GI-Malabsorption

Question 1

Celiac Disease

Answer 1

Path: gluten allergy
Autoimmune - IgA

Pt: Diarrhea, bloating, weight loss
Dermatitis Herpetiformis

Dx: 1st Antibodies
- TTg
- Endomysial
EGD w Bx = blunted villi

Tx: avoid gluten 3-4 months

F/u: avoid gluten is the wrong answer for diagnosis

Question 2

Lactose Intolerance

Answer 2

Path: Age, asians

Pt: Carb malabsorption

Dx: Avoiding dairy

Tx: Lactose Enzyme

Question 3

Whipples Disease

Answer 3

Path: T. Whippeli

Pt: Malabsorption + Brain + Joint + lymph

Dx: EGD w Bx

• PAS positive
• Organisms

Tx: TMP-SMX
Doxycycline

Question 4

Absorption in General

Answer 4

Panc: Pancreas = Protein

Fat:
A - Night Blind
D - Osteoporosis 
E - Nystagmus 
K - Bleeding 

Duod: 
Folate
Iron
Calcium 
Carbs

Terminal Ileum:
Bile Salts
B12