Small GRoup Lower GI

Question 1

TTG serology tests for?

Answer 1

Celiacs

• non bloody diarrhea
• abdominal bloating w/ discomfort

Question 2

Intraepithelial inflammation and lost of villus and expansion of lamina propria:
?

Answer 2

Celiacs disease (autoimmune etiology)

Question 3

Celiac disease
Wheat allergy
Gluten sensitivity

• etiology

Answer 3

Celiac = autoimmune

wheat = allergic inflamm sys dysfxn

Gluten sens = non autoimmune non allergic

Question 4

Why do you have to run a quantitative IgA test when testing for TTG for celiacs?

Answer 4

Rule out IgA deficiency (present in 2-3% of pts with celiacs - challenge)

• if pt is not IgA deficient, other test results should be valid
  IgA against TTG or DGP

Question 5

loss of haustral folds + lead pipe colon, shortened colon

Answer 5

Chronic UC (IBD)

Question 6

Continuous ulceration of mucosal surface extending from distal ascending colon to rectum

• pseudopolyps may be present

Answer 6

Ulcerative colitis

IBD

Question 7

Skip lesions
deep involvement
reactive changes
- wall fibrosis
- serositis
- fat wrapping

Answer 7

Crohns

• granuloma formation in 35%

Question 8

Continuous ulceration

colonic involvement beginning in rectum

Answer 8

UC

- L sided involvement

Question 9

Crypt absesses are seen in?

Answer 9

Crohns and UC

Question 10

Malignant potential is seen in crohns or UC?

Answer 10

Both

Question 11

tx for ischemic colitis

Answer 11

supportive care

• IV fluids
• bowel rest
• AB

surgical
- segmental resection