The following feature is in our of ulcerative colitis over Crohn&;s disease
Cobblestoning
Rectal sparing
Fistula
Blood and mucus in stool
The major symptoms of UC are diarrhea, rectal bleeding, tenesmus, passage of mucus, and crampy abdominal pain.Ulcerative ColitisCrohn's diseaseClinical Gross blood in stoolYes OccasionallyMucusYesOccasionallySystemic symptomsOccasionallyFrequentlyPainOccasionallyFrequentlyAbdominal massRarelyYesSignificant perineal diseaseNoFrequentlyFistulasNoYesSmall intestinal obstructionNoFrequentlyColonic obstructionRarelyFrequentlyResponse to antibioticsNoYesRecurrence after surgeryNoYesEndoscopicRectal sparingRarelyFrequentlyContinuous diseaseYesOccasionally"Cobblestoning"NoYesGranuloma on biopsyOccasionallyRadiographicSmall bowel significantly abnormalNoYesAbnormal terminal ileumNoYesSegmental colitisNoYesAsymmetric colitisNoYesStrictureOccasionallyFrequentlyRef: Harrison 19e pg: 1956
G.I.T