Your logic is completely reasonable since the change in diet went from vegan (which usually has low gluten/low dairy built into the diet) to a very broad diet. You cannot really rule out either celiac or lactose intolerance because of the overlap in symptoms and broad food changes. In either case, you typically see the changes histologically in the small intestine (in the case of celiac) and you don’t see much in terms of general lactose intolerance (though there is a problem with the lactase enzymes in the brush border of the intestines). So the answer that best accounts for this would be B as no other answer is related to either celiac or lactose intolerance. If an answer that related to lactose intolerance were present, the question would need to specify further in order to differentiate it. This is why we always recommend reading the answer choices before the whole question!
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Errata:
- None so far =)
How did you arrive at celiac? I'd assume the food group to blame was dairy, being that the patient was a vegan and is now eating cheese.
Your logic is completely reasonable since the change in diet went from vegan (which usually has low gluten/low dairy built into the diet) to a very broad diet. You cannot really rule out either celiac or lactose intolerance because of the overlap in symptoms and broad food changes. In either case, you typically see the changes histologically in the small intestine (in the case of celiac) and you don’t see much in terms of general lactose intolerance (though there is a problem with the lactase enzymes in the brush border of the intestines).
So the answer that best accounts for this would be B as no other answer is related to either celiac or lactose intolerance. If an answer that related to lactose intolerance were present, the question would need to specify further in order to differentiate it. This is why we always recommend reading the answer choices before the whole question!
so informative, had to re watch this video!
Very well constructed explanations. Instant +10 board points
Excellent questions
After watching this video I have a false sense of confidence that I can be a gastroenterologist
fireeee
Nice ~!