Small Group Intestinal Disease

Question 1

What additional tests are needed at the time of diagnosis with celiac disease?

Answer 1

serologies IgA TTG if not already done

iron, folic acid, vitamin D and B12

Question 2

Vitamin E can be a useful treatment in what kind of liver disease?

Answer 2

non-alcoholic steatohepatitis

Question 3

What is the most likely diagnosis in a 15yo women complaining of extreme fatigue, loss of appetites and generalized pruritus with a hepatocellular pattern of injury with synthetic dysfuction?

Answer 3

autoimmune hepatitis

tx with corticosteroids initially transitioning to steroid free immunosuppression with azathioprine

Question 4

Which type of diarrhea responds to fasting?

Answer 4

osmotic diarrhea (stool osmotic gap greater than 125mOsm)

290- 2(Na+K)

Question 5

What is the lab work up for someone who is suspected to have inflammatory bowel disease?

Answer 5

CBC, CRP, sedimentation rate, CT or MRI of abdomen, colonoscopy

Crohn’s can infect any part of the GI tract from the mouth to the anus, and usually does so with patchy lesions of transmural inflammation; accompanied by fistula, abscesses, granulomas