Sandbox: malabsorption: Difference between revisions

Jump to navigation Jump to search
Line 1,890: Line 1,890:
* [[Abdominal distension|Abdominal distention]]
* [[Abdominal distension|Abdominal distention]]
* [[Tenderness (medicine)|Abdominal tenderness]]
* [[Tenderness (medicine)|Abdominal tenderness]]
* Peripheral edema
* [[Muscle atrophy]]
| style="padding: 5px 5px; background: #F5F5F5;" align="center" | –
| style="padding: 5px 5px; background: #F5F5F5;" align="center" | –
| style="padding: 5px 5px; background: #F5F5F5;" align="center" | –
| style="padding: 5px 5px; background: #F5F5F5;" align="center" | –
Line 1,905: Line 1,903:
* High level of [[Acute phase protein|acute phase reactant]]
* High level of [[Acute phase protein|acute phase reactant]]
* Abnormal liver function tests
* Abnormal liver function tests
* Low  vitamin A, B12, C,[[Vitamin D|D]], E, and K level
* High [[fecal fat]]
| style="padding: 5px 5px; background: #F5F5F5;" align="left" |
| style="padding: 5px 5px; background: #F5F5F5;" align="left" |
* Prior intestinal surgery
* Prior intestinal surgery
* [[Malabsorption]]
* [[Crohn's disease]]
* [[Crohn's disease]]
* [[Cancer|Malignancy]]
* [[Cancer|Malignancy]]
* [[Radiation enteropathy|Radiation enteritis]]
* Peripheral [[edema]]
* [[Muscle atrophy]]
| style="padding: 5px 5px; background: #F5F5F5;" align="left" |
| style="padding: 5px 5px; background: #F5F5F5;" align="left" |
* Surgical [[bowel resection]]
* Surgical [[bowel resection]]
Line 1,918: Line 1,916:
|-
|-
! colspan="2" style="background:#DCDCDC;" align="center" |[[Radiation enteropathy|Radiation enteritis]]
! colspan="2" style="background:#DCDCDC;" align="center" |[[Radiation enteropathy|Radiation enteritis]]
| style="padding: 5px 5px; background: #F5F5F5;" align="center" |
| style="padding: 5px 5px; background: #F5F5F5;" align="center" | +
| style="padding: 5px 5px; background: #F5F5F5;" align="center" |
| style="padding: 5px 5px; background: #F5F5F5;" align="center" | +
| style="padding: 5px 5px; background: #F5F5F5;" align="center" |
| style="padding: 5px 5px; background: #F5F5F5;" align="center" | +
| style="padding: 5px 5px; background: #F5F5F5;" align="center" |
| style="padding: 5px 5px; background: #F5F5F5;" align="center" | +
| style="padding: 5px 5px; background: #F5F5F5;" align="center" |
| style="padding: 5px 5px; background: #F5F5F5;" align="center" | +
| style="padding: 5px 5px; background: #F5F5F5;" align="center" |
| style="padding: 5px 5px; background: #F5F5F5;" align="center" | -
| style="padding: 5px 5px; background: #F5F5F5;" align="center" |
| style="padding: 5px 5px; background: #F5F5F5;" align="center" | +
| style="padding: 5px 5px; background: #F5F5F5;" align="center" |
| style="padding: 5px 5px; background: #F5F5F5;" align="center" | +
| style="padding: 5px 5px; background: #F5F5F5;" align="Left" |
| style="padding: 5px 5px; background: #F5F5F5;" align="Left" |
*
*
Line 1,942: Line 1,940:
*
*
| style="padding: 5px 5px; background: #F5F5F5;" align="left" |
| style="padding: 5px 5px; background: #F5F5F5;" align="left" |
*
*[[Radiation therapy|Radiation]]
| style="padding: 5px 5px; background: #F5F5F5;" align="left" |
| style="padding: 5px 5px; background: #F5F5F5;" align="left" |
*
*
Line 1,962: Line 1,960:
| style="padding: 5px 5px; background: #F5F5F5;" align="center" | –
| style="padding: 5px 5px; background: #F5F5F5;" align="center" | –
| style="padding: 5px 5px; background: #F5F5F5;" align="left" |
| style="padding: 5px 5px; background: #F5F5F5;" align="left" |
| style="padding: 5px 5px; background: #F5F5F5;" align="center" |
| style="padding: 5px 5px; background: #F5F5F5;" align="center" |
| style="padding: 5px 5px; background: #F5F5F5;" align="center" |
| style="padding: 5px 5px; background: #F5F5F5;" align="center" | -
| style="padding: 5px 5px; background: #F5F5F5;" align="center" |
| style="padding: 5px 5px; background: #F5F5F5;" align="center" |
| style="padding: 5px 5px; background: #F5F5F5;" align="left" |
| style="padding: 5px 5px; background: #F5F5F5;" align="left" |
* Glucose challenge test
* [[Hypoglycemia]]
* [[Hydrogen Breath Test|Hydrogen breath test]]
* [[Hydrogen Breath Test|Hydrogen breath test]]
| style="padding: 5px 5px; background: #F5F5F5;" align="left" |
| style="padding: 5px 5px; background: #F5F5F5;" align="left" |
*
*[[Malnutrition]]
*[[Fat soluble vitamins|Fat soluble vitamin]] deficiency
| style="padding: 5px 5px; background: #F5F5F5;" align="left" |
| style="padding: 5px 5px; background: #F5F5F5;" align="left" |
*[[Post operative complications|Postgastrectomy]]
*[[Post operative complications|Postgastrectomy]]
| style="padding: 5px 5px; background: #F5F5F5;" align="left" |
| style="padding: 5px 5px; background: #F5F5F5;" align="left" |
*
*Clinical diagnosis following [[gastrectomy]]
|-
|-
! colspan="2" rowspan="4" style="background:#4479BA; color: #FFFFFF;" align="center" |Others
! colspan="2" rowspan="4" style="background:#4479BA; color: #FFFFFF;" align="center" |Others

Revision as of 21:58, 15 December 2017

Diarrhea

Abbreviations: GI: Gastrointestinal, CBC: Complete blood count, WBC: White blood cell, RBC: Red blood cell, Plt: Platelet, Hgb: Hemoglobin, ESR: Erythrocyte sedimentation rate, CRP: C–reactive protein, IgE: Immunoglobulin E, IgA: Immunoglobulin A, ETEC: Escherichia coli enteritis, EPEC: Enteropathogenic Escherichia coli, EIEC: Enteroinvasive Escherichia coli, EHEC: Enterohemorrhagic Escherichia coli, EAEC: Enteroaggregative Escherichia coli,

Categories Cause Clinical manifestation Lab findings Extra intestinal findings Cause/Pathogenesis Gold standard diagnosis
Symptoms GI signs
Duration Diarrhea Fever Abdominal pain Weight loss
Stool exam CBC Other lab findings
Acute Chronic Watery Bloody Fatty WBC RBC Ova/Parasite Osmotic gap Other WBC Hgb Plt
Gastrointestinal Crohns disease + + + + ± + + + +
  • Abnormal immune response to self antigens
Ulcerative colitis + + + + + + + + +
  • Abnormal immune response to self antigens
Celiac disease + ± ± + +
Cystic fibrosis + + ± + +
Chronic pancreatitis + + + + +
Bile acid malabsorption + + + +
Microscopic colitis + + + +
Infective colitis + + + + + + + + +
Ischemic colitis + + + + + + + + +
Lactose intolerance + + + +
Irritable bowel syndrome + ± ± ±
  • Diagnosis of exclusion
Infection Bacterial Whipple's disease + + + ± + + ↓/↑
Tropical sprue + + + + + + + +
  • Diagnosis of exclusion
Small bowel bacterial overgrowth + + + + + +
  • Diagnosis of exclusion
Pseudomembranous enterocolitis + + ± + + ± + +
Shigellosis + + + + + + + ↑/↓
Salmonellosis + + + + + + + +
 Campylobacteriosis + + + + + + +
Escherichia coli enteritis ETEC

(Traveler's diarrhea)

+ + + +
EPEC + + + + + + + + +
EIEC + + + + + + +
EHEC + + + +
EAEC + + + +
Yersinia enterocolitica + + + + +
Vibrio cholera + + +
Aeromonas +
Plesiomonas +
Mycobacterium avium complex + + + ± +
+/– +
  • Immune system analysis may show defects
Other infections
  • aaaa
  • bbbb
+ + + ±
+ +
  • Stool culture may be positive for responsible organism
Virus Rotavirus + + +
Echovirus
Adenovirus + + +
Norovirus + + + +
CMV colitis + + + ± +
+/– +
  • CD 4 level decreased as it is maily associated with HIV
HIV + +
Hepatitis Hepatitis A +
Hepatitis E +
Parasite Entamoeba histolytica + + +
+
Giardia
+
Cryptosporidium
+
Microsporidia
+
Isospora + + +
+ + +
Other Parasitic diarrhea
  • aaaa
  • bbbb
+ + + + ±
+ + +
Tumors Carcinoid tumor + + + + + +
VIPoma + + + + + +
  • Primary secretory tumor
  • Blood VIP levels
  • Followed by imaging
Zollinger–Ellison syndrome + + + + + +
Somatostatinoma + + + +
Lymphoma + + + + + + +
  • Primary tumor of GI tract
Colorectal cancer + + + + + + +
Medication/Toxicity Medications + + + ± ± + + ↑/↓
  • Elevated plasma level of drug
  • Inflammation
  • Pseudomembranous colitis
  • Clinical evaluation after discontinuation of the drgs
Factitious diarrhea + + + + + ↑/↓
  • Medications
  • Clinical evaluation after discontinuation of the drgs
Heavy metal ingestion + + + +
  • Elevated plasma heavy metal level
  • Heavy metal ingestion
  • Plasma level of heavy metal
Organophosphate poisoning + + + +
  • Clinical diagnosis
Opium withdrawal + + + +
Iatrogenic Short bowel syndrome + + + + +
Radiation enteritis + + + + + - + +
Dumping syndrome + + + + -
Others Abetalipoproteinemia + + + + +
Hyperthyroidism + + ± + +
  • Elevated T4
  • Elevated T3
  • Decreased TSH
Diabetic neuropathy
Systemic sclerosis + + + + +
+