GI block i-Human cases verified 100%
ku ku ku ku ku
Clueskuaboutkuthekupatient'skustoolkuforkuMs.kuSchillingku-kucorrectkuanswers-
Ifkufloatingkuhighkufatkucontent,kuifkuwaterykuthekucolonkuiskunotkuablekutokuabsorbkuwater,kuurgencykualsokuindicate
skumorekuwaterkuinkustool
RolekuofkuthekugallbladderkuforkuMs.kuSchillingku-kucorrectkuanswers-
Patientkuhadkugallstones,kugallbladderkuiskuresponsiblekuforkumakingkubilekusokucouldkubekurecurrencekuofkugallsto
nes.kuGallstoneskucankubekustuckkuinkugallbladderkuandkuoftenkuinkuthekusphincterkuofkuOddikuarea.kuThiskucouldkube
kuthekureasonkuforkuherkupain.
DifferentialkudiagnoseskuforkuMs.kuSchillingku-kucorrectkuanswers-
Glutenkusensitivity,kugallstones,kuirritablekubowelkusyndrome,kupancreatitiskumaybeku(butkuusuallykurelatedkutoku
alcoholkuuse),kusubstancekuabuse--
possiblykulaxativekuabusekuinkuthiskucase,kuulcerativekucolitis,kuanxiety/stress,kucancer,kugiardiasisku(fromkuconta
minatedkuwater)
SignificantkufindingskuforkuMs.kuSchillingku-kucorrectkuanswers-
Lowkualbuminku(protein)kulevelsku(malabsorption),kugallkustoneskuwerekupresentkubutkunokusignskuofkuinflammati
on,kumacrocytickuanemiakuduekutokulowkuvitaminkuB12ku(malabsorption),kupositivekuforkuglandinkuIgAkuandkugland
inkuIgGkuantibodiesku(Celiac),kupositivekuendomysialkuAbkuscreenku(Celiac)
FindingskuwhichkusupportkuMs.kuSchilling'skudiagnosisku-kucorrectkuanswers-
Diarrheaku(withkufecalkufat)kuassociatedkuwithkuabdominalkupainkuworsenedkuwithkuwheatkuproducts,kuweightkulo
sskuduekutokumalabsorption,kupositivekuantibodieskuforkugliadinkuandkuendomysium,kutokuconfirmkudiagnosiskuobt
ainkubiopsykuofkusmallkuintestinekuviakuendoscopyku(willkushowkuflatkumucosalkuvillikusurfacekuwithkuplasmacytickui
nfiltrationkuofkusubepithelialkuregion),kucoagulopathyku(deficiencies)
5kucomplicationskuspecifickutokuCeliackudiseasekuforkuMs.kuSchillingku-kucorrectkuanswers-
1.kuMalnutrition:kuifkuleftkuuntreated,kuhappenskuinkuspitekuofkuadequatekudiet,kudeficiencykuinkuvitamins/mineral
s,kuvitaminkuD,kufolate,kuiron,kuanemia,kuweightkulossku2.kuLosskuofkucalciumkuandkubonekudensity:kulosskuofkufatkuinku
stoolkucausingkucalciumkuandkuvitaminkuDkuloss,kumaykuresultkuinkuosteomalacia,kuosteoporosisku3.kuLactosekuintol
erance:kudamagekutokusmallkuintestinekufromkuglutenkucankucausekusensitivitieskutokuotherkufoodskulikekudairy,kum
aykuorkumaykunotkuresolvekuwithkugluten-freekudietku4.kuCancer:kuifkugluten-
freekudietkunotkumaintainedkugreaterkuchancekuofkucancerskuincludingkuintestinalkulymphomakuandkubowelkucanc
ersku5.kuNeurologicalkucomplications:kuCeliackudiseasekuassociatedkuwithkunervouskusystemkudisorderskuincludin
gkuseizureskuandkuperipheralkuneuropathy
Normalkunon-inflammatorykuresponsekutokufoodskuMs.kuSchillingkucaseku-kucorrectkuanswers-M-
cellskusamplekuproteinkudigestskuandkupresentkuantigenskutokuimmunekusystemkusokuthatkuwekudokunotkureactkutokut
hesekuantigenskuinkuorderkutokupromotekutolerance.
CeliackudiseasekuimmunekuresponsekuMs.kuSchillingkucaseku-kucorrectkuanswers-
Notkuablekutokufullykubreakkudownkugluten,kulikelykuduekutokuhighkuprolinekucontent.kuIfkuperforationkuinkugutkubarri
ku ku ku ku ku
Clueskuaboutkuthekupatient'skustoolkuforkuMs.kuSchillingku-kucorrectkuanswers-
Ifkufloatingkuhighkufatkucontent,kuifkuwaterykuthekucolonkuiskunotkuablekutokuabsorbkuwater,kuurgencykualsokuindicate
skumorekuwaterkuinkustool
RolekuofkuthekugallbladderkuforkuMs.kuSchillingku-kucorrectkuanswers-
Patientkuhadkugallstones,kugallbladderkuiskuresponsiblekuforkumakingkubilekusokucouldkubekurecurrencekuofkugallsto
nes.kuGallstoneskucankubekustuckkuinkugallbladderkuandkuoftenkuinkuthekusphincterkuofkuOddikuarea.kuThiskucouldkube
kuthekureasonkuforkuherkupain.
DifferentialkudiagnoseskuforkuMs.kuSchillingku-kucorrectkuanswers-
Glutenkusensitivity,kugallstones,kuirritablekubowelkusyndrome,kupancreatitiskumaybeku(butkuusuallykurelatedkutoku
alcoholkuuse),kusubstancekuabuse--
possiblykulaxativekuabusekuinkuthiskucase,kuulcerativekucolitis,kuanxiety/stress,kucancer,kugiardiasisku(fromkuconta
minatedkuwater)
SignificantkufindingskuforkuMs.kuSchillingku-kucorrectkuanswers-
Lowkualbuminku(protein)kulevelsku(malabsorption),kugallkustoneskuwerekupresentkubutkunokusignskuofkuinflammati
on,kumacrocytickuanemiakuduekutokulowkuvitaminkuB12ku(malabsorption),kupositivekuforkuglandinkuIgAkuandkugland
inkuIgGkuantibodiesku(Celiac),kupositivekuendomysialkuAbkuscreenku(Celiac)
FindingskuwhichkusupportkuMs.kuSchilling'skudiagnosisku-kucorrectkuanswers-
Diarrheaku(withkufecalkufat)kuassociatedkuwithkuabdominalkupainkuworsenedkuwithkuwheatkuproducts,kuweightkulo
sskuduekutokumalabsorption,kupositivekuantibodieskuforkugliadinkuandkuendomysium,kutokuconfirmkudiagnosiskuobt
ainkubiopsykuofkusmallkuintestinekuviakuendoscopyku(willkushowkuflatkumucosalkuvillikusurfacekuwithkuplasmacytickui
nfiltrationkuofkusubepithelialkuregion),kucoagulopathyku(deficiencies)
5kucomplicationskuspecifickutokuCeliackudiseasekuforkuMs.kuSchillingku-kucorrectkuanswers-
1.kuMalnutrition:kuifkuleftkuuntreated,kuhappenskuinkuspitekuofkuadequatekudiet,kudeficiencykuinkuvitamins/mineral
s,kuvitaminkuD,kufolate,kuiron,kuanemia,kuweightkulossku2.kuLosskuofkucalciumkuandkubonekudensity:kulosskuofkufatkuinku
stoolkucausingkucalciumkuandkuvitaminkuDkuloss,kumaykuresultkuinkuosteomalacia,kuosteoporosisku3.kuLactosekuintol
erance:kudamagekutokusmallkuintestinekufromkuglutenkucankucausekusensitivitieskutokuotherkufoodskulikekudairy,kum
aykuorkumaykunotkuresolvekuwithkugluten-freekudietku4.kuCancer:kuifkugluten-
freekudietkunotkumaintainedkugreaterkuchancekuofkucancerskuincludingkuintestinalkulymphomakuandkubowelkucanc
ersku5.kuNeurologicalkucomplications:kuCeliackudiseasekuassociatedkuwithkunervouskusystemkudisorderskuincludin
gkuseizureskuandkuperipheralkuneuropathy
Normalkunon-inflammatorykuresponsekutokufoodskuMs.kuSchillingkucaseku-kucorrectkuanswers-M-
cellskusamplekuproteinkudigestskuandkupresentkuantigenskutokuimmunekusystemkusokuthatkuwekudokunotkureactkutokut
hesekuantigenskuinkuorderkutokupromotekutolerance.
CeliackudiseasekuimmunekuresponsekuMs.kuSchillingkucaseku-kucorrectkuanswers-
Notkuablekutokufullykubreakkudownkugluten,kulikelykuduekutokuhighkuprolinekucontent.kuIfkuperforationkuinkugutkubarri
