Nutrition in health Flashcards
what is absobed in the duodenum
iron, fat and monoscaccraides
what is absorbed in the jejunum
vit c and b6
what is absorbed in the ileum
bile acid
b12
what is abtoeb in bother jejunuma nd duodneum
disaccharidies, pepties, calciuman dphospur, vit a , d and e , niacine and biothine and thiamine
what is absobred acrosss the entirity of the small bowel
mg
shold you ffed paitens at very start of illness
no, it can athcly have adverse effects on overall outcome
causes of malnutrition in gi diseases
oesophagl sticures, gi patholgoy, obstuion of gi tract, small bowel disease, pancreic pathology, liverdisase , lots of other pahtolges
what tyype of diseae is cealic
autominne contidion , that damges samll boles
what genes can be assoicaged with coleic dissease
ha, dq2 and dq8
what type of food is responible for damage in coelicac disease
gliadin containing foood (gluten breakdown product)
signs of ceolic diseas
diareha
streathoea
wight loos
failure to threive
abdoiaml pain
vommiting ename hypopais
whihc directio does calc diseae symptone mvoe
duodena dn progress down
signs of ceolic disae
aneima - form iorn, b12 or folate deficiency
dermatis hepatiformis - itchy rash
what antiboids are presnet in coelica disease
Anti-tissue transglutaminase antibodies (anti-TTG)
Anti-endomysial antibodies (anti-EMA)
Anti-deamidated gliadin peptide antibodies (anti-DGP)
which part of the intesitns is infect
mostly vili of the jejunum, cuaing atropy
complication of coleic diseae
refacoty coliac
ulcerative jejunitits
bone dise
cancres - colon, ospghau, lymphoa
Nutritional deficiencies
Anaemia
Hyposplenism (with immunodeficiency, particularly to encapsulated bacteria such as Streptococcus pneumoniae)
Enteropathy-associated T-cell lymphoma (EATL)
Non-Hodgkin lymphoma
Small bowel adenocarcinoma
waht infectson look like coleia disae
giardia
tropica spure
hiv
wipplse bacteria
what are rare sympotosn of colic
epilspys
celerbal apreixa
pheriha neroupy
what are the nutional effects of chrones
malabsoption in samll bowel partilly
what type of cell is used in colaic disaes to cuaese damge
th1 tcytokiesn from t cd4+ t cells which damge tissue
what are you looking for in biopsy for coleiac disease
Crypt hyperplasia
Villous atrophy
When is a biopsy required for celiac disease
when ttg is nor mroe than 4 times norall rate but coalic still suspected
different between primary and seconry refaractoy coleica disea
primary - symptons do not impove with gluten free diet
secondary - symptoms initially improve but then they relapse
what are the diffecne betwen seconary type 1 and 2
type 1 normal intraepithelial lymphocyte phenotype
type 2 abnormal [clonal] intraepithelial lymphocyte phenotype
what are the nutaio effects of uc
priamry infaltion, loss of appeitin, catoblic metabolism
treatment of chones
off entuion support along noraml chonters treatments
what enxyme are normally insufficent in pancreatic insuftly
protease
lipase
amylase
causes of pancraic insufficenaty
congential , surgyer, cf, chonic anctis
diagons of pancratiaic insufficnty
feacal elase
cross section imaging
what is short gut syndroe
when samm bowel les than 2 m
what is the main worry in short gut syndore
magneisu defncyt
what is the main isseus after bariac sury
iorn deficney
why is nution required in liver diaes
as thye ofne don’t eat and have glucose issues, often with ahlon they only drink
what cancers are catoblic state cancers
all cancers
what is the type of cancers which can case large nution needs and are not acesibel to the gut
ospahgail, linitis plasic, lung, head and neck, pances, lymphoa
what are seconary non aces gut acnare
metatis nodal dias,e sbo in ovaria cancer,
enteral nution
by moth
parental ntuion
by iv
what are some fucntiila/ motily disorders that cause malfution
achoalis - swalloing dificutly due to nereve probels
biateic gastopareis - vagus nerve dysfuion - cauig bloating vomint and weight loss
chornci psudo obstuion - blockage recurin ins toamch
chonc nausea nd vommint - vomiting that can last days with intermiten symptoms
avoidant / restitive food make disorder
peatic/ congetial disords atha cna cuase malution
autoimmune nteropay
toxic megal
small bowl malration
cleft palate - labiopalotoschisis
rate dsioers that can cause malntuion
sibo
esophil enteropy
vascualr obstion sucha as sma sd - roation of gut around sma
vasucits affecting gut shas as
- pan (inflatom of arteirs )
behcet
- eosiphgl ganrulatoi with polyaragnis
hospital socre for ntuaiton
must score
what is the compontes of msut score
bmi
change in weihg in past 6 moth
illness of paitient
what is refeeding syndome
when a paitn has been a long time with out food you must slowily introduce them to it
what to staert with in refeedin syndome treatment
slowly introdu electoesl , then start to indoe foods first sucha s sal, nution adn carbohydrates
types of artial nution tubes
gastrostoemies
ng tube
gastopexy
jejuospyg
how is a gastosotemes inserted
using peg - pergucion endopic gastoy - endospce is usedn and whl eis pked though form bowl ot ouseid abdomen
gastroplexy
suricl atahe stomahc to abdomal wall or diapgh, to make aperiamet prot inseriotn for ntution
what is a gastrojejuosmy
feeding deivie that delver foodn into jjunjum though a hoel in staomch, it cann also allow stoamch gast ot be emove form staomch thoug differnt port
types of intesial failrue
type 1 - acute and short lasting
type 2 - acute but reques ntuional support for weeks afer
type 3 - choinc require long ternm tuoinal support
causes of acute intail faitl
fistual
obsution
small bowl dusion sform chemo har, infaiotn
cuase of choinc intial faiure
jejunosotym,
enteritis form irradiaion or choens
dysmoitily
what type of liens cna be offed in type 3 inteal fiareu
picc
hickma
port
complnase wiht lines
thobois, speis, line rupated
nutriaon problem
delacitic acids
fatty liver dises
bone disease
treamtes for short bolew idsase
multivicearl transpaltn
glp 2 antagiosn
what do gl2 angios do
increse thickents of exitns sohrt bowl helping to reuce loss
glp 2 exable
teduglutide
