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Flashcards in GI - 6 Diarrhea pt 4 Deck (20)
18

What are 2 really good tests for celiac ds?

IgA endomysial antibody and IgA tTG antibody . >90% sensitivity/specificity

19

If IgA endomysial antibody and IgA tTG antibody tests are negative. What else should you do to rule out celiac disease?

Nothing else. These tests are so reliable that a neg test reliably excludes celiac disease.

20

___ test reveals the The once-finger-like projections of villi are now flat in celiac disease

Endoscopic mucosal biopsy

21

How do you treat Celiac disease?

Remove gluten from the diet

22

Patient still doesn't recover after removing gluten from diet. What else could it be?

T Cell Lymphoma

23

__ intestine normally contains a small number of bacteria

Small intestine

24

Bacterial deconjugation of bile salts leads to

Steatorrhea

25

Megaloblastic anemia or neurologic signs due to vitamin B12 deficiency are common in ppl with:

Bacterial overgrowth

26

___ tests for bacterial overgrowth

Schilling test

26

What test is usually used to test for pernicious anemia?

Schilling test

27

What does a Schilling test test for? How does it work?

**Noninvasive breath tests vs empiric tx

27

What drug treats bacterial overgrowth?

Rifaximin

28

the malabsorptive condition that arises secondary to removal of significant segments of the small intestine

Short bowel syndrome

28

Remember: ____ deficiency frequently develops secondary to other GI disorders

Lactase

29

How is lactase deficiency diagnosed? What test?

Hydrogen breath test

29

Easy to remember treatment for lactase deficiency is:

Lactaid - aids with lactase deficiency.

30

What supplements help with being unable to eat dairy? (lactase deficiency)

Calcium and Vit D

30

Like the stomach, what type of benign polyps are most common in the Small Intestine? What's the deal with them?

Adenomatous polyps are most common
Mainly asymptomatic
High risk for development of invasive cancer

31

Difficult to distinguish benign from malignant stromal tumors (leiomyosarcomas) except by ____

excision

31

Hard to tell if SI polyps are benign or not, so they must be ___

Excised, just in case