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12 Cards in this Set
- Front
- Back
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What are some of the deficiencies that can present when a pt has Celiac disease?
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Iron deficiency anemia
Folate deficiency (also seen with the IBD drug sulfasalazine), Vit. B12, Calorie deficient OR excess (=IF pt following gluten free diet), Vitamin's like ADEK (ie fat-soluble vitamins), Vit C. deficiency |
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What are some associated symptoms we see with celiac disease?
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Iron deficiency anemia
Lactose Intolerace Osteopenia or Osteoporosis Diarrhea, Constipation Growth Failure |
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Whats the over-arching treatment for pts with celiac disease?
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gluten-free diet
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Symtoms of celiac sprue ie celiac disease?
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Pt will present with diarrhea, steatorrhea, impaired absorption of macronutrients. Weight loss, rashes after eating, blunting of the villi, ELISA = Inc. anti-tissue transglutaminase, Inc. IgA, below weight average in age group
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What's the rash on pts skin from celiac disease?
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Dermatitis herpetiformis
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Whats the toxic protein found in gluten that has a toxic effect in pts with celiac disease?
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Gliaden
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What CAN pts with celiac disease eat?
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rice, corn
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What CAN'T pts with celiac disease eat?
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Wheat, Oat, Barley, Rye
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Do symptoms go away after being on gluten free diet for a while?
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NO
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Common problems in pts with celiac disease are?
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Osteoporosis/Osteopenia (b/c gluten diet often lacks enough calcium/vit D)
Iron def. Anemia Lactose Intolerance |
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What pts are at higher risk for celiac disease?
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Those with auto-immune disorders as well as Down's and Turner's syndromes
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Recommendations to pts with celiac disease?
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Gluten-free diet
Additional lab tests to monitor vitamin and mineral deficiencies Celiac support group Lactose-free diet |
