7: Malabsorption Flashcards
What is malabsorption?
Defective mucosal absorption of nutrients and fluids
What disease, associated with gluten intolerance, can cause malabsorption?
Coeliac disease
Which inflammatory bowel diseases causes malabsorption?
Crohn’s disease
Ulcerative colitis to a lesser extent
Patients may present with malabsorption post-___.
infection
surgery
chemo/radiotherapy…
Which drugs are designed to cause malabsorption?
Fat blockers
e.g Orlistat / Alli
Obstruction of the ___ can cause malnutrition.
gallbladder
Malabsorption of which food groups causes weight loss?
Protein
Fat
Carbohydrate
Vitamins & Minerals
Removal of which organ can cause protein malabsorption?
Stomach
Which enzymes digest protein in the stomach?
Pepsin
Trypsin
Deficiency of which enzyme, secreted by the pancreas, can cause carbohydrate malabsorption?
Alpha amylase
Which surgical procedures intentionally cause malabsorption?
Bariatric surgery
e.g gastric bypass, band
After which cancer treatment may patients develop malabsorption?
Why?
Chemotherapy
Kills mucosal cells temporarily
What should be asked about in the history phase of a consultation with someone who has suspected malabsorption?
Past medical history
Travel
Alcohol
Drugs
Easy bruising and gingival hyperplasia suggest a ___ deficiency.
Vitamin C / K
People with inflammatory bowel disease are likely to present with systemic manifestations as well.
Which signs of IBD can be seen on the tongue and lips?
Glossitis (tongue)
Angular stomatitis (lips)
