Inflammatory Bowel Disease in Children

What this deck covers

Inflammatory Bowel Disease in Children in twelve illustrated clinical cases with worked explanations – case presentations built around clinical images, radiology, teaching illustrations and real laboratory data, with the reference range beside every value a case quotes. This visual, data-interpretation style of practice suits candidates preparing for MRCPCH AKP in particular, alongside Saudi and Gulf licensing examinations such as the Arab Board, DHA and OMSB. Each case gives you a clinical vignette, four options, the correct answer, and an explanation of why each of the other three is wrong.

The twelve cases, in order

1. Two diseases, one scope report
2. What to give first, and why not steroids
3. Scoring the colitis at the door
4. The third day of the drip
5. Pain, discharge and a tag
6. The abdomen that stopped working
7. The test before the tablet
8. Screening before the biologic
9. The centile that steroids cost
10. The rash, the joint and the liver
11. Colitis before the second birthday
12. Vaccines before immunosuppression

What this deck teaches

• The rectum tells you which disease. Ulcerative colitis starts there and runs continuously; a spared rectum with ileal disease is Crohn.
• Food is the first drug in Crohn disease. Exclusive enteral nutrition heals the mucosa as well as steroids and grows the child instead of stunting him.
• Severity is a score, not an impression. PUCAI 65 or more is acute severe colitis – admit for intravenous steroids and involve the surgeons.
• Day 3 is a checkpoint. PUCAI above 45 on day 3 predicts steroid failure – prepare rescue therapy rather than waiting.
• Image and drain before immunosuppressing. Perianal Crohn gets MRI and examination under anaesthesia before anti-TNF, never after.
• Diarrhoea that stops while the child worsens. Falling stool frequency with distension and fever is toxic megacolon – stop antimotility drugs and call surgery.

Exam pearls from this deck

• A spared rectum with an inflamed ileum is Crohn disease, whatever the colon looks like.
• In a child with Crohn disease, food is the first drug – and the only one that grows him while it heals him.

The twelve worked cases in this deck, with the images and the full explanation of every option, are part of Pediatric Case Review membership. See what is included, or start with the free Pediatric Exam Review Sets.

More from this system: all gastroenterology illustrated case decks · gastroenterology board questions for bank-style drilling · the free Pediatric Exam Review Sets · pediatric reference values.