Gastroenteritis differential diagnosis: Difference between revisions
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==Overview== | ==Overview== | ||
== | ==Differentiating Gastroenteritis from other Diseases == | ||
It is important to consider infectious gastroenteritis as a [[Diagnosis of exclusion|diagnosis per exclusionem]] | It is important to consider infectious gastroenteritis as a [[Diagnosis of exclusion|diagnosis per exclusionem]]. | ||
Non-infectious causes to consider are | * A few loose stools and vomiting may be the result of systemic [[infection]] such as | ||
** [[Pneumonia]] | |||
** [[Septicemia]] | |||
** [[Urinary tract infection]] | |||
** [[Meningitis]]. | |||
* Surgical conditions such as | |||
** [[Appendicitis]] | |||
** [[Intussusception]] | |||
** [[Hirschsprung's disease]] may mislead the clinician. | |||
* Non-infectious causes to consider are | |||
** Poisoning with heavy metals i.e. ([[Arsenic]],[[cadmium]]) | |||
** Seafood (i.e. [[ciguatera]], [[scombroid]], toxic encephalopathic shellfish poisoning) or mushrooms (i.e. [[Amanita phalloides]]). | |||
** Secretory tumours (i.e. [[carcinoid]], medullary tumour of the thyroid, [[Vipoma|vasoactive intestinal peptide-secreting adenomas]]) and **Endocrine disorders (i.e. [[thyrotoxicosis]] and [[Addison's disease]]) are disorders that can cause diarrhea. | |||
** Also, pancreatic insufficiency, [[short bowel syndrome]], [[Whipple's disease]], [[coeliac disease]], and laxative abuse should be excluded as possibilities. | |||
==References== | ==References== | ||
{{Reflist|2}} | {{Reflist|2}} | ||
{{WikiDoc Help Menu}} | {{WikiDoc Help Menu}} | ||
{{WikiDoc Sources}} | {{WikiDoc Sources}} |
Revision as of 16:29, 5 September 2012
Gastroenteritis Microchapters |
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]
Overview
Differentiating Gastroenteritis from other Diseases
It is important to consider infectious gastroenteritis as a diagnosis per exclusionem.
- A few loose stools and vomiting may be the result of systemic infection such as
- Surgical conditions such as
- Appendicitis
- Intussusception
- Hirschsprung's disease may mislead the clinician.
- Non-infectious causes to consider are
- Poisoning with heavy metals i.e. (Arsenic,cadmium)
- Seafood (i.e. ciguatera, scombroid, toxic encephalopathic shellfish poisoning) or mushrooms (i.e. Amanita phalloides).
- Secretory tumours (i.e. carcinoid, medullary tumour of the thyroid, vasoactive intestinal peptide-secreting adenomas) and **Endocrine disorders (i.e. thyrotoxicosis and Addison's disease) are disorders that can cause diarrhea.
- Also, pancreatic insufficiency, short bowel syndrome, Whipple's disease, coeliac disease, and laxative abuse should be excluded as possibilities.