CELIAC DISEASE & DIVERTICULAR DISEASE

Question 1

What is celiac disease?

Answer 1

-a unique autoimmune disease
-also known as gluten sensitive enteropathy
-damage to the small intestinal mucosa from ingestion of wheat, barley, rye and oats

Question 1

a unique autoimmune disease

Answer 1

celiac disease

Question 2

also known as gluten sensitive enteropathy

Answer 2

celiac disease

Question 3

damaged to the small intestinal mucosa from ingestion of wheat, barley, rye, and oats

Answer 3

celiac disease

Question 4

etiology of celiac disease

Answer 4

-genetic predisposition
-human leukocyte antigen (HLA) DQ2 & human leukocyte antigen (HLA) DQ8 positivity
-gluten ingestion
-immune-mediated response

Question 5

cause chronic inflammation

Answer 5

gluten ingestion

Question 6

gluten can be found in

Answer 6

wheat, barley, rye and oats

Question 7

it also contains peptide called prolamines

Answer 7

gluten

Question 8

water insoluble and difficult to digest

Answer 8

gluten

Question 9

explain the characteristics of gluten

Answer 9

-found in wheat, rye, barley and oats
- contain peptide called prolamines
- water insoluble and difficult to digest

Question 10

Clinical manifestations of celiac disease

Answer 10

-foul-smelling diarrhea
-steatorrhea
-flatulence
-abdominal distention
- osteoporosis

Question 11

complications of celiac disease

Answer 11

Autoimmune disease
1. rheumatoid arthritis
2. type 1 diabetes mellitus
3. thyroid disease

Question 12

What is the confirmatory criteria (diagnosis) of celiac disease?

Answer 12

1. there is histological evidence of the disease following biopsy from the small intestine.
2. the symptoms and histological evidence disappear when a person eats a gluten-free diet

Question 13

Management of celiac disease

Answer 13

-Corticosteroid therapy
- gluten-free diet

Question 14

What medication contains a gluten?

Answer 14

Olmesartan (Benicar)

Question 15

this can be combined by gluten-free diet if gluten-free diet isn’t effective alone

Answer 15

corticosteroid therapy

Question 16

what are the gluten-free diet?

Answer 16

wheat, barley, rye and oats

Question 17

a condition of having a small pockets or pouches in the inside wall of the intestine

Answer 17

diverticular disease

Question 18

what is diverticular disease?

Answer 18

a condition of having a small pouches or pockets in the inside wall of the intestine.

Question 19

what is diverticulum?

Answer 19

an outpouching of the mucosa through the circular smooth muscle of the intestinal wall

Question 20

an outpouching of the mucosa through the circular smooth muscle of the intestinal wall

Answer 20

diverticulum

Question 21

what are the 2 forms of diverticular disease

Answer 21

1. diverticulosis
2. diverticulitis

Question 22

multiple non-inflamed

Answer 22

diverticulosis

Question 23

a complication of diverticulosis

Answer 23

diverticulitis

Question 24

diverticula are present

Answer 24

diverticulosis

Question 25

patient is free of symptoms

Answer 25

diverticulosis

Question 26

may have alternating periods of constipation and diarrhea

Answer 26

diverticulosis

Question 27

describe the characteristics of diverticulosis

Answer 27

-multiple noninflamed -diverticula are present -patient is free of symptoms - may have alternating periods of constipation and diarrhea

Question 28

describe the characteristics of diverticulitis

Answer 28

- inflammation of the diverticula - occurs when the pocket becomes inflamed or swollen

Question 29

diverticulosis occurs at what age?

Answer 29

50 years of age

Question 30

Clinical manifestations of diverticulosis

Answer 30

-usually asymptomatic - crampy abdominal pain -relived by passage of flatus -alternating diarrhea & constipation

Question 31

Clinical manifestations of diverticulitis

Answer 31

-perforation of the peritonitis -abscess and fistula formation -bowel obstruction -bleeding

Question 32

stops spontaneously

Answer 32

bleeding

Question 33

describe the presence of steatorrhea?

Answer 33

excessive fats in the feces

Question 34

the diagnosis of diverticular disease

Answer 34

1. CT scan with oral contrast 2. Fecal occult blood test 3. Barium enema 4. Colonoscopy

Question 35

test of choice for diverticulosis

Answer 35

ct scan with oral contrast

Question 36

what is fecal occult blood test

Answer 36

look for blood in the stool

Question 37

determine narrowing of obstruction in the colonic lumen

Answer 37

barium enema

Question 38

what is barium enema?

Answer 38

determine narrowing of obstruction in the colonic lumen

Question 39

the purpose of colonoscopy

Answer 39

to rule out possible hidden of polyps or lesions

Question 40

to rule out possible hidden of polyps or lesions

Answer 40

colonoscopy

Question 41

barium enema & colonoscopy are contraindicated in patient who have

Answer 41

contraindicated in patient who have acute diverticulitis

Question 42

why barium enema & colonoscopy is contraindicated in patients with acute diverticulitis

Answer 42

because of the possibility of perforation and peritonitis

Question 43

Surgical Management of Diverticular Disease

Answer 43

1. resection with temporary diverting colostomy 2. reanastomosis after the colon has healed.

Question 44

what is the management for diverticular disease?

Answer 44

-high fiber diet (during nonasymptomatic periods) - dietary fiber supplements (during nonasymptomatic periods) - stool softeners - clear liquid diet - oral antibiotics

Question 45

what's the management if overweight?

Answer 45

weight reduction

Question 46

What's the purpose of NPO status?

Answer 46

to allow the colon to rest and the inflammation to subside

Question 47

What needs to be watch out for in acute diverticulitis?

Answer 47

WOF symptoms of peritonitis

Question 48

Possible colon resection

Answer 48

- perforation - obstruction - hemorrhage

Question 49

patient with acute diverticulitis must have

Answer 49

bed rest