Flashcards in GI - 6 Diarrhea pt 4 Deck (20)
What are 2 really good tests for celiac ds?
IgA endomysial antibody and IgA tTG antibody . >90% sensitivity/specificity
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.
___ test reveals the The once-finger-like projections of villi are now flat in celiac disease
Endoscopic mucosal biopsy
How do you treat Celiac disease?
Remove gluten from the diet
Patient still doesn't recover after removing gluten from diet. What else could it be?
T Cell Lymphoma
__ intestine normally contains a small number of bacteria
Bacterial deconjugation of bile salts leads to
Megaloblastic anemia or neurologic signs due to vitamin B12 deficiency are common in ppl with:
___ tests for bacterial overgrowth
What test is usually used to test for pernicious anemia?
What does a Schilling test test for? How does it work?
**Noninvasive breath tests vs empiric tx
What drug treats bacterial overgrowth?
the malabsorptive condition that arises secondary to removal of significant segments of the small intestine
Short bowel syndrome
Remember: ____ deficiency frequently develops secondary to other GI disorders
How is lactase deficiency diagnosed? What test?
Hydrogen breath test
Easy to remember treatment for lactase deficiency is:
Lactaid - aids with lactase deficiency.
What supplements help with being unable to eat dairy? (lactase deficiency)
Calcium and Vit D
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
High risk for development of invasive cancer
Difficult to distinguish benign from malignant stromal tumors (leiomyosarcomas) except by ____