Celiac Disease

Descrição

Mapa Mental sobre Celiac Disease, criado por yousaf alabrash em 11-02-2018.
yousaf alabrash
Mapa Mental por yousaf alabrash, atualizado more than 1 year ago
yousaf alabrash
Criado por yousaf alabrash quase 7 anos atrás
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Resumo de Recurso

Celiac Disease
  1. malabsorption due to destruction of the villi
    1. histology: normal villi of the small intestine
      1. histology: villous destruction in celiac disease
        1. normal physiology
          1. digestion: breaking down food into basic components
            1. carbs
              1. monosaccarides
                1. polysaccarides
                  1. Disaccarides
                2. proteins
                  1. amino acids
                    1. peptides
                    2. lipids
                      1. fatty acids
                        1. phospholipids
                          1. cholesterol
                      2. absorption: moving the nutrients into the blood
                        1. Glucose in lumen
                          1. SGLT on apical membrane
                            1. Glucose intracellular
                              1. GLUT-2 on basolateral membrane
                                1. Glucose in blood
                          2. fats
                            1. diffuse readily!!
                              1. then recycled
                                1. fatty acids
                                  1. triglycerides
                            2. amino acids
                              1. Na - amino acids cotransporter
                      3. pathophysiology
                        1. YOU MUST HAVE TWO THINGS
                          1. ingestion of gluten
                            1. Gluten breaks down into Gliadin
                              1. Gliaden is absorbed and deaminated by transglutaminase
                                1. APC will present it to T-helper cells
                                  1. T cell releases IFN-Y and IL-21
                                    1. IL-21
                                      1. cause IL-17 release
                                        1. and activate B cells
                                          1. secrete autoantibodies
                                            1. transglutaminase
                                              1. endomysium
                                                1. Gliaden
                                        2. epithelial cells express MICA
                                          1. IEL expressing NKGD2 binds to MICA
                                            1. destruction of the epithelial cells
                                              1. ALSO
                                                1. epithelial cells releases IL-15
                                                  1. Inhibits Treg
                                                    1. development of T cell Lympthoma
                                        3. HLA-DQ2 OR HLA-DQ8
                                      2. normal anatomy of small intestine
                                        1. destruction of the villi
                                          1. treatment of celiac disease
                                            1. Gluten-Free diet!!!
                                              1. treatment of Diarrhea
                                                1. Antidiarrheal drugs
                                                  1. Opoids
                                                    1. codeine
                                                      1. Diphenoxylate
                                                        1. Loperamide
                                                    2. anticholinergic
                                                      1. Atropine
                                                        1. Scopolamine
                                                          1. Propantheline
                                                      2. Adsorbents
                                                        1. Kaolin
                                                          1. Pectin
                                                            1. Dietary Fiber
                                              2. signs and symptoms
                                                1. bloating
                                                  1. Diarrhea
                                                    1. weight loss
                                                      1. failure to thrive
                                                        1. malabsorbtion

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