A lot of Fuss

A lot of Fuss

1. Complain

   • Abdominal Pain
     • Bloating
       • Flatulence
       • Causes
         • Lactose intolerance
           • Dypepsia
             • Celiac disease
               • IBS
                 • H. plyori
                   • Hiatal Hernia
                     • Cystic fibrosis
                       • Appendicitis
   • Fatigue
     • Iron deficiency anemia
       • cause
         • Increase loss
         • dietary deficiency
       • Labs:
         • decrease: MCV-MCH-MCHC
         • Decrease iron & iron saturation
         • Increase TIBC & RDW

2. Steatorrhoea

   • Casues
     • Chronic pancreatitis
       • Celiac disease
         • Bile obstruction
           • Crohn's disease

3. Irritable bowel syndrome

   • Signs and symptoms:
     • Abdominal pain
       • Cramping
         • excess gas
           • Diarrhea or constipation
             • Mucus in stool
   • causes:
     • unknown
   • Pathophysiology
     • not clear

4. Anatomy of small intestine

5. Histology of Small Intestine

6. Fat Digestion

   • Bile acid secretion
     • Emulsification of lipid aggregates

7. Celiac Disease

   • Lab tests:
     • Serology
       • antibody testing
         • Hematologic tests
           • Stool examination
     • Imaging
       • Barium swollowig
   • Pathogenesis
   • Signs and Symotoms
   • Inheritance pattern
     • specific HLA
       • HLA-DQ2.5
         • HLA-DQ8
           • HLA-DQ2.2
   • Complication
     • Lactose Intolerance
       • osteoporosis.
         • Iron deficiency anemia.
           • Lymphoma
   • Life style changes
     • Gluten Free Diet

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