Small Intestine Miscellaneous Flashcards
Common symptoms of SI disorder?
Diarrhoea
Steatorrhea
Abdo pain/discomfort
Nutritional deficits (iron, vit B, follate)
Malabsorption of other vitamins/mineral (vit K/calciuim/vit D
Oedema
Physical signs
Visible peristalsis & high pitched bowel sounds
Gross weight loss
What would bruising indicate?
Vitamin K deficiency
What would tetany indicate?
Calcium deficiency
What would osteomalacia indicate?
Vitamin D deficiency
Other conditions indicating a mineral/vitamin deficiency?
Stomatitis
Sore tongue
Apthous ulceration
Why does oedema occur?
Hypoproteinaemia (low intake/ loss of albumin)
Progression of investigations for underlying reasons of malabsorption?
Barium follow through C reaction Protein Erythrocyte sedimentation rate Mean cell volume MRI
What to include in Blood tests for SI?
FBC & film
Inflammatory markers (ESR/CRP)
Serum calcium & ALP
Liver biochem/serum albumin/Prothrombin time
Immunological tests (serum ABs, endomysium/tissue transglutaminase)
Human leukocyte antigen testing (HLA)
What tests are useful for testing for coeliac disease?
Immunological tests HLA test (Human leukocyte antigen)
What is MRI enteroclysis?
Oral loading with water or a hypotonic solution to distend the small bowel lumen
What detects gross anatomical defects like diverticula, strictures and Crohn’s?
Small barium follow through
Which diseases of the small bowel cause malabsorption?
Coeliac Dermatitis herpetiformis Tropical Sprue Bacteria overgrowth Intestinal overgrowth Whipple's disease Radiation enteropathy Parasite infection
What is malnutrition?
When there is a deficiency, XS or imbalance in an aspect of nutrition with measurable adverse effects on the body and the clinical outcome
What scoring system can be used to assess malnutrition?
MUST
