c) oral glucose tolerance test;
d) fluorescein dilaurate test;
e) xylose absorption test.- Qiuyu, a 32-year-old from China, entered England to study as a
mature research student. Wishing to ‘integrate’ fully in her new
environment she adopted many of the dietary habits typical of the
country. After six healthy months, she unfortunately suffered a bout
of viral gastroenteritis that required hospitalization. Qiuyu, fortu-
nately made a complete recovery and was able to continue her new
lifestyle. However, she again became ill again, but with severe indiges-
tion, abdominal cramps, intestinal bloating and periods of diarrhea.
Symptoms were most pronounced about one hour after breakfast.
a) Suggest the most probable cause of Qiuyu’s symptoms.
b) What test(s) could be used to help your initial diagnosis? Include
any precautions that may be necessary in your clinical
investigations?
c) Assuming your initial diagnosis is correct, what treatment do you
recommend for Qiuyu?- List some possible causes of jaundice.
5 List four causes of malabsorption.
Further Reading
Bhatia, M, Wong, FL, Cao, Y, Lau, HY, Huang, J, Puneet, P and Chevali, L (2005)
Pathophysiology of acute pancreatitis. Pancreatology5: 132–144.
DiMagno, MJ and DiMagno, EP (2003) Chronic pancreatitis. Curr. Opin.
Gastroenterol.19: 451–457.
Gibril, F and Jensen, RT (2004) Zollinger-Ellison syndrome revisited: diagno-
sis, biologic markers, associated inherited disorders, and acid hypersecretion.
Curr. Gastroenterol. Reports6: 454–463.
Higuchi, H and Gores, GJ (2003) Mechanisms of liver injury: an overview. Curr.
Molec. Med.3: 483–490.
Iredale, JP (2003) Cirrhosis: new research provides a basis for rational and tar-
geted treatments. BMJ327: 143–147.
Johnson, LR (2001) Gastrointestinal Physiology, 6th edn, Mosby, St Louis,
USA.
Kagnoff, MF (2005) Overview and pathogenesis of celiac disease.
Gastroenterology128: S10–S18.
Karsan, HA, Rojter, SE and Saab, S (2004) Primary prevention of cirrhosis.
Public health strategies that make a difference. J. Postgrad. Med.115: 25–30.
Kashiwagi, H (2005) Ulcers and gastritis. Endoscopy37: 110–115.
Kastin, DA and Buchman, AL (2002) Malnutrition and gastrointestinal dis-
ease. Curr. Opin. Gastroenterol.18: 221–228.
Kingsnorth, A and O’Reilly, D (2006) Acute pancreatitis. BMJ332: 1072–1076.
Limdi, JK and Hyde, GM (2003) Evaluation of abnormal liver function tests.
Postgrad. Med. J.79: 307–312.
Louw, JA and Marks, IN (2004) Peptic ulcer disease. Curr. Opin. Gastroenterol.
20: 533–537.
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