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Surgery FMGE 2019 58cd51b4

Distal ileum was removed in a 20-year-old girl. Which absorption deficient will be seen?

A
Iron
B
Bile salts
C
Zinc
D
Copper
High-Yield Explanation
Bile salts Changes seen in Terminal Ileal Resection Unabsorbed fatty acids bind with calcium-Increased concentration of free oxalates (oxalates bind with calcium normally and therefore escape without intestinal absorption)- Free oxalates are absorbed- Oxalate kidney stones Vitamin B12 Malabsorption- Megaloblastic anemia. Bile salts Malabsorption-watery diarrhoea Decreased bile salts in the bile- Cholesterol gall stones Steatorrhea and Malabsorption of fat-soluble vitamins

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