Disorders of absorption Flashcards
1
Q
Whipple disease- Eti
A
- Rare multisystem illness
- Bacillis Tropheryma whippelii
- Unknown source of infection
2
Q
Whipple disease- Sx
A
- Abd pain, diarrhea, malabsorption with distension, flatulence & steatorrhea
- Arthralgia
- Lymphadenopathy
- Wt loss
- Myocardial involvement- murmurs
- CNS involvement
3
Q
Whipple disease- Dx
A
- Endoscopic biopsy of duodenum- PAS macrophages
- PCR
4
Q
Whipple disease- Tx
A
Cefttriaxone, TMP-sulfa
5
Q
Short bowel syndrome- Eti
A
- Malabsorption following small intestine resection
- Chrons, infarction, radiation, trauma
6
Q
Short bowel syndrome- Sx
A
- Low vit B12
- Malabsorption of fat soluble vitamins
- kidney stones
- Watery diarrhea
7
Q
Short bowel syndrome- Dx
A
- Hx & symptoms
8
Q
Short bowel syndrome-Tx
A
- Vitamin supplements
- Bile acid binding salts
- low fat diet
9
Q
Celiac sprue- Eti
A
- 1:100 whites
- Dx in 10%
- ID at any age
10
Q
Celiac sprue- Sx
A
- Diarrhea, steatorrhea, wt loss, abd distension, weakness, muscle wasting
- Dyspepsia, flatulence, wt loss
- Fatigue
- Iron anemia
- Dermatitis herptiformis
- Hyperactive bowel sounds
11
Q
Celiac sprue- Dx
A
- Endoscopic biopsy of duodenum
- IgA serology when consuming gluten
12
Q
Celiac sprue- Tx
A
- Remove gluten
- Avoid dairy
- Supplements
13
Q
Acute diarrhea- Eti
A
- Duration < 2-3 weeks
- Commonly infectious- hx may reveal org.
- Inflammatory or non
14
Q
Acute Inflammatory diarrhea-Org
A
- Shigellosis, salmonellaosis, campy, yersinia or toxin E.coli
15
Q
Acute inflammatory diarrhea- Sx
A
- Fecal leukocytes & blood
- LLQ cramps, urgency & tenesmus
