Celiac Disease Flashcards

1
Q

how often does this occur

A

1 in 3-4000

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2
Q

which age is this most commonly seen

A

6 mos - 2 years

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3
Q

what are the 1st common symptoms

A

growth failure

chronic diarrhea

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4
Q

what are some other symptoms

A

muscle wasting
poor appetite
lack of energy

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5
Q

what are s/s in older children

A
abdominal pain
nausea
constipation
short stature
anemia
pubertal delay
osteoporosis
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6
Q

what can occur if this goes untreated

A

celiac crisis

growth failure

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7
Q

how long after introducing grains does this occur

A

3-6 months

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8
Q

how does the stool appear

A

frothy
foul odor
excessive amount

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9
Q

what are 6 diagnostics

A
duodenal biopsy
stool analysis (for fat)
intestinal biopsy immunoglobulin levels
serum iron
folic acid
vitamin B12
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10
Q

malabsorption of B12 results in

A

steatorrhea

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11
Q

malabsorption of proteins & cholesterol results in

A

peripheral edema

malnutrition

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12
Q

malabsorption of vit D & calcium results in

A

osteomalacia

osteoporosis

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13
Q

malabsorption of vit K results in

A

inadequate blood coagulation

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14
Q

malabsorption of iron, folic acid, vitamins results in

A

anemia

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15
Q

what precipitates celiac crisis

A

infections
dehydration
eating gluten

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16
Q

what can celiac crisis lead to

A

hypotensive shock

lethargy

17
Q

what are s/s of an acute episode of celiac crisis

A
explosive diarrhea
vomiting
dehydration
electrolyte imbalance
hypotensive shock
wasted appearance
18
Q

what is the management of celiac crisis

A

correct dehydration
NGT
albumin infusions
IV steroids

19
Q

what are some foods they can’t have

A
cereals
baked goods
hydrolyzed vegetable protein
chocolate 
crackers
spaghetti
pizza
hot dogs/lunch meat
gravy
20
Q

if the diet is not followed, what may develop

A

lymphoma

GI cancer

21
Q

which class of drugs precipitate crisis

A

anticholinergics