GI block i-Human cases
Clues about the patient's stool for Ms. Schilling - answers If floating high fat content, if watery the colon is not able to absorb water, urgency also indicates more water in stool
Role of the gallbladder for Ms. Schilling - answers Patient had gallstone...
Clues about the patient's stool for Ms. Schilling - answers If floating high fat content, if
watery the colon is not able to absorb water, urgency also indicates more water in stool
Role of the gallbladder for Ms. Schilling - answers Patient had gallstones, gallbladder is
responsible for making bile so could be recurrence of gallstones. Gallstones can be
stuck in gallbladder and often in the sphincter of Oddi area. This could be the reason for
her pain.
Differential diagnoses for Ms. Schilling - answers Gluten sensitivity, gallstones, irritable
bowel syndrome, pancreatitis maybe (but usually related to alcohol use), substance
abuse--possibly laxative abuse in this case, ulcerative colitis, anxiety/stress, cancer,
giardiasis (from contaminated water)
Significant findings for Ms. Schilling - answers Low albumin (protein) levels
(malabsorption), gall stones were present but no signs of inflammation, macrocytic
anemia due to low vitamin B12 (malabsorption), positive for glandin IgA and glandin IgG
antibodies (Celiac), positive endomysial Ab screen (Celiac)
Findings which support Ms. Schilling's diagnosis - answers Diarrhea (with fecal fat)
associated with abdominal pain worsened with wheat products, weight loss due to
malabsorption, positive antibodies for gliadin and endomysium, to confirm diagnosis
obtain biopsy of small intestine via endoscopy (will show flat mucosal villi surface with
plasmacytic infiltration of subepithelial region), coagulopathy (deficiencies)
5 complications specific to Celiac disease for Ms. Schilling - answers 1. Malnutrition: if
left untreated, happens in spite of adequate diet, deficiency in vitamins/minerals, vitamin
D, folate, iron, anemia, weight loss 2. Loss of calcium and bone density: loss of fat in
stool causing calcium and vitamin D loss, may result in osteomalacia, osteoporosis 3.
Lactose intolerance: damage to small intestine from gluten can cause sensitivities to
other foods like dairy, may or may not resolve with gluten-free diet 4. Cancer: if gluten-
free diet not maintained greater chance of cancers including intestinal lymphoma and
bowel cancers 5. Neurological complications: Celiac disease associated with nervous
system disorders including seizures and peripheral neuropathy
Normal non-inflammatory response to foods Ms. Schilling case - answers M-cells
sample protein digests and present antigens to immune system so that we do not react
to these antigens in order to promote tolerance.
The benefits of buying summaries with Stuvia:
Guaranteed quality through customer reviews
Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.
Quick and easy check-out
You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.
Focus on what matters
Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!
Frequently asked questions
What do I get when I buy this document?
You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.
Satisfaction guarantee: how does it work?
Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.
Who am I buying these notes from?
Stuvia is a marketplace, so you are not buying this document from us, but from seller docguru. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $9.99. You're not tied to anything after your purchase.
