A lot of Fuss

A lot of Fuss

1. Mohammed 40 years old complaint of tiredness, stomach cramps, bloating and flatulence. Celiac disease was confirmed and he started gluten free diet.

2. Anatomy of small intensities

   • embryology

3. Celiac Disease

   • Pathogenesis & Immunology
   • Risk Factors
     • Ethnicity
     • Age & Gender
     • Autoimmune Disorder
     • Genetic Disorder
     • Family History
     • Sjorgen's Syndrome
   • Causes
     • HLA-DQ2 & DQ8
       • Increases risk of disease, bot no every person who has this gene will necessarily develop it.
         • First-degree relatives have a 40% chance, o they have to do genetic testing>
     • Intolerance to gluten
   • Signs & Symptoms
     • Adults
       • Constipation
       • weight Loss
       • Bloating & gas
       • Damage to dental enamel
       • Abdominal pain
       • Nausea
       • Diarrhea
       • Vomiting
       • Fatigue
       • Anemia
     • Children
       • Poor appetite
       • Constipation
       • Failure to thrive
       • Vomoting
       • Vomiting
       • Muscle wasting
       • Irritablility
   • Complications
     • Lactose Intolerance
     • Cancer
     • Infertility
     • Malnutrition
     • Bone loss
       • Osteoporosis
         • Bone density test
     • Psychological
       • Depression
       • Anxiety
   • Investigations
     • Endoscopy & biopsy
     • Electrolytes
     • Serology
     • IgA TTG
     • CT enteroclysis
     • Stool exam
     • Hematologic tests
     • Oral tolerance test
     • Physical examination
       • Ecchymoses
       • Ascites
       • Cheilosis & glossitis
       • Chvostek sign
       • Weight loss
       • Dermatitis herpetiformis
       • Orthostatic hypotension
       • Evidence of peripheral newropathy
       • Protuberant & tympanic abdomen
   • Gas & bloating
     • Source of Gas
       • Bacterial production
       • Air swallowing
     • Causes on increased gas
       • Lactose intolerance
       • swallowed air
       • foods that cause gas
       • Diseases associated with increased gas
   • Management
     • Gluten-free diet
     • Psychological factors the promote lifestyle modification
       • Family support
       • talk to a friend
       • medical advice
       • reduce the stress
       • make a plan