Celiac Disease Flashcards
how often does this occur
1 in 3-4000
which age is this most commonly seen
6 mos - 2 years
what are the 1st common symptoms
growth failure
chronic diarrhea
what are some other symptoms
muscle wasting
poor appetite
lack of energy
what are s/s in older children
abdominal pain nausea constipation short stature anemia pubertal delay osteoporosis
what can occur if this goes untreated
celiac crisis
growth failure
how long after introducing grains does this occur
3-6 months
how does the stool appear
frothy
foul odor
excessive amount
what are 6 diagnostics
duodenal biopsy stool analysis (for fat) intestinal biopsy immunoglobulin levels serum iron folic acid vitamin B12
malabsorption of B12 results in
steatorrhea
malabsorption of proteins & cholesterol results in
peripheral edema
malnutrition
malabsorption of vit D & calcium results in
osteomalacia
osteoporosis
malabsorption of vit K results in
inadequate blood coagulation
malabsorption of iron, folic acid, vitamins results in
anemia
what precipitates celiac crisis
infections
dehydration
eating gluten
what can celiac crisis lead to
hypotensive shock
lethargy
what are s/s of an acute episode of celiac crisis
explosive diarrhea vomiting dehydration electrolyte imbalance hypotensive shock wasted appearance
what is the management of celiac crisis
correct dehydration
NGT
albumin infusions
IV steroids
what are some foods they can’t have
cereals baked goods hydrolyzed vegetable protein chocolate crackers spaghetti pizza hot dogs/lunch meat gravy
if the diet is not followed, what may develop
lymphoma
GI cancer
which class of drugs precipitate crisis
anticholinergics
