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Chrons Disease

Page history last edited by PBworks 12 years, 7 months ago

Chron's Disease

By Paul Holicek

 


 

What is it?

 

Chron's disease is a ediopathic inflamatory bowel disorder. This disease can occur anywhere from the mouth to the rectum, 30 - 45% of cases involve the small intestine only, while 40% is the colon itself. Severe cases can involve any portion of the GI track, which can cause a variety of complications. (see list below) As the inflamation begins, it damages the innermost layer of tissue, the mucosa. Ganulomas then form an break down the mucosal and submucosal layers. This eventually causes the intestinal wall to become rubbery. Sometimes there can be a tear, and these tears may extend to the blood vessels in the submucosal layer, in which small bleeds result.

 

What does it look like?

 

Endoscopy image of colon showing serpiginous ulcer, a classic finding in Crohn's disease

 

Symptoms

 

  • Diarrhea
  • GI Bleeding
  • Weight Loss
  • Intermittent Abdominal Cramping/Pain
  • Nausea
  • Vomiting
  • Fever

 

Treatment

 

Prehospital Treatment May Include:

 

  • Palliative
  • Depends on the physioloical status
  • Prevent Aspiration of Vomit
  • If hemorrage symptoms present, high-flow, high-concentrated oxygen
  • IV with fluid resuscitaiton
  • Antiemetics and anitspasmodic 

 

Complications

 

  • Intestinal abscesses
  • Perianal abscesses
  • Fistulas
  • Higher risk of cancer.
  • Bowel Obstruction
  • Free Perforation
  • Hemorrhage

 

 

Sources

 

 

  1. Paramedic Care Pg. 366-367 
  2. Wikipedia.com

 

 

 

 

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