poisonous mushrooms, that is really shocking, and such intestinal mucosa is also bad and brittle easy to bleed (blood in stool)! UC usually invades only the colon (Colitis = colon inflammation), it is from the rectum upward continuous diffusion, you see the shape of the U more like a backed-up rectum, so see UC, you can think of the unlucky rectum ~ UC pole dance represents the colon under the X-ray unique characteristics of the The “lead tube-like” change. The cans used to pry open (can~cancer) suggest the consequences of UC can cause colorectal cancer, another rare and fatal complication of UC is toxic megacolon, the unlucky “purgator” is therefore bloated whimpering.
So finally, let’s look back at the full picture of the king and queen meeting, what identification points can you recall?