Intestinal Inflammation Flashcards

1
Q

What is the most common symptom of acute intestinal inflammation?

A

Diarrhoea

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2
Q

Primary and other causes of gastroenteritis

A
  • Primary:
    > Viruses
    > Bacteria
    > Parasites
  • Other:
    > Stress
    > Intolerance
    > Drugs
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3
Q

Bacteria causing gastroenteritis

A
  • E.coli (Escherichia coli)
  • C.diff (Clostridium difficile)
  • Salmonella
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4
Q

How does E.coli enter the body?

A

Contaminated food

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5
Q

How does E.coli cause symptoms?

A
  • Adheres to epithelia
  • Toxin production
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6
Q

When do cases of C.diff occur?

A

After taking antibiotics

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7
Q

How does salmonella enter the body?

A

Undercooked food

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8
Q

How long is the bacterial incubation period?

A

Hours - days

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9
Q

What type of infection is bloody diarrhoea commonly associated with?

A

Bacterial

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10
Q

What do enterotoxins produced by bacteria do?

A
  • Increase intracellular cGMP –> inhibition of intestinal fluid uptake
  • Increase intracellular cAMP –> hypersecretion of water + electrolytes
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11
Q

What type of virus is rotavirus?

A

RNA virus

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12
Q

How does rotavirus cause symptoms?

A
  • Mucosal damage
  • Malabsorption
  • Enterotoxin secretion
  • Reduces glucose co-transport of electrolytes
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13
Q

What type of virus is noravirus?

A

RNA virus

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14
Q

How does noravirus cause symptoms?

A
  • Villus blunting
  • Malabsorption
  • Replication in enterocyte
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15
Q

How long is the viral incubation period?

A

1 day

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16
Q

What type of microorganism is giardia?

17
Q

What group of people is giardia commonly associated with?

A

International travellers

18
Q

How does giardia enter the body?

A

Faecal oral route (hygiene + sanitation)

19
Q

What does giardia do?

A

Increases GIT motility

20
Q

What does giardia do?

A

Increases GIT motility

21
Q

Parasitic incubation period length

22
Q

Key symptoms indicating infection

A
  • Fever
  • Blood in stool (bacteria)
  • Nausea/diarrhoea/vomiting
  • Abdominal pain
23
Q

What is coeliac disease?

A

Response to gluten with an inappropriate immune response causing small intestine inflammation + damage

24
Q

Treatment of coeliac disease

A

Exclude gluten from the diet

25
What should coeliac patients also be screened for and why?
- Type 1 diabetes + thyroid function problems - Are also autoimmune diseases
26
What is inflammatory bowel disease a combination of?
- Ulcerative colitis - Crohn's disease
27
What does inflammatory bowel disease cause?
- Global changes in composition of intestinal microbiome - Reduced bacterial richness
28
Where do ulcerative colitis and Crohn's affect?
- UC = rectum, then extend to involve whole colon - C = end of small intestine/beginning of colon, may affect any GIT in patchy pattern
29
What layers of the bowel wall do ulcerative colitis and Crohn's affect?
- UC = inner layer - C = all layers
30
Symptoms of Crohn's
- Transmural inflammation - Skip lesions - Mucosal ulceration
31
Treatment of Crohn's
- Diet considerations - Antibiotics? - Immunosuppressive agents + anti-inflammatory therapies - Segmental resections?
32
Symptoms of ulcerative colitis
- Continuous inflammation - Mucosal inflammation
33
Treatment of ulcerative colitis
- Anti-inflammatory therapies (during flares) - Steroids (during remission) - Colectomy (stoma/pouch)
34
IBS includes abnormalities involving...
- Motility - Visceral sensation - Brain-gut interaction - Psychosocial distress
35
Common symptoms of IBS
- Bloating - Pain - Diarrhoea - Constipation - Abnormal stool frequency
36
What are FODMAPs?
- Fermentable oligosaccharides, disaccharides, monosaccharides and polyols - Short-chain, poorly absorbed, highly fermentable carbohydrates (eg. wheat, onion, fruit, etc.)
37
What do FODMAPs do for IBS patients?
Increase GI symptoms