Laboratory Monitoring of Patients with HIV Infection
Patients with CD4+ T cell counts <200/L are at high risk of disease from P. jiroveci, while patients with CD4+ T cell counts <50/L are at high risk of disease from CMV, mycobacteria of the M. avium complex (MAC), and/or T. gondii. Patients with HIV infection should have CD4+ T cell measurements performed at the time of diagnosis and every 3&
Stomach
Hydrochloric acid
Prepares protein for digestion
Activates enzymes
Pepsin
Begins protein digestion
Gastric lipase
Some fat digestion
Gastrin (hormone)
Stimulates gastric secretion and movement
Intrinsic factor
Needed for absorption of vitamin B12
Small intestine
Sections of small intestine
Duodenum, jejunum, ileum
Digestion
Bicarbonate neutralizes stomach acid
Pancreatic
Disordered gut sensorimotor function also commonly causes nausea and vomiting. Gastroparesis is defined as a delay in emptying of food from the stomach and occurs after vagotomy, with pancreatic adenocarcinoma, with mesenteric vascular insufficiency, or in systemic diseases such as diabetes, scleroderma, and amyloidosis. Idiopathic gastroparesis occurring in the absence of systemic illness may fo
disorders
3) Medical complications
- 반복된 구토로 인해
: skin irritation around the mouth, blockage of salivary ducts, decay of tooth enamel & dental cavities, damage taste receptors on the palate, less sensitive to the taste
- Abdominal pain, hiatal hernia, other abdominal pain
- Pancreatitis (inflammation)
- Disturbed menstrual function: 보통 여성보다 more 50%/ amenorrhea
▦ Physiologic Action of Gut Hormones
Criteria
① Peptide must be related into blood during time that a biologic response in a target organ is being stimulated or inhibited
② IV infusion of pure natural peptide must reproduce the effect on target organ
③ Synthetic peptide should reproduce the effect found with natural peptide
④ Circulating concentration of peptide that cause stimulat