Week 2 part 2 Flashcards
What is malabsorption of folic acid suggestive of?
Alcoholism
Coeliac disease
Any disease affecting the proximal small bowel
How is coeliac disease diagnosed?
tTGA - IgA anti-tissue transglutaminase test
Biopsy
How is lactose malabsorption diagnosed?
History
Lactose breath hydrogen test
oral lactose intolerance test
What is tropical sprue?
Colonisation of the intestine by an infectious agent or alterations in the intestinal bacterial flora induced by the exposure to another environmental agent
How is tropical sprue treated?
Tetracycline and folic acid
How is tropical sprue diagnosed?
Biopsy
What is Whipple’s Disease?
Multi systemic disease
Bacterial infection
Interferes with normal digestion by impairing the breakdown of foods
What is the treatment for Crohn’s disease?
Steroids
Immunosuppresants
Azathioprine 6-MP
Biological therapy (anti TNF)
Which condition increases the risk of developing fistulas?
Crohn’s disease
What antibiotics do you use to treat parasitic infections?
Metronidazole for 1 week
What can dermatitis herpetiformis indicate?
Sub epithelial IgA deposition
Sign of coeliac disease
Itchy blisters
What vitamin deficiencys have symptoms of easy bruising?
Vitamin C and vitamin K
What is acrodermatitis enteropathica a sign of?
Zinc deficiency
What is glossitis and angular stomatitis a sign of?
Iron deficiency
B vitamin deficiency
What is spooning of the nails a sign of?
Iron deficiency
Thyroid problems