Inflammatory Bowel Disease (IBD) - The MRCGP AKT Exam Revision I Dorky Docs

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Confused about the symptoms, treatment and maintenance of Inflammatory Bowel Disease (IBD)? Inflammatory Bowel Disease is a term for two conditions (Crohn’s disease and ulcerative colitis) that are characterized by chronic inflammation of the gastrointestinal tract. IBD can be debilitating and sometimes leads to life-threatening complications.
This video covers the most salient bits of Inflammatory Bowel Disease symptoms and management both for your clinical practice and MRCGP AKT Exam. We're going to cover the below topics:
- 0:24 Ulcerative Colitis
- 0:48 Ulcerative Colitis: Pathological Findings
- 1:04 Ulcerative Colitis: Symptoms
- 1:14 Ulcerative Colitis (Severity)
- 1:14 Ulcerative Colitis: Acute Treatment
- 2:31 Ulcerative Colitis: Maintenance
- 2:57 Crohn’s Disease
- 3:03 Crohn’s Disease: Pathological Findings
- 3:23 Crohn’s Disease: Symptoms
- 3:40 Crohn’s Disease: Acute Treatment
- 3:23 Crohn’s Disease: Maintenance
- 4:32 Extra - Intestinal Manifestations of IBD
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[@zoeordman9712]

great video but I thought that 3rd line was corticosteroids alone for UC as per NICE cks?

[@DorkyDocs]

You're not actually wrong, but this is one of the few guidelines that NICE CKS actually blurs the lines as opposed to the 'long' guidance.
www.nice.org.uk/guidance/ng130/chapter/Recommendations#inducing-remission-in-people-with-ulcerative-colitis.
Have a look at that, with specific reference to point 1.2. It clearly gives you a step-wise guidance to follow for proctitis, left sided disease and widespread disease and strangely, is more understandable than the CKS summary which basically lists all the options. [NICE Guideline 130 - Updated 2019, to which the CKS summary is derived from]
In truth, in the exam what you need to deduce is where the pathology is (they will provide the info), and at what step the management is. Hedging my bets here, but the most likely question is going to be related to knowing when topical amino/steroids are used as opposed to oral.
Hope that helps!

[@Lu-pi5xz]

Very helpful video. Thank you...

[@DorkyDocs]

You are welcome

[@drmich13playscott36]

Very useful just a bit fast but it’s good

[@DorkyDocs]

Thank you! Be sure to pass the word around amongst your VTS! Best of luck!