GI 101 Diarrhoea Flashcards

1
Q

Where are most fat soluble vitamins absorbed?

A

In the ileum

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

Where is vitamin B12 and bile acid absorbed?

A

The terminal ileum

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

What are the 4 histological layers of the gut?

A

Lumen out: Mucosa, submucosa, muscularis propria and serosa

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

What are the simple columnar epithelial cells in the gut and what feature do they have on their surface?

A

Enterocytes with microvilli

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

What cells are found in the muscosa of the GIT?

A

Surface -base: Enterocytes, goblet cells, endocrine cells, paneth cells and stem cells

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

What is the function of goblet cells?

A

Produce mucous

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

What is the function of paneth cells?

A

Gut defence: produce lysozymes and defensins

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

What are within the mucosa of the GIT contains capilliaries, nerves and lymphatics?

A

The lamina propria

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

What are the two layers of the muscularis propria in the GIT?

A

Inner circular smooth muscles, outer longitudinal smooth muscle

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

Where are Brunners Glands found and what do they do?

A

found in the proximal duodenum

secrete alkaline HCO3- and endocrine cells

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

Where are Peyers patches found and what is their function?

A

In the ileum submucosa and lamina propria - large lymphoid aggregates to sample gut contents

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

What is the definition of diarrhoea?

A

3 or more loose or watery stools (taking the shape of the container) in a 24 hour period

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

How long is acute and persistent diarrhoea?

A

Acute 14days

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

What is osmotic diarrhoea?

A

When there is a hypertonic substance in the lumen drawing water in

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

What are some of the causes of osmotic diarrhoea?

A

Ingestion of a non absorbable substance, generalise malabsorption or a specific absorptive defect

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

What is secretory diarrhoea?

A

When there is both intestinal secretion of fluid and decreased absorption = large volume diarrhoea

17
Q

What are some of the causes of secretory diarrhoea?

A

enterotoxins, hormones, bile salts, fatty acids and some lazatives

18
Q

What is inflammatory diarrhoea?

A

diarrhoea due to damage to intestinal mucosal cell resulting in loss of fluid/blood

19
Q

What are some causes of inflammatory diarrhoea?

A

Some infective conditions and inflammatory bowel conditions

20
Q

What is the leading cause of gastroenteritis in children?

A

Rotavirus

21
Q

What is the most common virus causing diarrhoea in closed communities?

A

Norovirus

22
Q

What is the 1st and 2nd most common cause of traveller’s diarrhoea?

A

ETEC - enterotoxigenic e.coli and campylobacter

23
Q

What increases the risk of developing diarrhoea from Clostridium difficile?

A

abx use, hospital admission and PPI’s

24
Q

What is the most common cause of parasitic diarrhoea in developed countries?

A

Giardiasis

25
Q

How would you investigate diarrhoea?

A

Stool sample: culture and osmolality

Sigmoidoscopy/rectal biospy in persistent cases

26
Q

How would you stop diarrhoea?

A

Loperamide or an opiod antagonist e.g. codeine

27
Q

How would you treat diarrhoea?

A

Assess and treat any dehydration and address cause: abx, food intolerances

28
Q

What is coeliac disease?

A

autoimmune disease against fluten resutling in inflammatory gut changes

29
Q

What histological changes can be seen in coeliac disease?

A

atrophied villi, expanded and flattened mucosa

30
Q

What are the symptoms of coeliac disease?

A

Steatorrhea, bloating, flatulence