GI - 6 Diarrhea pt 3 Flashcards Preview

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Flashcards in GI - 6 Diarrhea pt 3 Deck (21)
1

What is Whipple's disease?

a bacterial disease that can cause malabsorption

2

2 imaging tests that are Sensitive for the diagnosis of chronic pancreatitis and pancreatic cancer

Abdominal CT and endoscopic ultrasonography

3

What is Useful in patients with bile salt-induced diarrhea secondary to intestinal resection or ileal disease?

Cholestyramine

4

Fats are broken down by ____ to monoglycerides and fatty acids that form micelles with bile salts

pancreatic lipase

5

Proteins are hydrolyzed by ___ to di- and tripeptides and amino acids

pancreatic proteases

6

Name 4 fat soluble vitamins. What can happen?

A,D,E,K. If malabsorbed, causes bleeding, osteoporosis, and hypocalcemia

7

Insufficient intraluminal concentrations of pancreatic enzymes or bile salts

Impaired intraluminal digestion

8

What is Impaired intraluminal digestion?

Insufficient intraluminal concentrations of pancreatic enzymes or bile salts

9

large, greasy, foul-smelling stools are signs of what diarrhea disease?

Steatorrhea

10

Wt loss, gaseous distention and flatulence, Steatorrhea are symptoms of

Pancreatic insufficiency (causing impaired digestion)

11

Malabsorption of specific nutrients may occur as a result of deficiency in an isolated brush border enzyme. What Phase? What enzyme deficiency is caused by this?

Mucosal phase. Lactase deficiency

12

What phase? Obstruction of the lymphatic system results in impaired absorption of chylomicrons and lipoproteins
Steatorrhea and significant enteric protein losses or “protein-losing enteropathy”

Absorptive phase

13

Permanent dietary disorder caused by an immunologic response to __

gluten

14

Celiac disease is 100X more present in whom?

Whites of North Europe ancestry

15

“Classic” symptoms of malabsorption (of celiac disease) includes:

including diarrhea, steatorrhea, weight loss, abdominal distention, weakness, muscle wasting, or growth retardation

16

Physical examination
May be normal in mild cases
May reveal signs of malabsorption

Celiac disease

17

Cutaneous variant of celiac disease
Characteristic skin rash consisting of pruritic papulovesicles over the extensor surfaces of the extremities and over the trunk, scalp, and neck

Dermatitis herpetiformis

18

Limited proximal involvement anemia involves what problems?

Iron deficiency

19

More extensive anemia involves

Vit B deficiency

20

prothrombin time tests for:

Fat soluble vitamin absorption

21

Which patients get tests for celiac disease?

Anyone whom there is a suspicion of celiac disease