Coeliac Flashcards
1
Q
What part of the bowel does coeliac mainly effect?
A
Jejunum
2
Q
What’s is the presentation of coeliac? (7)
A
Failure to thrive in children
Diarrhoea
Fatigue
Weight loss
Mouth ulcers
Anaemia
Dermatitis herpetiformis
3
Q
What other condition do you always test for coeliac in as the two are linked?
A
T1DM
4
Q
What must you always test before looking for anti TTG antibodies?
A
IgA levels as deficiency will cause inaccuracy of anti TTG levels
5
Q
How is coeliac diagnosed? (2)
A
Raised anti-TTG (first choice)
Raised anti-endomysial antibodies
6
Q
What will endoscopy and biopic show in coeliac? (2)
A
Crypt hypertrophy
Villous atrophy
7
Q
What autoimmune conditions are coeliac associated with? (5)
A
T1DM Thyroid Autoimmune hepatitis PBC PSC
8
Q
What are the complications of coeliac? (7)
A
Vitamin deficiency Anaemia Osteoporosis Ulcerative jejunitis T cell lymphoma of intestine NHL Small bowel adenocarcinoma (rare)
9
Q
What is the treatment of coeliac?
A
Lifelong Gluten free diet
