Flashcards in Small Intestinal Disorders and Investigation Deck (17):
What are the common symptoms of small intestinal disorders?
Increased appetite (due to malabsorption)
Why is steatorrhoea a common symptom in small intestinal disorders?
Fat is the first thing to stop being absorbed from small intestine due to malabsorption -> higher fat content being passed out in stool
Give 6 signs of specific deficiencies arising from small intestinal disorders
What are the non-specific signs of specific small intestinal illnesses?
Dermatitis herpetiformis is a cutaneous manifestation of
What is the typical presentation of dermatitis herpetiformis?
Blistering, intensely itchy skin, appears commonly on the scalp, shoulders, elbows and knees
Why are blisters occurring as a result of dermatitis herpetiformis rarely seen?
As patients scratch them while asleep
Give 5 investigations that can be done to determine small intestinal structure
Small bowel biopsy via endoscopy
White cell scan
What is coeliac disease?
A common disease
Sensitivity to Gliadin fraction of gluten, produces an inflammatory response causing partial or subtotal villous atrophy
What would be seen in the serology of a patient with coeliac disease?
Give 5 conditions associated with coeliac disease
Insulin dependent diabetes mellitus
Autoimmune thyroid disease
Primary biliary cirrhosis
What are the possible complications of coeliac disease?
Refractory coeliac disease
Small bowel lymphoma
Small bowel adenocarcinoma
Give 6 causes of malabsorption
Give an example of an inflammatory cause of malabsorption
Give an example of an infection causing malabsorption
Whipple's disease - tropheryma whippelii
Give an example of impaired motility which would cause malabsorption