Clinical- Malabsorption in the SI Flashcards
What can form on the skin in celiac enteropathy?
dermatis herpetiformis
What bodies are seen on blood smears with celiac enteropathy?
howell-jolly bodies
What types of antibodies can you find to give you a + confirmation of celiac enteropathy? (3)
circulating antigliadin, endomysial, or tissue transglutaminase Ab’s
True or false: small bowel biopsies are diagnostic in celiac disease.
FALSE
What is the most absolute diagnotic finding for celiac?
+ response to a gluten-free diet
What type of small bowel cancer can form with celiac disease?
small bowel lymphoma
What happens if the circulating Ab’s are negative (happens in 5% of the pt population)? What can u then test the levels of?
IgA. If theyre deficient it shows celiac
What happens if the gluten free diet is nonresponsive in a potential celiac disease pt?
IT’S NOT CELIAC DISEASE
When is the onset of diarrhea after exposure to the bacteria in tropical sprue?
2-3 months.
What is the morphology of the villi in tropical sprue?
blunted villi, similiar to celiac sprue.
Which antibiotic do u give for the Tx for tropical sprue?
Tetracycline and folate w/or w/o B12
Patients with what recurrent arthritis, pigmentation, adenopathy or CNS involvement including dementia, myoclonus, opthalmoplegia, visual disturbances, coma, or seizures should be considered for what disease?
Whipple disease
There are what type of granules in the macreophages of the small bowel upon biopsy?
periodic acid Schiff (PAS) + granules
What is the treatment for whipple disease?
trimethoprim-sulfamethoxazole or tetracycline for 1 yr
What must you rule out if you believe a pt has eosinophilic ganstroenteritis?
parasitic infection
