Author Question: Mrs. Talbot presents with some nondescript symptoms of celiac disease. List the nongastrointestinal ... (Read 60 times)

javeds · **on:** Aug 21, 2018

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?

Question 2

Determine Mr. Hayato's fluid requirements.

What will be an ideal response?

Tonyam972 · **Reply #1 on:** Aug 21, 2018

Answer to Question 1

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

Answer to Question 2

Using the method of 1 mL/kcal, fluid requirements would be 1600-1700 mL. If the 35 mL/kg nomogram is used, about 1950 mL/day is suggested.