GI - 6 Diarrhea pt 4

Question 18

What are 2 really good tests for celiac ds?

Answer 18

IgA endomysial antibody and IgA tTG antibody . >90% sensitivity/specificity

Question 19

If IgA endomysial antibody and IgA tTG antibody tests are negative. What else should you do to rule out celiac disease?

Answer 19

Nothing else. These tests are so reliable that a neg test reliably excludes celiac disease.

Question 20

___ test reveals the The once-finger-like projections of villi are now flat in celiac disease

Answer 20

Endoscopic mucosal biopsy

Question 21

How do you treat Celiac disease?

Answer 21

Remove gluten from the diet

Question 22

Patient still doesn’t recover after removing gluten from diet. What else could it be?

Answer 22

T Cell Lymphoma

Question 23

__ intestine normally contains a small number of bacteria

Answer 23

Small intestine

Question 24

Bacterial deconjugation of bile salts leads to

Answer 24

Steatorrhea

Question 25

Megaloblastic anemia or neurologic signs due to vitamin B12 deficiency are common in ppl with:

Answer 25

Bacterial overgrowth

Question 26

___ tests for bacterial overgrowth

Answer 26

Schilling test

Question 26

What test is usually used to test for pernicious anemia?

Answer 26

Schilling test

Question 27

What does a Schilling test test for? How does it work?

Answer 27

**Noninvasive breath tests vs empiric tx

Question 27

What drug treats bacterial overgrowth?

Answer 27

Rifaximin

Question 28

the malabsorptive condition that arises secondary to removal of significant segments of the small intestine

Answer 28

Short bowel syndrome

Question 28

Remember: ____ deficiency frequently develops secondary to other GI disorders

Answer 28

Lactase

Question 29

How is lactase deficiency diagnosed? What test?

Answer 29

Hydrogen breath test

Question 29

Easy to remember treatment for lactase deficiency is:

Answer 29

Lactaid - aids with lactase deficiency.

Question 30

What supplements help with being unable to eat dairy? (lactase deficiency)

Answer 30

Calcium and Vit D

Question 30

Like the stomach, what type of benign polyps are most common in the Small Intestine? What’s the deal with them?

Answer 30

Adenomatous polyps are most common
Mainly asymptomatic
High risk for development of invasive cancer

Question 31

Difficult to distinguish benign from malignant stromal tumors (leiomyosarcomas) except by ____

Answer 31

excision

Question 31

Hard to tell if SI polyps are benign or not, so they must be ___

Answer 31

Excised, just in case