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Flashcards in Small GRoup Lower GI Deck (11):
1

TTG serology tests for?

Celiacs
- non bloody diarrhea
- abdominal bloating w/ discomfort

2

Intraepithelial inflammation and lost of villus and expansion of lamina propria:
?

Celiacs disease (autoimmune etiology)

3

Celiac disease
Wheat allergy
Gluten sensitivity

- etiology

Celiac = autoimmune

wheat = allergic inflamm sys dysfxn

Gluten sens = non autoimmune non allergic

4

Why do you have to run a quantitative IgA test when testing for TTG for celiacs?

Rule out IgA deficiency (present in 2-3% of pts with celiacs - challenge)

- if pt is not IgA deficient, other test results should be valid
IgA against TTG or DGP

5

loss of haustral folds + lead pipe colon, shortened colon

Chronic UC (IBD)

6

Continuous ulceration of mucosal surface extending from distal ascending colon to rectum

- pseudopolyps may be present

Ulcerative colitis
(IBD)

7

Skip lesions
deep involvement
reactive changes
- wall fibrosis
- serositis
- fat wrapping

Crohns

- granuloma formation in 35%

8

Continuous ulceration
colonic involvement beginning in rectum

UC
- L sided involvement

9

Crypt absesses are seen in?

Crohns and UC

10

Malignant potential is seen in crohns or UC?

Both

11

tx for ischemic colitis

supportive care
- IV fluids
- bowel rest
- AB

surgical
- segmental resection