miscellaneous intestinal diseases

Question 1

what is protein-losing enteropathy

Answer 1

intestinal conditions that lead to protein loss

Question 2

what does protein-losing enteropathy manifest with

Answer 2

hypoalbuminaemia

Question 3

what cases are included in protein-losing enteropathy

Answer 3

• crohns
• tumours
• Menteriers disease
• coeliac disease
• condition with giant rural folds
• lymphatic disorders

Question 4

what dominates the clinical picture of protein-losing enteropathy

Answer 4

peripheral oedema

Question 5

what is the most common congenital abnormality of the GI tract

Answer 5

Meckel’s diverticulum

Question 6

what do half the patients have in Meckel’s diverticulum

Answer 6

• gastric mucosa that secretes hydrochloric acid

- peptic ulcers that bleed to perforate

Question 7

what is treatment of Meckel’s diverticulum

Answer 7

surgical remove - laparoscopically

Question 8

can tuberculosis affect the intestine

Answer 8

yes

Question 9

when can TB patients be immunocompromised

Answer 9

HIV

Question 10

what is intestinal TB due to

Answer 10

reactivation of primary disease caused by mycobacterium tuberculosis

Question 11

where does bovine TB occur

Answer 11

where milk is unpasteurised

rare in the west

Question 12

symptoms of intestinal TB

Answer 12

• abdominal pain
• weight loss
• anaemia
• fever with night sweats
• obstruction
• RIF pain
• palpable mass

Question 13

what is done to diagnose intestinal TB

Answer 13

• small bowel follow through
• ultrasound
• histology

Question 14

what does small bowel follow through show in TB

Answer 14

transverse ulceration and diffuse narrowing of the bowel

Question 15

what does ultrasound show in intestinal TB

Answer 15

additional mesenteric thickening and lymph node enlargement

Question 16

what are the histological findings of intestinal TB

Answer 16

chronic inflammation with caseating granuloma

Question 17

where does systemic sclerosis most commonly affect

Answer 17

oesophagus

Question 18

what does intestinal ischaemia result from

Answer 18

occlusion of arterial inflow

Question 19

how can arterial inflow occlusion be caused by

Answer 19

atheroma, thrombosis and embolism

Question 20

when does venous outflow occlusion usually occur

Answer 20

in sick patent with circulatory failure

Question 21

where does embolus occlude in a patient with AF

Answer 21

superior mesenteric artery

Question 22

what do patients with small intestinal ischaemia present with

Answer 22

• sudden abdominal pain
• vomiting
• distended and tender abdomen
• absent bowel sounds