[Gastroenterology] IBD(UC+CD), PMC, CCD, IBS, Colon Pulyp, Colon and Rectal Cancer(HNPCC)

Inflammatory Bowel Disease, IBD 發炎性腸道疾病

包含兩大類發炎性大腸炎(Ulcerative Colitis, UC)和克隆氏症(Crohn's Disease, CD)

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Pseudomembranous Colitis, PMC 偽膜性腸炎

Also name: Antibiotic Associated Colitis, Necrotizing Colitis, Clostridium Difficile Colitis(or Diarrhea)

好發族群:住院病人\使用抗生素療程病人\腹瀉or水瀉

常見感染細菌:

診斷工具:(1)內視鏡(2)測體內毒素

Symptom and Sign :

右下腹痛 DDx appendicitis

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Colonic Divertiular Diseasec, CDD （結腸憩室疾病）

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Irritable Bowel Syndrome, IBS大腸激躁症候群

最大特色:不會癌化

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Colon Polyp結腸息肉

依形態:

依良惡:

症狀:大多無症狀

DDx polyposis syndrome(有大腸外症狀)

發現時機:健康檢查(無症狀者)，腸胃道疾病

病因:其他疾病或遺傳性疾病(polyposis syndrome)造成

Polyposis Syndromes遺傳性疾病[少見常考]

Reference:eMedicine: Intestinal Polyposis Syndromes

http://emedicine.medscape.com/article/929144-overview

Syndromes & Genes: familial adenomatous polyposis (FAP)、Gardner syndrome、Turcot’s syndrome、Peutz-Jeghers syndrome、Cowden disease、familial juvenile polyposis、hyperplastic polyposis

Cause:Gene deficiency

病因:基因缺陷

Familial Adenomatous Polyposis, FAP

Also Called: adenomatous polyposis coli, familial polyposis

中文名:家族性腺瘤性息肉

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Colon and Rectal Cancer

Hereditary nonpolyposis colorectal cancer (HNPCC) = Lynch Syndrome

Lynch Syndrome I:單純大腸

考試重點:

Polyposis Syndromes