I grew tired of all those annoying tables comparing Crohn's Disease (CD) with Ulcerative Colitis (UC). I've boiled these tables down to a few"rules" to look for in the stem of the question.
- 1st rule: If the rectum is spared, it's CD. Or another way to put it is that UC will always start from the rectum and move up, without skip lesions.
- 2nd rule: If there are fistulas, its CD. Remember that CD is transmural.
- 3rd rule: if it involves the small intestine, its NEVER UC. UC will never move past the ileocecal valve, so if there is terminal ileal involvement, it must be CD.
- 4th rule: if there are granulomas, its CD.
Hope this helps.