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Flashcards in Malabsorption Deck (19):
1

What is malabsorption

defective mucosal absorption
caused by defective luminal digestin
mucosal disease
structural absorptional problem

2

What are the common causes of malbsorption

Coeliac disease
Crohn's disease
Post infectious Biliary Obstruction
Cirrhosis

3

What are some of the uncommon causes of malabsorption

Pancreatic cancer
Parasites
Bacterial overgrowth
Drugs
Short bowel (including resections)

4

What are malabsorptive states

Protein
Fat
Carbohydrate
Vitamins and Minerals

5

What are the two processes that can go wrong in protein malabsorption

Digestive (failure in enzyme secretion)
or absorptive (coeliac or short bowel)

6

What are the 3 fat digestion and absorption states

Digestive
Absorptive
Post absorptive (delivery to tissues)

7

What is the most uncommon type of malabsorption

Carbohydrate

8

What 3 types of vitamins might be related to vitamin malabsorption

B12
Folic Acid (alcoholic, celiac disease)
Fat soluble vitamins (ADEK)

9

What is vitamin K important for and what might a patient present with ?

K important for clotting - present with bruising and bleeding)

10

What are other minerals that may be malabsorped

Calcium
Magnesium
Iron
Zinc

11

Scalloping of the folds in the intestine

Coeliac disease

12

How do we diagnosis coeliac disease?

IgA anti-tissue transglutaminase

13

What is Whipple's disease

Infectious agent and causes an increase in the frequency of HLA-B27

14

How do we treat giardia lamblia

Treat with metronidazole for 1 week

15

When should you suspect malabsorption?

In known disease states of the pancreas, stomach or bowel

16

Past medical history might include

Gastric or small bowel resection
Gastrointestinal Diversion
Radiation Exposure

17

Bleeding gums

Scurvy - lack of vitamin C

18

Dermatitis herpetiformis

Coeliac's disease

19

Spooning of the nails

Iron deficiency

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