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2021 > Malabsorption > Flashcards

Malabsorption Flashcards

1
Q

S+S (11)

A
  • Steatorrhea
  • LOW
  • Weakness
  • Anaemia
  • Bone pain (osteomalacia)
  • Glossitis/angular stomatitis
  • Bruising
  • Oedema
  • Peripheral neuropathy
  • Skin rash
  • Amenorrhoea
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2
Q

Causes (7)

A
  • Gastrectomy/bowel surgery
  • Hx of liver/pancreatic disease
  • Drugs, ETOH, neomycin
  • Crohn’s disease
  • Previous RTx
  • Hx of diabetes
  • RFs for HIV
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3
Q

Sequalae (6)

A
  • Fe deficiency
  • Hypocalcaemia
  • Increased PT
  • Decreased cholesterol
  • Faecal fat
  • Decreased carotene
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4
Q

Ix (11)

A
  • Hb
  • Fe studies
  • B12
  • Folate
  • Albumin
  • Vitamin D
  • CMP
  • ALP
  • INR
  • AXR
  • Gastroscopy +/- biopsy
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5
Q

Macronutrients

A
  • Fat
  • Protein
  • CHO
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6
Q

Micronutrients

A
  • Vitamins
  • Minerals - Zn, Selenium, Fe, Copper, Iodine
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7
Q

Fat soluble

A
  • A
  • D
  • E
  • K
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8
Q

Water-soluble

A
  • Folate
  • Thiamine
  • Riboflavin
  • Niacin
  • Pyridoxine
  • B12
  • Ascorbic acid
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9
Q

Macro S+S (4)

A
  • Muscle wasting
  • Protein: oedema
  • Fat: body fat stores, pressure wounds
  • Amenorrhoea, cognition/mood, infections
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10
Q

Micro S+S

A
  • Nails - Fe
  • Hair/skin - Zn
  • Vision - Vitamin A
  • Bruising - Vitamin K
  • Poor wound healing
  • Neuro - Vitamin B
  • Bones - Ca/Vitamin D
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11
Q

Consequences of malnutrition (8)

A
  • Impaired muscle function
  • Decreased bone mass
  • Immune dysfunction
  • Anaemia
  • Decreased cognitive function
  • Poor wound healing
  • Delayed recovery from surgery
  • Increased mortality
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12
Q

Prevention - diet

A
  • their diet is low protein –> recommend PO HE/HP nutritional supplements to make sure they’re getting 30% or more of their daily energy requirement
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13
Q

Exercise regimens

A
  • 30-60 mins moderate intensity of exercise/day, 150-300 mins/week
  • Strength: calisthenics, stair climbing - 2 days/week
  • Flexibility - 2 mins/day - for major muscle groups
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14
Q

TPN

A
  • AAs - nitrogen balance, muscle maintenance
  • Dextrose - energy
  • FA emulsion: energy that spares you dextrose –> prevents NAFLD
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15
Q

Extra-intestinal manifestations of UC

A
  • Liver - Fatty liver, PSC, cirrhosis, carcinoma of bile duct, amyloidosis
  • Blood - VTE, anaemia
  • Enteropathy arthritis - large jts spared
  • Skin - ulcers, pyoderma, EN
  • Ocular - uveitis, conjunctivitis, episcleritis
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16
Q

Extra-intestinal manifestations of CD

A
  • PSC less common
  • Gallstones
  • Renal stones: urate, calcium oxalate
  • Pyelonephritis, hydronephrosis (ureteric obstruction), amyloidosis
  • Malabsorption - d/t small bowel involvement
  • Osteomalacia

2021 (34 decks)

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