FSHN 450-2 Lower gi Word Scramble
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Question | Answer |
Two types of IBD | Crohn’s and ulcerative colitis |
IBD | irritable bowel disease |
Crohn’s disease aka | regional ileitis |
Crohn’s is inflammation of | the small intestine |
Crohn’s can also involve | uterus or right side of colon |
Stenosis | narrowing of lumen |
Fistula | tunnel from abnormal adherence of mucosal surface to another epithelial tissue |
Crohn’s malabsorption | blockage results in overgrowth of bacteria , deamination of bile acids and protein -> malabsorption |
Steatorrhea | fatty diarrhea |
Tenesmus | sudden need to use the bathroom |
___ affects ___% of people w/ Crohn’s | malnutrition, 25-85% |
oxalate kidney stones and why w/ Crohn’s | undigested FAs bind to Ca so Ca unavailable and can’t bind oxalate |
methotrexate | immunosuppressant for IBD that inhibits folic acid metabolism and affects bone marrow |
antidiarrheal drug side effect | anti-coloneric= dry mouth, dry eye |
methotrexate side effects | megaloblastic anemia |
immunosuppressant side effects | antibodies against TNF-a, abdominal sx, increase risk of infection |
sulfasalazine side effects | (anti-inflammatory) allergic reactions, gastritis, better/new forms |
what’s lost w/ diarrhea? | magnesium, potassium, sodium |
B12 deficiency is often involved when | terminal ileum is involved |
How to get folic acid? | must receive via injection |
What foods are high in oxalate? | dark greens and whole wheat |
Omega 3s and IBD | inconclusive but may prolong remission w/ 3-5g/day |
Ileostomy MNT | fluid and sodium balance, B12 |
IBS medical treatment | loperimide/narcotics= slow transit time, somatostatin/GLP antisecretory |
IBS is a ___ not a ___ | functional disorder, disease |
IBS aka | spastic colon |
IBS symptoms | bloating, gas, cramping, pain, diarrhea, constipation, mucous in stool, tenesmus |
Diagnosis of exclusion | IBS, if barium enema, CT scans, endoscopic exam all negative |
Rome II criteria for Dx of IBS | relieved by defecation, onset associated w/ change in form of stool, onset associated w/ change in frequency of stool |
Fodmaps | fermentable oligo, di, mono saccharides and polyols |
Diverticulosis diet | adequate fiber and fluid intake |
Created by:
melaniebeale
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