1. Discuss the intestinal fluid and electrolyte transport mechanisms.

2. Explain the normal digestion and absorption processes of fat, protein
    and glucose.

3. Describe the normal pathway of vitamin B₁₂, folate and iron absorption.

4. Locate the absorption sites of Fe, folate and B₁₂.

5. Utilize proper malabsorption screens in patients with chronic diarrhea.

6. Discuss normal enterohepatic circulation of bile acids.

7. Discuss normal assimilation of fat-soluble vitamins (A, D, E and K).

1. Define diarrhea.

2. Classify the causes of diarrhea.

3. Discuss the pathogenic mechanisms of diarrhea.

4. Review diarrhea as altered fluid and electrolyte transport.

5. Differentiate between large and small bowel diarrhea.

6. Discuss diagnostic plans in patients with chronic diarrhea.

7. List conditions that are associated with typical small bowel lesions on biopsy.

8. List the complications of celiac disease.

9. List extraintestinal manifestations of celiac disease.

10. Outline the diagnosis and dietary management of celiac disease.

11. Give the differential diagnosis of "unresponsive" sprue.

12. Discuss the immunologic basis of celiac disease.

13. Recognize the principal manifestation of the carcinoid syndrome.

14. Discuss pharmacologic agents used in the carcinoid syndrome.

15. List biochemical tests used in diagnosing the carcinoid syndrome.

16. Discuss the management of traveler's diarrhea.

17. List the common causes of traveler's diarrhea.

18. Discuss the mechanisms of E. coli-induced diarrhea.

19. List the infectious causes of diarrhea and their management.

20. Discuss the use and mechanisms of antidiarrheal agents.

21. Give the differential diagnosis of abnormal terminal ileum.

22. Describe the radiographic features of small bowel obstruction.

23. Outline the etiology of vitamin B₁₂ deficiency with the bacterial overgrowth
      syndrome.

24. List the underlying conditions associated with bacterial overgrowth.

25. Discuss the mechanisms of steatorrhea associated with the
      bacterial overgrowth syndrome.

26. Recognize the clinical presentations of the bacterial overgrowth syndrome.

27. Outline the management of the bacterial overgrowth syndrome.

28. Utilize appropriate diagnostic tests for the bacterial overgrowth syndrome.

29. Recognize complications of the short bowel syndrome and their mechanisms.

30. Discuss the adaptive mechanisms of the small bowel following resection.

31. Discuss the management of the short bowel syndrome.

32. Give the indications for the use of medium-chain triglycerides.

33. Outline the diagnosis and treatment of giardiasis.

34. Recognize the clinical presentations and treatment of amebiasis.

35. Describe typical features of Whipple's disease.

36. List the causes of protein-losing enteropathy.

37. List the possible mechanisms of diarrhea in patients with diabetes mellitus.

38. List the possible mechanisms of diarrhea in the Zollinger-Ellison syndrome.

39. List mechanisms of diarrhea following gastric surgery.

40. Discuss diagnostic tests for lactase deficiency/lactose intolerance.

41. List conditions associated with protein-losing enteropathy.

42. Recognize the features of intestinal lymphangiectasia and outline its treatment.

1. Give the indications for gastroscopy, small bowel biopsy, sigmoidoscopy and
    colonoscopy.

2. Arrange the proper sequences of GI diagnostic procedures, including
    radiographic examination (ultrasound, CT scan), and the appropriate order of
    investigational tests.

3. Utilize proper tests - including malabsorption screen, ¹⁴C breath test, H₂
    breath test, Schilling test, 72-hour stool collection, x-ray, small bowel biopsy
    and jejunal aspiration - in the investigation of chronic diarrhea.