Mrs. Talbot presents with some nondescript symptoms of celiac disease. List the nongastrointestinal as well as the gastrointestinal clinical manifestations of celiac disease
What will be an ideal response?
• Nongastrointestinal symptoms:
- Dermatitis herpetiformis
- Infertility or fetal loss
- Anemia
- Dementia
- Folate or iron deficiency
- Spinocerebellar syndrome
- Neuropathy
- Tetany
- Osteoporosis
- Arthralgia
- Developmentally synchronous dental enamel defects
- Fatigue
- Osteomalacia
- Seizures
- Depression
- Glycemic control more difficult
• Gastrointestinal symptoms:
- Steatorrhea
- Duodenal obstruction
- Osmotic diarrhea
- Elevated transaminase concentrations
- Secretory diarrhea
- Recurrent pancreatitis
- Weight loss
- Occult blood
- Constipation
- Enteropathy-associated T cell lymphoma
- Bloating
• Gas
- Abdominal pain
- Failure to thrive
- Vomiting
- Dyspepsia
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The efficacy of a low sugar, low artificial flavor diet on hyperkinesis is:
a. it works in two out of three patients b. it has not been scientifically proven effective c. it has never been tested d. it has been proven effective
A patient is taking fluorouracil (5-FU). Labs include albumin 2.8 g/dl, MCV 88 cubic microns, & sodium 150 mEq/L. Based on this which of the following statements are true?
a. patient albumin indicates moderate deficit, sodium levels are elevated & 5-FU can cause decreased appetite b. normal MCV, lowered levels of sodium, & 5-FU can decrease appetite c. severe albumin deficit, normal MCV & 5-FU should be used with consistent amounts of dietary sodium d. normal albumin, elevated sodium, & when taking 5-FU tyramine containing foods should be limited
Positive energy balance is:
What will be an ideal response?