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Alimentory System > Nutrition in health > Flashcards

Nutrition in health Flashcards

1
Q

what is absobed in the duodenum

A

iron, fat and monoscaccraides

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2
Q

what is absorbed in the jejunum

A

vit c and b6

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3
Q

what is absorbed in the ileum

A

bile acid
b12

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4
Q

what is abtoeb in bother jejunuma nd duodneum

A

disaccharidies, pepties, calciuman dphospur, vit a , d and e , niacine and biothine and thiamine

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5
Q

what is absobred acrosss the entirity of the small bowel

A

mg

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6
Q

shold you ffed paitens at very start of illness

A

no, it can athcly have adverse effects on overall outcome

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7
Q

causes of malnutrition in gi diseases

A

oesophagl sticures, gi patholgoy, obstuion of gi tract, small bowel disease, pancreic pathology, liverdisase , lots of other pahtolges

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8
Q

what tyype of diseae is cealic

A

autominne contidion , that damges samll boles

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9
Q

what genes can be assoicaged with coleic dissease

A

ha, dq2 and dq8

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10
Q

what type of food is responible for damage in coelicac disease

A

gliadin containing foood (gluten breakdown product)

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11
Q

signs of ceolic diseas

A

diareha
streathoea
wight loos
failure to threive
abdoiaml pain
vommiting ename hypopais

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12
Q

whihc directio does calc diseae symptone mvoe

A

duodena dn progress down

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13
Q

signs of ceolic disae

A

aneima - form iorn, b12 or folate deficiency
dermatis hepatiformis - itchy rash

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14
Q

what antiboids are presnet in coelica disease

A

Anti-tissue transglutaminase antibodies (anti-TTG)
Anti-endomysial antibodies (anti-EMA)
Anti-deamidated gliadin peptide antibodies (anti-DGP)

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15
Q

which part of the intesitns is infect

A

mostly vili of the jejunum, cuaing atropy

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16
Q

complication of coleic diseae

A

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

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17
Q

waht infectson look like coleia disae

A

giardia
tropica spure
hiv
wipplse bacteria

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18
Q

what are rare sympotosn of colic

A

epilspys

celerbal apreixa
pheriha neroupy

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19
Q

what are the nutional effects of chrones

A

malabsoption in samll bowel partilly

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20
Q

what type of cell is used in colaic disaes to cuaese damge

A

th1 tcytokiesn from t cd4+ t cells which damge tissue

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21
Q

what are you looking for in biopsy for coleiac disease

A

Crypt hyperplasia
Villous atrophy

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22
Q

When is a biopsy required for celiac disease

A

when ttg is nor mroe than 4 times norall rate but coalic still suspected

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23
Q

different between primary and seconry refaractoy coleica disea

A

primary - symptons do not impove with gluten free diet
secondary - symptoms initially improve but then they relapse

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24
Q

what are the diffecne betwen seconary type 1 and 2

A

type 1 normal intraepithelial lymphocyte phenotype
type 2 abnormal [clonal] intraepithelial lymphocyte phenotype

25
Q

what are the nutaio effects of uc

A

priamry infaltion, loss of appeitin, catoblic metabolism

26
Q

treatment of chones

A

off entuion support along noraml chonters treatments

27
Q

what enxyme are normally insufficent in pancreatic insuftly

A

protease
lipase
amylase

28
Q

causes of pancraic insufficenaty

A

congential , surgyer, cf, chonic anctis

29
Q

diagons of pancratiaic insufficnty

A

feacal elase
cross section imaging

30
Q

what is short gut syndroe

A

when samm bowel les than 2 m

31
Q

what is the main worry in short gut syndore

A

magneisu defncyt

32
Q

what is the main isseus after bariac sury

A

iorn deficney

33
Q

why is nution required in liver diaes

A

as thye ofne don’t eat and have glucose issues, often with ahlon they only drink

34
Q

what cancers are catoblic state cancers

A

all cancers

35
Q

what is the type of cancers which can case large nution needs and are not acesibel to the gut

A

ospahgail, linitis plasic, lung, head and neck, pances, lymphoa

36
Q

what are seconary non aces gut acnare

A

metatis nodal dias,e sbo in ovaria cancer,

37
Q

enteral nution

A

by moth

38
Q

parental ntuion

A

by iv

39
Q

what are some fucntiila/ motily disorders that cause malfution

A

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

40
Q

peatic/ congetial disords atha cna cuase malution

A

autoimmune nteropay
toxic megal
small bowl malration
cleft palate - labiopalotoschisis

41
Q

rate dsioers that can cause malntuion

A

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

42
Q

hospital socre for ntuaiton

A

must score

43
Q

what is the compontes of msut score

A

bmi
change in weihg in past 6 moth
illness of paitient

44
Q

what is refeeding syndome

A

when a paitn has been a long time with out food you must slowily introduce them to it

45
Q

what to staert with in refeedin syndome treatment

A

slowly introdu electoesl , then start to indoe foods first sucha s sal, nution adn carbohydrates

46
Q

types of artial nution tubes

A

gastrostoemies
ng tube
gastopexy
jejuospyg

47
Q

how is a gastosotemes inserted

A

using peg - pergucion endopic gastoy - endospce is usedn and whl eis pked though form bowl ot ouseid abdomen

48
Q

gastroplexy

A

suricl atahe stomahc to abdomal wall or diapgh, to make aperiamet prot inseriotn for ntution

49
Q

what is a gastrojejuosmy

A

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

50
Q

types of intesial failrue

A

type 1 - acute and short lasting
type 2 - acute but reques ntuional support for weeks afer
type 3 - choinc require long ternm tuoinal support

51
Q

causes of acute intail faitl

A

fistual
obsution
small bowl dusion sform chemo har, infaiotn

52
Q

cuase of choinc intial faiure

A

jejunosotym,
enteritis form irradiaion or choens
dysmoitily

53
Q

what type of liens cna be offed in type 3 inteal fiareu

A

picc
hickma
port

54
Q

complnase wiht lines

A

thobois, speis, line rupated

55
Q

nutriaon problem

A

delacitic acids
fatty liver dises
bone disease

56
Q

treamtes for short bolew idsase

A

multivicearl transpaltn
glp 2 antagiosn

57
Q

what do gl2 angios do

A

increse thickents of exitns sohrt bowl helping to reuce loss

58
Q
A
59
Q

glp 2 exable

A

teduglutide

Alimentory System (31 decks)

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