Q) Pouchitis disease activity index includes all except (AIIMS 2019)
a) Fever
b) Malaise
c) Fecal urgency
d) Bleeding PR
Pouchitis is commonly asked in AIIMS and JIPMER MCH exams. Previous year questions are here and here
Ans b ) Malaise, Clinical data includes Frequency, urgency and rectal bleed
|
Range |
| I. Clinical |
|
| 1. Stool frequency |
(0, 2, 4, 6) |
| 2. Fecal urgency |
(0, 3) |
| 3. Rectal bleeding |
(0, 3) |
| Maximal clinical subscore: 12 |
| II. Endoscopic findings |
|
| 1. Oedema |
(0, 1) |
| 2. Granularity |
(0, 1) |
| 3. Friability |
(0, 1, 2) |
| 4. Erythema |
(0, 2, 3) |
| 5. Mucosal flattening |
(0, 2) |
| 6. Ulcerations/erosions |
(0, 2, 3) |
| Maximal endoscopic subscore: 12 |
| III. Histological Acute inflammation |
|
| 1. Polymorphonuclear infiltration |
(0, 1, 2, 3) |
| 2. Ulcerations/erosions |
(0, 1, 2, 3) |
| Chronic inflammation |
| 1. Mononuclear infiltration |
(0, 1, 2, 3) |
| 2. Villous atrophy |
(0, 1, 2, 3) |
| Maximal (total) histological subscore: 12 |
| Maximal total PAS: 36 |
