Chronic diarrhea, abdominal pain, and weight loss differential diagnosis: Difference between revisions

Latest revision as of 17:17, 11 April 2018

To review the differential diagnosis of diarrhea, click here.

Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Sadaf Sharfaei M.D.[2], Seyedmahdi Pahlavani, M.D. [3]

Differential Diagnosis of Chronic Diarrhea, Abdominal Pain, and Weight Loss from other diseases

The following table outlines the major differential diagnoses of chronic diarrhea, abdominal pain, and weight loss.^[1]^[2]^[3]^[4]^[5]^[6]^[7]^[8]^[9]^[10]^[11]^[12]^[13]^[14]^[15]^[16]^[17]^[18]^[19]^[20]^[21]^[22]^[23]^[24]^[25]^[26]^[27]^[28]^[29]^[30]

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, Nl: Normal, ASCA: Anti saccharomyces cerevisiae antibodies, ANCA: Anti–neutrophil cytoplasmic antibody, DNA: Deoxyribonucleic acid, CFTR: Cystic fibrosis transmembrane conductance regulator, SLC10A2: Solute carrier family 10 member 2, SeHCAT: Selenium homocholic acid taurine or tauroselcholic acid, IEL: Intraepithelial lymphocytes, MRCP: Magnetic resonance cholangiopancreatography, ANA: Antinuclear antibodies, AMA: Anti-mitochondrial antibody, LDH: Lactate dehydrogenase, CPK: Creatine phosphokinase, PCR: Polymerase chain reaction, ELISA: Enzyme–linked immunosorbent assay, LT: Heat–labile enterotoxin, ST: Heat–stable enterotoxin, RT-PCR: Reverse–transcriptase polymerase chain reaction, CD4: Cluster of differentiation 4, HIV: Human immunodeficiency virus, RUQ: Right-upper quadrant, VIP: Vasoactive intestinal peptide, GI: Gastrointestinal, FAP: Familial adenomatous polyposis, HNPCC: Hereditary nonpolyposis colorectal cancer, MTP: Microsomal triglyceride transfer protein, Scl‑70: Anti–topoisomerase I, TSH: Thyroid-stimulating hormone, T4: Thyroxine, T3: Triiodothyronine, DTR: Deep tendon reflex, RNA: Ribonucleic acid

		Symptoms								GI signs
Cause		Clinical manifestation									Lab findings									Extra intestinal findings	Cause/Pathogenesis	Gold standard diagnosis
		Duration		Diarrhea			Fever	Abdominal pain	Weight loss
		Duration		Diarrhea							Stool exam					CBC			Other lab findings
		Acute	Chronic	Watery	Bloody	Fatty					WBC	RBC	Ova/Parasite	Osmotic gap	Other	WBC	Hgb	Plt	Other lab findings
Crohn's disease		–	+	+	+	+	±	+	+	Abdominal tenderness Oral mucosal lesions	+	+	–	Nl	–	↑	↓	↑	Anti saccharomyces cerevisiae antibodies (ASCA) Vitamin B12 deficiency Elevated ESR Elevated CRP	Uveitis Arthritis Erythema nodosum Pyoderma gangrenosum Amyloidosis Venous and arterial thromboembolism Renal stones Bronchiectasis	Abnormal immune response to self antigens	Colonoscopy with biopsy
Ulcerative colitis		–	+	+	+	+	±	+	+	Abdominal tenderness Blood on rectal examination	+	+	–	Nl	–	↑	↓	↑	Anti–neutrophil cytoplasmic antibody (P–ANCA) Hypoalbuminemia Hypokalemia Hypomagnesemia Elevated ESR Elevated CRP	Skin rash Iritis Uveitis Seronegative arthritis Clubbing Erythema nodosum	Abnormal immune response to self antigens	Colonoscopy with biopsy
Celiac disease		–	+	±	–	±	–	+	+	Abdominal distention Increased bowel sounds Oral mucosal lesions Hepatosplenomegaly Ascites	–	–	–	Nl	Fat droplets on sudan stain	Nl	↓	Nl	IgA endomysial antibody Anti–tissue transglutaminase antibody Anti–gliadin antibody Fat soluble vitamins deficiency	Malabsorption Dementia Dermatitis herpetiformis	HLA–DQ2 HLA–DQ8 Innate responses to wheat proteins	IgA endomysial antibody Anti–tissue transglutaminase antibody
Cause		Duration		Diarrhea			Fever	Abdominal pain	Weight loss	GI signs	Stool exam					CBC			Other lab findings	Extra intestinal findings	Cause/Pathogenesis	Gold standard diagnosis
Cause		Acute	Chronic	Watery	Bloody	Fatty	Fever	Abdominal pain	Weight loss	GI signs	WBC	RBC	Ova/Parasite	Osmotic gap	Other	WBC	Hgb	Plt	Other lab findings	Extra intestinal findings	Cause/Pathogenesis	Gold standard diagnosis
Cystic fibrosis		–	+	–	–	+	±	+	+	Abdominal distention Hepatosplenomegaly Rectal prolapse	–	–	–	Nl	Fat droplets on sudan stain	Nl	↓	Nl	Positive DNA analysis for cystic fibrosis transmembrane conductance regulator (CFTR) Nasal transepithelial potential difference Fat soluble vitamins deficiency	Malabsorption Recurrent respiratory tract infection Bronchiectasis Diabetes mellitus Scoliosis Infertility	Mutations in the cystic fibrosis transmembrane conductance regulator (CFTR) protein	Positive genetic testing Elevated sweat chloride ≥60 mmol/L
Chronic pancreatitis		–	+	+	–	+	–	+	+	Abdominal tenderness	–	–	–	Nl	Fat droplets on sudan stain Positive fecal elastase measurement	Nl	Nl	Nl	Slightly elevated amylase and lipase Abnormal pancreatic function test Secretin stimulation test	Malabsorption Diabetes mellitus Pancreatic pseudocyst	Toxins Recurrent acute pancreatitis Genetic predesposition Autoimmune	Magnetic resonance cholangiopancreatography (MRCP)
Microscopic colitis		–	+	+	–	–	–	+	+	Abdominal tenderness Fecal incontinence	–	–	–	Nl	–	Nl	↓	Nl	Hypokalemia Elevated CRP Positive autoantibodies include: RF ANA AMA ANCA	Arthritis Uveitis Idiopathic thrombocytopenic purpura Pleuro pericarditis Hypothyroidism Psoriasis	Mucosal immune responses to luminal factors in a genetically predisposed individual Drug–induced	Colonoscopy with mucosal biopsy with mononuclear infiltrates: Collagenous colitis is characterized by a colonic subepithelial collagen band >10 micrometers in diameter Lymphocytic colitis is characterized by ≥20 intraepithelial lymphocytes (IEL) per 100 surface epithelial cells
Cause		Duration		Diarrhea			Fever	Abdominal pain	Weight loss	GI signs	Stool exam					CBC			Other lab findings	Extra intestinal findings	Cause/Pathogenesis	Gold standard diagnosis
Cause		Acute	Chronic	Watery	Bloody	Fatty	Fever	Abdominal pain	Weight loss	GI signs	WBC	RBC	Ova/Parasite	Osmotic gap	Other	WBC	Hgb	Plt	Other lab findings	Extra intestinal findings	Cause/Pathogenesis	Gold standard diagnosis
Infective colitis		–	+	+	+	–	+	+	+	Rebound abdominal tenderness	+	+	+	Nl	Positive stool culture Positive fecal calprotectin Positive fecal lactoferrin	↑	↓	↑	Elevated CRP Elevated ESR	Arthritis Uveitis	Salmonella Shigella Campylobacter E. coli 0157:H7 Clostridium difficile Entamoeba histolytica Adenovirus Cytomegalovirus Herpes simplex virus	Stool culture Blood culture
Ischemic colitis		+	+	+	+	–	+	+	+	Hyperactive then absent bowel sounds Abdominal tenderness	+	+	–	Nl	–	↑	↓	↑	Elevated CRP Elevated ESR Elevated serum lactate Elevated lactate dehydrogenase (LDH) Elevated creatine phosphokinase (CPK) Elevated amylase Hypoalbuminemia	IgA vasculitis	Hypercoagulability Nonocclusive colonic ischemia Embolic and thrombotic arterial occlusion Mesenteric vein thrombosis	Abdominal CT scan
Cause		Duration		Diarrhea			Fever	Abdominal pain	Weight loss	GI signs	Stool exam					CBC			Other lab findings	Extra intestinal findings	Cause/Pathogenesis	Gold standard diagnosis
Cause		Acute	Chronic	Watery	Bloody	Fatty	Fever	Abdominal pain	Weight loss	GI signs	WBC	RBC	Ova/Parasite	Osmotic gap	Other	WBC	Hgb	Plt	Other lab findings	Extra intestinal findings	Cause/Pathogenesis	Gold standard diagnosis
Whipple's disease		–	+	+	–	+	±	+	+	Hepatosplenomegaly Ascites	–	–	–	Nl	Positive fecal fat	↓	↓	↓/↑	Hypoalbuminemia Fat soluble vitamins deficiency	Malabsorption Abnormal extraocular movement Lymphadenopathy Hyperpigmentation Uveitis Endocarditis Encephalitis Dementia Pleural effusion	Tropheryma whipplei	Small intestine biopsy for Tropheryma whipplei testing PCR testing
Tropical sprue		+	+	+	–	+	+	+	+	Angular stomatitis Oral mucosal lesion	+	–	–	Nl	Positive stool culture	Nl	↓	Nl	Fat soluble vitamins deficiency Vitamin B12 deficiency Folate deficiency Hypokalemia	Myalgia Neuropathy Edema	Escherichia coli Klebsiella pneumoniae Enterobacter cloacae	Diagnosis of exclusion
Small bowel bacterial overgrowth		–	+	+	–	+	–	+	+	Abdominal distention	+	–	–	Nl	Positive stool culture Positive fecal fat	Nl	↓	Nl	Hypoalbuminemia Abnormal hydrogen breath test Lactic acidosis	Malabsorption Rosacea	Excess bacteria in the small intestine Alterations in intestinal anatomy or GI motility	Diagnosis of exclusion
Cause		Duration		Diarrhea			Fever	Abdominal pain	Weight loss	GI signs	Stool exam					CBC			Other lab findings	Extra intestinal findings	Cause/Pathogenesis	Gold standard diagnosis
Cause		Acute	Chronic	Watery	Bloody	Fatty	Fever	Abdominal pain	Weight loss	GI signs	WBC	RBC	Ova/Parasite	Osmotic gap	Other	WBC	Hgb	Plt	Other lab findings	Extra intestinal findings	Cause/Pathogenesis	Gold standard diagnosis
Escherichia coli enteritis	EPEC	+	+	+	+	–	+	+	+	Diffuse abdominal tenderness	+	+	–	Nl	Positive stool culture	↑	Nl	Nl	–	–	Enteropathogenic E. coli	DNA probe or polymerase chain reaction (PCR) of the EPEC adherence factor Stool culture
HIV		–	+	+	–	–	+	+	+	Abdominal distention Diffuse abdominal tenderness	+	–	–	Nl	–	↓	↓	Nl	Decreased CD4 level Electrolyte imbalance	Lymphadenopathy Disseminated infection	HIV	HIV virologic (viral load) test Immunoassay
Giardia		–	+	+	–	+	–	+	+	Abdominal distention Diffuse abdominal tenderness	–	–	+	Nl	–	Nl	Nl	Nl	–	Malabsorption Urticaria Depression	Giardia lamblia	Antigen detection assays
Cryptosporidium		–	+	+	–	–	–	+	+	Abdominal distention Diffuse abdominal tenderness	–	–	+	Nl	Positive stool microscopy	Nl	Nl	Nl	Elevated alkaline phosphatase	Chronic, life–threatening illness in immunocompromised patients	Cryptosporidium	Polymerase chain reaction
Cause		Duration		Diarrhea			Fever	Abdominal pain	Weight loss	GI signs	Stool exam					CBC			Other lab findings	Extra intestinal findings	Cause/Pathogenesis	Gold standard diagnosis
Cause		Acute	Chronic	Watery	Bloody	Fatty	Fever	Abdominal pain	Weight loss	GI signs	WBC	RBC	Ova/Parasite	Osmotic gap	Other	WBC	Hgb	Plt	Other lab findings	Extra intestinal findings	Cause/Pathogenesis	Gold standard diagnosis
Isospora		+	+	+	–	+	+	+	+	Abdominal distention Diffuse abdominal tenderness	+	+	+	Nl	Positive stool microscopy Positive fecal fat	↑	Nl	Nl	Elevated eosinophils Hypokalemia Increased creatinine	Chronic illness in immunocompromised patients	Isospora	Detecting oocysts in the feces
Carcinoid tumor		–	+	+	+	–	–	+	+	Abdominal distention	–	+	–	↓	–	Nl	Nl	Nl	Elevated urinary 5–hydroxyindoleacetic acid (5–HIAA) level High chromogranin A	Facial flushing Jaundice Edema Valvular heart disease Right–sided heart failure	Well–differentiated neuroendocrine tumor	Blood chromogranin A level
VIPoma		+	+	+	–	+	–	+	+	Abdominal distention Abdominal RUQ tenderness Nausea Vomiting	–	–	–	↓	–	Nl	Nl	Nl	Elevated VIP level Hypokalemia Hypochlorhydria or achlorhydria Low osmotic gap (<50 mOsm/kg)	Rash Facial flushing Dehydration Lethargy Muscle weakness	Primary secretory tumor	Blood VIP levels Followed by imaging
Zollinger–Ellison syndrome		–	+	+	+	+	–	+	+	Epigastric tenderness	–	–	–	↓	–	Nl	↓	Nl	Positive secretin stimulation test Elevated serum chromogranin A	Jaundice	Gastrin producing tumor mainly in duodenum	Secretin stimulation test
Cause		Duration		Diarrhea			Fever	Abdominal pain	Weight loss	GI signs	Stool exam					CBC			Other lab findings	Extra intestinal findings	Cause/Pathogenesis	Gold standard diagnosis
Cause		Acute	Chronic	Watery	Bloody	Fatty	Fever	Abdominal pain	Weight loss	GI signs	WBC	RBC	Ova/Parasite	Osmotic gap	Other	WBC	Hgb	Plt	Other lab findings	Extra intestinal findings	Cause/Pathogenesis	Gold standard diagnosis
Somatostatinoma		–	+	+	–	–	–	+	+	Epigastric tenderness	–	–	–	↓	–	Nl	Nl	Nl	Elevated fasting plasma somatostatin	Diabetes mellitus Cholelithiasis Jaundice	Neuroendocrine tumors of D–cell origin	Plasma somatostatin level Followed by imaging
Lymphoma		–	+	+	+	–	+	+	+	Diffuse abdominal tenderness Hepatosplenomegaly	–	+	–	Nl	–	Nl	↓	Nl	Paraproteinemia	Malabsorption Lactose intolerance Ascites	Primary tumor of GI tract	Colonoscopy with biopsy
Colorectal cancer		–	+	+	+	+	–	+	+	Diffuse abdominal tenderness	–	+	–	Nl	–	Nl	↓	Nl	Positive carcinoembryonic antigen	Metastasis	FAP gene HNPCC gene	Colonoscopy and biopsy
Medications ACE inhibitors Digoxin Cephalosporins Statins Thiazide diuretics Triptans Lactulose Anti retroviral agents Chemotherapeutic agents Antifungals Magnesium		+	+	+	–	±	±	+	+	Abdominal distention Dehydration	–	–	–	↑/↓	–	↑	Nl	Nl	Elevated plasma level of drug	–	Inflammation Pseudomembranous colitis	Clinical evaluation after discontinuation of the drugs
Cause		Duration		Diarrhea			Fever	Abdominal pain	Weight loss	GI signs	Stool exam					CBC			Other lab findings	Extra intestinal findings	Cause/Pathogenesis	Gold standard diagnosis
Cause		Acute	Chronic	Watery	Bloody	Fatty	Fever	Abdominal pain	Weight loss	GI signs	WBC	RBC	Ova/Parasite	Osmotic gap	Other	WBC	Hgb	Plt	Other lab findings	Extra intestinal findings	Cause/Pathogenesis	Gold standard diagnosis
Factitious diarrhea		+	+	+	–	–	–	+	+	Abdominal distention	–	–	–	↑/↓	–	Nl	Nl	Nl	Hypokalemia Metabolic alkalosis Hypermagnesemia	Malabsorption Lethargy Generalized weakness Acute renal failure	Medications	Clinical evaluation after discontinuation of the drugs
Heavy metal ingestion		–	+	+	–	–	–	+	+	Abdominal distention	–	–	–	Nl	–	Nl	Nl	Nl	Elevated plasma heavy metal level	Headache Numbness Alopecia Vertigo	Heavy metal ingestion	Plasma level of heavy metal
Radiation enteritis		+	+	+	+	+	–	+	+	Abdominal tenderness	+	+	–	Nl	Positive fecal fat	Nl	↓	Nl	Vitamin B12 deficiency Hypoalbuminemia	Prior history of malignancy and radiation therapy Malabsorption Telangiectasias	Radiation	Segmental bowel inflammation on endoscopy or colonoscopy
Abetalipoproteinemia		–	+	+	–	+	–	+	+	Abdominal distension	–	–	–	Nl	–	Nl	Nl	Nl	Low triglyceride Low total cholesterol levels Acanthocytes Low vitamin E levels	Ataxia Visual field defect Dysarthria	Autosomal recessive disorder caused by mutations encoding the microsomal triglyceride transfer protein (MTP)	Clinical findings and low triglyceride and cholesterol level
Cause		Duration		Diarrhea			Fever	Abdominal pain	Weight loss	GI signs	Stool exam					CBC			Other lab findings	Extra intestinal findings	Cause/Pathogenesis	Gold standard diagnosis
Cause		Acute	Chronic	Watery	Bloody	Fatty	Fever	Abdominal pain	Weight loss	GI signs	WBC	RBC	Ova/Parasite	Osmotic gap	Other	WBC	Hgb	Plt	Other lab findings	Extra intestinal findings	Cause/Pathogenesis	Gold standard diagnosis
Hyperthyroidism		–	+	+	–	–	±	+	+	–	–	–	–	Nl	Positive fecal fat	Nl	Nl	Nl	Elevated T4 Elevated T3 Decreased TSH High serum alkaline phosphatase	Lump in the neck Lid lag Malabsorption Sweating Hyperpigmentation Proptosis Tremor Increased DTR	Graves' disease Hashimoto's thyroiditis Toxic adenoma	TSH
Diabetic neuropathy		–	+	+	–	+	–	+	+	Fecal incontinence	–	–	–	Nl	Positive fecal fat	Nl	↓	Nl	Hyperglycemia Azotemia Hypokalemia	Malabsorption	Unclear Disordered motility Increased intestinal secretion Small intestinal bacterial overgrowth	Clinical diagnosis in a patient with long lasting diabetes mellitus
Systemic sclerosis		–	+	+	±	+	–	+	+	Epigastric tenderness Fecal incontinence	–	+	–	Nl	Positive fecal fat	Nl	↓	Nl	Anti–topoisomerase I (Scl‑70) antibodies Antinuclear antibodies (ANA) Anti–centromere antibodies Anti–RNA polymerase III antibody	Malabsorption Skin changes Raynaud phenomenon Pulmonary hypertension Arthritis Telangiectasia Chronic renal failure	Autoimmune reaction	Clinical diagnosis Followed by serologic tests

References

↑ Casburn-Jones, Anna C; Farthing, Michael Jg (2004). "Traveler's diarrhea". Journal of Gastroenterology and Hepatology. 19 (6): 610–618. doi:10.1111/j.1440-1746.2003.03287.x. ISSN 0815-9319.
↑ Kamat, Deepak; Mathur, Ambika (2006). "Prevention and Management of Travelers' Diarrhea". Disease-a-Month. 52 (7): 289–302. doi:10.1016/j.disamonth.2006.08.003. ISSN 0011-5029.
↑ Pfeiffer, Margaret L.; DuPont, Herbert L.; Ochoa, Theresa J. (2012). "The patient presenting with acute dysentery – A systematic review". Journal of Infection. 64 (4): 374–386. doi:10.1016/j.jinf.2012.01.006. ISSN 0163-4453.
↑ Barr W, Smith A (2014). "Acute diarrhea". Am Fam Physician. 89 (3): 180–9. PMID 24506120.
↑ Amil Dias J (2017). "Celiac Disease: What Do We Know in 2017?". GE Port J Gastroenterol. 24 (6): 275–278. doi:10.1159/000479881. PMID 29255768.
↑ Kotloff KL, Riddle MS, Platts-Mills JA, Pavlinac P, Zaidi A (2017). "Shigellosis". Lancet. doi:10.1016/S0140-6736(17)33296-8. PMID 29254859. Vancouver style error: initials (help)
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[Casburn-JonesFarthing2004-1] Casburn-Jones, Anna C; Farthing, Michael Jg (2004). "Traveler's diarrhea". Journal of Gastroenterology and Hepatology. 19 (6): 610–618. doi:10.1111/j.1440-1746.2003.03287.x. ISSN 0815-9319.

[KamatMathur2006-2] Kamat, Deepak; Mathur, Ambika (2006). "Prevention and Management of Travelers' Diarrhea". Disease-a-Month. 52 (7): 289–302. doi:10.1016/j.disamonth.2006.08.003. ISSN 0011-5029.

[PfeifferDuPont2012-3] Pfeiffer, Margaret L.; DuPont, Herbert L.; Ochoa, Theresa J. (2012). "The patient presenting with acute dysentery – A systematic review". Journal of Infection. 64 (4): 374–386. doi:10.1016/j.jinf.2012.01.006. ISSN 0163-4453.

[pmid24506120-4] Barr W, Smith A (2014). "Acute diarrhea". Am Fam Physician. 89 (3): 180–9. PMID 24506120.

[pmid29255768-5] Amil Dias J (2017). "Celiac Disease: What Do We Know in 2017?". GE Port J Gastroenterol. 24 (6): 275–278. doi:10.1159/000479881. PMID 29255768.

[pmid29254859-6] Kotloff KL, Riddle MS, Platts-Mills JA, Pavlinac P, Zaidi A (2017). "Shigellosis". Lancet. doi:10.1016/S0140-6736(17)33296-8. PMID 29254859. Vancouver style error: initials (help)

[Yamamoto-FurushoBosques-Padilla2017-7] Yamamoto-Furusho, J.K.; Bosques-Padilla, F.; de-Paula, J.; Galiano, M.T.; Ibañez, P.; Juliao, F.; Kotze, P.G.; Rocha, J.L.; Steinwurz, F.; Veitia, G.; Zaltman, C. (2017). "Diagnóstico y tratamiento de la enfermedad inflamatoria intestinal: Primer Consenso Latinoamericano de la Pan American Crohn's and Colitis Organisation". Revista de Gastroenterología de México. 82 (1): 46–84. doi:10.1016/j.rgmx.2016.07.003. ISSN 0375-0906.

[BorbélyOsterwalder2017-8] Borbély, Yves M; Osterwalder, Alice; Kröll, Dino; Nett, Philipp C; Inglin, Roman A (2017). "Diarrhea after bariatric procedures: Diagnosis and therapy". World Journal of Gastroenterology. 23 (26): 4689. doi:10.3748/wjg.v23.i26.4689. ISSN 1007-9327.

[CrawfordRamani2017-9] Crawford, Sue E.; Ramani, Sasirekha; Tate, Jacqueline E.; Parashar, Umesh D.; Svensson, Lennart; Hagbom, Marie; Franco, Manuel A.; Greenberg, Harry B.; O'Ryan, Miguel; Kang, Gagandeep; Desselberger, Ulrich; Estes, Mary K. (2017). "Rotavirus infection". Nature Reviews Disease Primers. 3: 17083. doi:10.1038/nrdp.2017.83. ISSN 2056-676X.

[pmid11068510-10] Kist M (2000). "[Chronic diarrhea: value of microbiology in diagnosis]". Praxis (Bern 1994) (in German). 89 (39): 1559–65. PMID 11068510.

[pmid4014291-11] Guerrant RL, Shields DS, Thorson SM, Schorling JB, Gröschel DH (1985). "Evaluation and diagnosis of acute infectious diarrhea". Am. J. Med. 78 (6B): 91–8. PMID 4014291.

[pmid10575169-12] López-Vélez R, Turrientes MC, Garrón C, Montilla P, Navajas R, Fenoy S, del Aguila C (1999). "Microsporidiosis in travelers with diarrhea from the tropics". J Travel Med. 6 (4): 223–7. PMID 10575169.

[WahnschaffeIgnatius2009-13] Wahnschaffe, Ulrich; Ignatius, Ralf; Loddenkemper, Christoph; Liesenfeld, Oliver; Muehlen, Marion; Jelinek, Thomas; Burchard, Gerd Dieter; Weinke, Thomas; Harms, Gundel; Stein, Harald; Zeitz, Martin; Ullrich, Reiner; Schneider, Thomas (2009). "Diagnostic value of endoscopy for the diagnosis of giardiasis and other intestinal diseases in patients with persistent diarrhea from tropical or subtropical areas". Scandinavian Journal of Gastroenterology. 42 (3): 391–396. doi:10.1080/00365520600881193. ISSN 0036-5521.

[pmid27765536-14] Mena Bares LM, Carmona Asenjo E, García Sánchez MV, Moreno Ortega E, Maza Muret FR, Guiote Moreno MV, Santos Bueno AM, Iglesias Flores E, Benítez Cantero JM, Vallejo Casas JA (2017). "75SeHCAT scan in bile acid malabsorption in chronic diarrhoea". Rev Esp Med Nucl Imagen Mol. 36 (1): 37–47. doi:10.1016/j.remn.2016.08.005. PMID 27765536.

[pmid19365159-15] Gibson RJ, Stringer AM (2009). "Chemotherapy-induced diarrhoea". Curr Opin Support Palliat Care. 3 (1): 31–5. doi:10.1097/SPC.0b013e32832531bb. PMID 19365159.

[pmid23384808-16] Abraham BP, Sellin JH (2012). "Drug-induced, factitious, & idiopathic diarrhoea". Best Pract Res Clin Gastroenterol. 26 (5): 633–48. doi:10.1016/j.bpg.2012.11.007. PMID 23384808.

[pmid25692805-17] Reintam Blaser A, Deane AM, Fruhwald S (2015). "Diarrhoea in the critically ill". Curr Opin Crit Care. 21 (2): 142–53. doi:10.1097/MCC.0000000000000188. PMID 25692805.

[pmid17373914-18] McMahan ZH, DuPont HL (2007). "Review article: the history of acute infectious diarrhoea management--from poorly focused empiricism to fluid therapy and modern pharmacotherapy". Aliment. Pharmacol. Ther. 25 (7): 759–69. doi:10.1111/j.1365-2036.2007.03261.x. PMID 17373914.

[pmid23384801-19] Schiller LR (2012). "Definitions, pathophysiology, and evaluation of chronic diarrhoea". Best Pract Res Clin Gastroenterol. 26 (5): 551–62. doi:10.1016/j.bpg.2012.11.011. PMID 23384801.

[pmid3523719-20] Giannella RA (1986). "Chronic diarrhea in travelers: diagnostic and therapeutic considerations". Rev. Infect. Dis. 8 Suppl 2: S223–6. PMID 3523719.

[pmid16151544-21] Silverberg MS, Satsangi J, Ahmad T, Arnott ID, Bernstein CN, Brant SR; et al. (2005). "Toward an integrated clinical, molecular and serological classification of inflammatory bowel disease: report of a Working Party of the 2005 Montreal World Congress of Gastroenterology". Can J Gastroenterol. 19 Suppl A: 5A–36A. PMID 16151544.

[pmid12135027-22] Sauter GH, Moussavian AC, Meyer G, Steitz HO, Parhofer KG, Jüngst D (2002). "Bowel habits and bile acid malabsorption in the months after cholecystectomy". Am J Gastroenterol. 97 (7): 1732–5. doi:10.1111/j.1572-0241.2002.05779.x. PMID 12135027.

[pmid1702075-23] Maiuri L, Raia V, Potter J, Swallow D, Ho MW, Fiocca R; et al. (1991). "Mosaic pattern of lactase expression by villous enterocytes in human adult-type hypolactasia". Gastroenterology. 100 (2): 359–69. PMID 1702075.

[pmid14439871-24] RUBIN CE, BRANDBORG LL, PHELPS PC, TAYLOR HC (1960). "Studies of celiac disease. I. The apparent identical and specific nature of the duodenal and proximal jejunal lesion in celiac disease and idiopathic sprue". Gastroenterology. 38: 28–49. PMID 14439871.

[pmid8209928-25] Konvolinka CW (1994). "Acute diverticulitis under age forty". Am J Surg. 167 (6): 562–5. PMID 8209928.

[pmid16698746-26] Satsangi J, Silverberg MS, Vermeire S, Colombel JF (2006). "The Montreal classification of inflammatory bowel disease: controversies, consensus, and implications". Gut. 55 (6): 749–53. doi:10.1136/gut.2005.082909. PMC 1856208. PMID 16698746.

[pmid12700377-27] Haque R, Huston CD, Hughes M, Houpt E, Petri WA (2003). "Amebiasis". N Engl J Med. 348 (16): 1565–73. doi:10.1056/NEJMra022710. PMID 12700377.

[pmid8694025-28] Hertzler SR, Savaiano DA (1996). "Colonic adaptation to daily lactose feeding in lactose maldigesters reduces lactose intolerance". Am J Clin Nutr. 64 (2): 232–6. PMID 8694025.

[pmid9414969-29] Briet F, Pochart P, Marteau P, Flourie B, Arrigoni E, Rambaud JC (1997). "Improved clinical tolerance to chronic lactose ingestion in subjects with lactose intolerance: a placebo effect?". Gut. 41 (5): 632–5. PMC 1891556. PMID 9414969.

[pmid15391722-30] BLACK-SCHAFFER B (1949). "The tinctoral demonstration of a glycoprotein in Whipple's disease". Proc Soc Exp Biol Med. 72 (1): 225–7. PMID 15391722.

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@@ Line 1: / Line 1: @@
 __NOTOC__
+'''''To review the differential diagnosis of diarrhea, click [[Diarrhea#Differential Diagnosis of Diarrhea of other diseases|here]].'''''
-{{CMG}}; {{AE}} {{SSH}}
+{{CMG}}; {{AE}} {{SSH}}, {{SMP}}
 ==Differential Diagnosis of Chronic Diarrhea, Abdominal Pain, and Weight Loss from other diseases==
 '''The following table outlines the major differential diagnoses of chronic diarrhea, abdominal pain, and weight loss.'''<ref name="Casburn-JonesFarthing2004">{{cite journal|last1=Casburn-Jones|first1=Anna C|last2=Farthing|first2=Michael Jg|title=Traveler's diarrhea|journal=Journal of Gastroenterology and Hepatology|volume=19|issue=6|year=2004|pages=610–618|issn=0815-9319|doi=10.1111/j.1440-1746.2003.03287.x}}</ref><ref name="KamatMathur2006">{{cite journal|last1=Kamat|first1=Deepak|last2=Mathur|first2=Ambika|title=Prevention and Management of Travelers’ Diarrhea|journal=Disease-a-Month|volume=52|issue=7|year=2006|pages=289–302|issn=00115029|doi=10.1016/j.disamonth.2006.08.003}}</ref><ref name="PfeifferDuPont2012">{{cite journal|last1=Pfeiffer|first1=Margaret L.|last2=DuPont|first2=Herbert L.|last3=Ochoa|first3=Theresa J.|title=The patient presenting with acute dysentery – A systematic review|journal=Journal of Infection|volume=64|issue=4|year=2012|pages=374–386|issn=01634453|doi=10.1016/j.jinf.2012.01.006}}</ref><ref name="pmid24506120">{{cite journal |vauthors=Barr W, Smith A |title=Acute diarrhea |journal=Am Fam Physician |volume=89 |issue=3 |pages=180–9 |year=2014 |pmid=24506120 |doi= |url=}}</ref><ref name="pmid29255768">{{cite journal |vauthors=Amil Dias J |title=Celiac Disease: What Do We Know in 2017? |journal=GE Port J Gastroenterol |volume=24 |issue=6 |pages=275–278 |year=2017 |pmid=29255768 |doi=10.1159/000479881 |url=}}</ref><ref name="pmid29254859">{{cite journal |vauthors=Kotloff KL, Riddle MS, Platts-Mills JA, Pavlinac P, Zaidi AKM |title=Shigellosis |journal=Lancet |volume= |issue= |pages= |year=2017 |pmid=29254859 |doi=10.1016/S0140-6736(17)33296-8 |url=}}</ref><ref name="Yamamoto-FurushoBosques-Padilla2017">{{cite journal|last1=Yamamoto-Furusho|first1=J.K.|last2=Bosques-Padilla|first2=F.|last3=de-Paula|first3=J.|last4=Galiano|first4=M.T.|last5=Ibañez|first5=P.|last6=Juliao|first6=F.|last7=Kotze|first7=P.G.|last8=Rocha|first8=J.L.|last9=Steinwurz|first9=F.|last10=Veitia|first10=G.|last11=Zaltman|first11=C.|title=Diagnóstico y tratamiento de la enfermedad inflamatoria intestinal: Primer Consenso Latinoamericano de la Pan American Crohn's and Colitis Organisation|journal=Revista de Gastroenterología de México|volume=82|issue=1|year=2017|pages=46–84|issn=03750906|doi=10.1016/j.rgmx.2016.07.003}}</ref><ref name="BorbélyOsterwalder2017">{{cite journal|last1=Borbély|first1=Yves M|last2=Osterwalder|first2=Alice|last3=Kröll|first3=Dino|last4=Nett|first4=Philipp C|last5=Inglin|first5=Roman A|title=Diarrhea after bariatric procedures: Diagnosis and therapy|journal=World Journal of Gastroenterology|volume=23|issue=26|year=2017|pages=4689|issn=1007-9327|doi=10.3748/wjg.v23.i26.4689}}</ref><ref name="CrawfordRamani2017">{{cite journal|last1=Crawford|first1=Sue E.|last2=Ramani|first2=Sasirekha|last3=Tate|first3=Jacqueline E.|last4=Parashar|first4=Umesh D.|last5=Svensson|first5=Lennart|last6=Hagbom|first6=Marie|last7=Franco|first7=Manuel A.|last8=Greenberg|first8=Harry B.|last9=O'Ryan|first9=Miguel|last10=Kang|first10=Gagandeep|last11=Desselberger|first11=Ulrich|last12=Estes|first12=Mary K.|title=Rotavirus infection|journal=Nature Reviews Disease Primers|volume=3|year=2017|pages=17083|issn=2056-676X|doi=10.1038/nrdp.2017.83}}</ref><ref name="pmid11068510">{{cite journal |vauthors=Kist M |title=[Chronic diarrhea: value of microbiology in diagnosis] |language=German |journal=Praxis (Bern 1994) |volume=89 |issue=39 |pages=1559–65 |year=2000 |pmid=11068510 |doi= |url=}}</ref><ref name="pmid4014291">{{cite journal |vauthors=Guerrant RL, Shields DS, Thorson SM, Schorling JB, Gröschel DH |title=Evaluation and diagnosis of acute infectious diarrhea |journal=Am. J. Med. |volume=78 |issue=6B |pages=91–8 |year=1985 |pmid=4014291 |doi= |url=}}</ref><ref name="pmid10575169">{{cite journal |vauthors=López-Vélez R, Turrientes MC, Garrón C, Montilla P, Navajas R, Fenoy S, del Aguila C |title=Microsporidiosis in travelers with diarrhea from the tropics |journal=J Travel Med |volume=6 |issue=4 |pages=223–7 |year=1999 |pmid=10575169 |doi= |url=}}</ref><ref name="WahnschaffeIgnatius2009">{{cite journal|last1=Wahnschaffe|first1=Ulrich|last2=Ignatius|first2=Ralf|last3=Loddenkemper|first3=Christoph|last4=Liesenfeld|first4=Oliver|last5=Muehlen|first5=Marion|last6=Jelinek|first6=Thomas|last7=Burchard|first7=Gerd Dieter|last8=Weinke|first8=Thomas|last9=Harms|first9=Gundel|last10=Stein|first10=Harald|last11=Zeitz|first11=Martin|last12=Ullrich|first12=Reiner|last13=Schneider|first13=Thomas|title=Diagnostic value of endoscopy for the diagnosis of giardiasis and other intestinal diseases in patients with persistent diarrhea from tropical or subtropical areas|journal=Scandinavian Journal of Gastroenterology|volume=42|issue=3|year=2009|pages=391–396|issn=0036-5521|doi=10.1080/00365520600881193}}</ref><ref name="pmid27765536">{{cite journal |vauthors=Mena Bares LM, Carmona Asenjo E, García Sánchez MV, Moreno Ortega E, Maza Muret FR, Guiote Moreno MV, Santos Bueno AM, Iglesias Flores E, Benítez Cantero JM, Vallejo Casas JA |title=75SeHCAT scan in bile acid malabsorption in chronic diarrhoea |journal=Rev Esp Med Nucl Imagen Mol |volume=36 |issue=1 |pages=37–47 |year=2017 |pmid=27765536 |doi=10.1016/j.remn.2016.08.005 |url=}}</ref><ref name="pmid19365159">{{cite journal |vauthors=Gibson RJ, Stringer AM |title=Chemotherapy-induced diarrhoea |journal=Curr Opin Support Palliat Care |volume=3 |issue=1 |pages=31–5 |year=2009 |pmid=19365159 |doi=10.1097/SPC.0b013e32832531bb |url=}}</ref><ref name="pmid23384808">{{cite journal |vauthors=Abraham BP, Sellin JH |title=Drug-induced, factitious, & idiopathic diarrhoea |journal=Best Pract Res Clin Gastroenterol |volume=26 |issue=5 |pages=633–48 |year=2012 |pmid=23384808 |doi=10.1016/j.bpg.2012.11.007 |url=}}</ref><ref name="pmid25692805">{{cite journal |vauthors=Reintam Blaser A, Deane AM, Fruhwald S |title=Diarrhoea in the critically ill |journal=Curr Opin Crit Care |volume=21 |issue=2 |pages=142–53 |year=2015 |pmid=25692805 |doi=10.1097/MCC.0000000000000188 |url=}}</ref><ref name="pmid17373914">{{cite journal |vauthors=McMahan ZH, DuPont HL |title=Review article: the history of acute infectious diarrhoea management--from poorly focused empiricism to fluid therapy and modern pharmacotherapy |journal=Aliment. Pharmacol. Ther. |volume=25 |issue=7 |pages=759–69 |year=2007 |pmid=17373914 |doi=10.1111/j.1365-2036.2007.03261.x |url=}}</ref><ref name="pmid23384801">{{cite journal |vauthors=Schiller LR |title=Definitions, pathophysiology, and evaluation of chronic diarrhoea |journal=Best Pract Res Clin Gastroenterol |volume=26 |issue=5 |pages=551–62 |year=2012 |pmid=23384801 |doi=10.1016/j.bpg.2012.11.011 |url=}}</ref><ref name="pmid3523719">{{cite journal |vauthors=Giannella RA |title=Chronic diarrhea in travelers: diagnostic and therapeutic considerations |journal=Rev. Infect. Dis. |volume=8 Suppl 2 |issue= |pages=S223–6 |year=1986 |pmid=3523719 |doi= |url=}}</ref><ref name="pmid16151544">{{cite journal| author=Silverberg MS, Satsangi J, Ahmad T, Arnott ID, Bernstein CN, Brant SR et al.| title=Toward an integrated clinical, molecular and serological classification of inflammatory bowel disease: report of a Working Party of the 2005 Montreal World Congress of Gastroenterology. | journal=Can J Gastroenterol | year= 2005 | volume= 19 Suppl A | issue=  | pages= 5A-36A | pmid=16151544 | doi= | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=16151544  }}</ref><ref name="pmid12135027">{{cite journal| author=Sauter GH, Moussavian AC, Meyer G, Steitz HO, Parhofer KG, Jüngst D| title=Bowel habits and bile acid malabsorption in the months after cholecystectomy. | journal=Am J Gastroenterol | year= 2002 | volume= 97 | issue= 7 | pages= 1732-5 | pmid=12135027 | doi=10.1111/j.1572-0241.2002.05779.x | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=12135027  }}</ref><ref name="pmid1702075">{{cite journal| author=Maiuri L, Raia V, Potter J, Swallow D, Ho MW, Fiocca R et al.| title=Mosaic pattern of lactase expression by villous enterocytes in human adult-type hypolactasia. | journal=Gastroenterology | year= 1991 | volume= 100 | issue= 2 | pages= 359-69 | pmid=1702075 | doi= | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=1702075  }}</ref><ref name="pmid14439871">{{cite journal| author=RUBIN CE, BRANDBORG LL, PHELPS PC, TAYLOR HC| title=Studies of celiac disease. I. The apparent identical and specific nature of the duodenal and proximal jejunal lesion in celiac disease and idiopathic sprue. | journal=Gastroenterology | year= 1960 | volume= 38 | issue=  | pages= 28-49 | pmid=14439871 | doi= | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=14439871  }}</ref><ref name="pmid8209928">{{cite journal| author=Konvolinka CW| title=Acute diverticulitis under age forty. | journal=Am J Surg | year= 1994 | volume= 167 | issue= 6 | pages= 562-5 | pmid=8209928 | doi= | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=8209928  }} </ref><ref name="pmid16698746">{{cite journal| author=Satsangi J, Silverberg MS, Vermeire S, Colombel JF| title=The Montreal classification of inflammatory bowel disease: controversies, consensus, and implications. | journal=Gut | year= 2006 | volume= 55 | issue= 6 | pages= 749-53 | pmid=16698746 | doi=10.1136/gut.2005.082909 | pmc=1856208 | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=16698746  }} </ref><ref name="pmid12700377">{{cite journal| author=Haque R, Huston CD, Hughes M, Houpt E, Petri WA| title=Amebiasis. | journal=N Engl J Med | year= 2003 | volume= 348 | issue= 16 | pages= 1565-73 | pmid=12700377 | doi=10.1056/NEJMra022710 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=12700377  }} </ref><ref name="pmid8694025">{{cite journal| author=Hertzler SR, Savaiano DA| title=Colonic adaptation to daily lactose feeding in lactose maldigesters reduces lactose intolerance. | journal=Am J Clin Nutr | year= 1996 | volume= 64 | issue= 2 | pages= 232-6 | pmid=8694025 | doi= | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=8694025  }} </ref><ref name="pmid9414969">{{cite journal| author=Briet F, Pochart P, Marteau P, Flourie B, Arrigoni E, Rambaud JC| title=Improved clinical tolerance to chronic lactose ingestion in subjects with lactose intolerance: a placebo effect? | journal=Gut | year= 1997 | volume= 41 | issue= 5 | pages= 632-5 | pmid=9414969 | doi= | pmc=1891556 | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=9414969  }} </ref><ref name="pmid15391722">{{cite journal| author=BLACK-SCHAFFER B| title=The tinctoral demonstration of a glycoprotein in Whipple's disease. | journal=Proc Soc Exp Biol Med | year= 1949 | volume= 72 | issue= 1 | pages= 225-7 | pmid=15391722 | doi= | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=15391722  }} </ref>
@@ Line 416: / Line 417: @@
 *Abdominal [[Computed tomography|CT scan]]
 |-
-! colspan="2" style="background:#DCDCDC;" align="center" |[[Lactose intolerance]]
+! colspan="2" rowspan="2" style="background:#4479BA; color: #FFFFFF;" align="center" |Cause
-| style="padding: 5px 5px; background: #F5F5F5;" align="center" | +
+! colspan="2" style="background:#4479BA; color: #FFFFFF;" align="center" |Duration
-| style="padding: 5px 5px; background: #F5F5F5;" align="center" | +
+! colspan="3" style="background:#4479BA; color: #FFFFFF;" align="center" |Diarrhea
-| style="padding: 5px 5px; background: #F5F5F5;" align="center" | +
+! rowspan="2" style="background:#4479BA; color: #FFFFFF;" align="center" |Fever
-| style="padding: 5px 5px; background: #F5F5F5;" align="center" | –
+! rowspan="2" style="background:#4479BA; color: #FFFFFF;" align="center" |Abdominal pain
-| style="padding: 5px 5px; background: #F5F5F5;" align="center" | –
+! rowspan="2" style="background:#4479BA; color: #FFFFFF;" align="center" |Weight loss
-| style="padding: 5px 5px; background: #F5F5F5;" align="center" | –
+! rowspan="2" style="background:#4479BA; color: #FFFFFF;" align="center" |GI signs
-| style="padding: 5px 5px; background: #F5F5F5;" align="center" | +
+! colspan="5" style="background:#4479BA; color: #FFFFFF;" align="center" |Stool exam
-| style="padding: 5px 5px; background: #F5F5F5;" align="center" | –
+! colspan="3" style="background:#4479BA; color: #FFFFFF;" align="center" |CBC
-| style="padding: 5px 5px; background: #F5F5F5;" align="left" |
+! rowspan="2" style="background:#4479BA; color: #FFFFFF;" align="center" |Other lab findings
-* [[Abdominal tenderness ]]
+! rowspan="2" style="background:#4479BA; color: #FFFFFF;" align="center" |Extra intestinal findings
-* [[Abdominal distention]]
+! rowspan="2" style="background:#4479BA; color: #FFFFFF;" align="center" |Cause/Pathogenesis
-| style="padding: 5px 5px; background: #F5F5F5;" align="center" |–
+! rowspan="2" style="background:#4479BA; color: #FFFFFF;" align="center" |Gold standard diagnosis
-| style="padding: 5px 5px; background: #F5F5F5;" align="center" |–
+|-
-| style="padding: 5px 5px; background: #F5F5F5;" align="center" | –
+! style="background:#4479BA; color: #FFFFFF;" align="center" |Acute
-| style="padding: 5px 5px; background: #F5F5F5;" align="center" |↑
+! style="background:#4479BA; color: #FFFFFF;" align="center" |Chronic
-| style="padding: 5px 5px; background: #F5F5F5;" align="left" |–
+! style="background:#4479BA; color: #FFFFFF;" align="center" |Watery
-| style="padding: 5px 5px; background: #F5F5F5;" align="center" | Nl
+! style="background:#4479BA; color: #FFFFFF;" align="center" |Bloody
-| style="padding: 5px 5px; background: #F5F5F5;" align="center" | Nl
+! style="background:#4479BA; color: #FFFFFF;" align="center" |Fatty
-| style="padding: 5px 5px; background: #F5F5F5;" align="center" | Nl
+! style="background:#4479BA; color: #FFFFFF;" align="center" |WBC
-| style="padding: 5px 5px; background: #F5F5F5;" align="left" |
+! style="background:#4479BA; color: #FFFFFF;" align="center" |RBC
-* Lactose tolerance test
+! style="background:#4479BA; color: #FFFFFF;" align="center" |Ova/Parasite
-* Genetic testing
+! style="background:#4479BA; color: #FFFFFF;" align="center" |Osmotic gap
-| style="padding: 5px 5px; background: #F5F5F5;" align="left" |
+! style="background:#4479BA; color: #FFFFFF;" align="center" |Other
-* [[Headache]]
+! style="background:#4479BA; color: #FFFFFF;" align="center" |WBC
-* [[Vertigo]]
+! style="background:#4479BA; color: #FFFFFF;" align="center" |Hgb
-* [[Memory impairment]]
+! style="background:#4479BA; color: #FFFFFF;" align="center" |Plt
-* [[Lethargy]]
-| style="padding: 5px 5px; background: #F5F5F5;" align="left" |
-* Reduction of lactase enzyme activity or inability to produce persistent [[lactase]]
-* Congenital [[lactase deficiency]]
-* Secondary lactose malabsorption
-| style="padding: 5px 5px; background: #F5F5F5;" align="left" |
-* [[Small bowel]] [[biopsy]]
-* Lactose breath hydrogen test
 |-
-! colspan="2" style="background:#DCDCDC;" align="center" |[[Irritable bowel syndrome]]
+! colspan="2" style="background:#DCDCDC;" align="center" |[[Whipple's disease]]
 | 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" |
+* [[Hepatosplenomegaly]]
+* [[Ascites]]
 | 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" |
-* [[Abdominal tenderness]]
-* [[Abdominal distention]]
-* Normal [[Stomach rumble|bowel sounds]]
-| 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" | Nl
-| style="padding: 5px 5px; background: #F5F5F5;" align="left" |–
-| style="padding: 5px 5px; background: #F5F5F5;" align="center" | Nl
-| style="padding: 5px 5px; background: #F5F5F5;" align="center" | Nl
-| style="padding: 5px 5px; background: #F5F5F5;" align="center" | Nl
-| style="padding: 5px 5px; background: #F5F5F5;" align="left" |Nl
 | style="padding: 5px 5px; background: #F5F5F5;" align="left" |
-*[[Anxiety]]
+* Positive [[fecal fat]]
-*[[Palpitation]]
+| 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" |
-*Unknown
+*[[Hypoalbuminemia]]
-| style="padding: 5px 5px; background: #F5F5F5;" align="left" |
+*[[Fat soluble vitamins]] deficiency
-* Diagnosis of exclusion
+| style="padding: 5px 5px; background: #F5F5F5;" align="left" |
+* [[Malabsorption]]
+* [[Ocular motility disorders|Abnormal extraocular movement]]
+* [[Lymphadenopathy]]
+* [[Hyperpigmentation]]
+* [[Uveitis]]
+* [[Endocarditis]]
+* [[Encephalitis]]
+* [[Dementia]]
+* [[Pleural effusion]]
+| style="padding: 5px 5px; background: #F5F5F5;" align="left" |
+* [[Tropheryma whipplei|''Tropheryma whipplei'']]
+| style="padding: 5px 5px; background: #F5F5F5;" align="left" |
+* [[Small intestine]] [[biopsy]] for [[Tropheryma whipplei]] testing
+* [[PCR]] testing
 |-
-! colspan="2" rowspan="2" style="background:#4479BA; color: #FFFFFF;" align="center" |Cause
+! colspan="2" style="background:#DCDCDC;" align="center" |[[Tropical sprue]]
-! colspan="2" style="background:#4479BA; color: #FFFFFF;" align="center" |Duration
+| style="padding: 5px 5px; background: #F5F5F5;" align="center" | +
-! colspan="3" style="background:#4479BA; color: #FFFFFF;" align="center" |Diarrhea
+| style="padding: 5px 5px; background: #F5F5F5;" align="center" | +
-! rowspan="2" style="background:#4479BA; color: #FFFFFF;" align="center" |Fever
+| style="padding: 5px 5px; background: #F5F5F5;" align="center" | +
-! rowspan="2" style="background:#4479BA; color: #FFFFFF;" align="center" |Abdominal pain
+| style="padding: 5px 5px; background: #F5F5F5;" align="center" | –
-! rowspan="2" style="background:#4479BA; color: #FFFFFF;" align="center" |Weight loss
-! rowspan="2" style="background:#4479BA; color: #FFFFFF;" align="center" |GI signs
-! colspan="5" style="background:#4479BA; color: #FFFFFF;" align="center" |Stool exam
-! colspan="3" style="background:#4479BA; color: #FFFFFF;" align="center" |CBC
-! rowspan="2" style="background:#4479BA; color: #FFFFFF;" align="center" |Other lab findings
-! rowspan="2" style="background:#4479BA; color: #FFFFFF;" align="center" |Extra intestinal findings
-! rowspan="2" style="background:#4479BA; color: #FFFFFF;" align="center" |Cause/Pathogenesis
-! rowspan="2" style="background:#4479BA; color: #FFFFFF;" align="center" |Gold standard diagnosis
-|-
-! style="background:#4479BA; color: #FFFFFF;" align="center" |Acute
-! style="background:#4479BA; color: #FFFFFF;" align="center" |Chronic
-! style="background:#4479BA; color: #FFFFFF;" align="center" |Watery
-! style="background:#4479BA; color: #FFFFFF;" align="center" |Bloody
-! style="background:#4479BA; color: #FFFFFF;" align="center" |Fatty
-! style="background:#4479BA; color: #FFFFFF;" align="center" |WBC
-! style="background:#4479BA; color: #FFFFFF;" align="center" |RBC
-! style="background:#4479BA; color: #FFFFFF;" align="center" |Ova/Parasite
-! style="background:#4479BA; color: #FFFFFF;" align="center" |Osmotic gap
-! style="background:#4479BA; color: #FFFFFF;" align="center" |Other
-! style="background:#4479BA; color: #FFFFFF;" align="center" |WBC
-! style="background:#4479BA; color: #FFFFFF;" align="center" |Hgb
-! style="background:#4479BA; color: #FFFFFF;" align="center" |Plt
-|-
-! colspan="2" style="background:#DCDCDC;" align="center" |[[Whipple's disease]]
-| 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" |
+* Angular [[stomatitis]]
+* Oral mucosal lesion
 | style="padding: 5px 5px; background: #F5F5F5;" align="center" | +
-| style="padding: 5px 5px; background: #F5F5F5;" align="left" |
+| style="padding: 5px 5px; background: #F5F5F5;" align="center" |–
-* [[Hepatosplenomegaly]]
-* [[Ascites]]
-| 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" | Nl
 | style="padding: 5px 5px; background: #F5F5F5;" align="left" |
-* Positive [[fecal fat]]
+*Positive [[stool culture]]
-| style="padding: 5px 5px; background: #F5F5F5;" align="center" |↓
+| style="padding: 5px 5px; background: #F5F5F5;" align="center" | Nl
-| 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" | Nl
+| style="padding: 5px 5px; background: #F5F5F5;" align="left" |
+* [[Fat soluble vitamins]] deficiency
+* [[Vitamin B12 deficiency]]
+* [[Folate deficiency]]
+* [[Hypokalemia]]
 | style="padding: 5px 5px; background: #F5F5F5;" align="left" |
-*[[Hypoalbuminemia]]
+*[[Myalgia]]
-*[[Fat soluble vitamins]] deficiency
+*[[Neuropathy]]
-| style="padding: 5px 5px; background: #F5F5F5;" align="left" |
+*[[Edema]]
-* [[Malabsorption]]
+| style="padding: 5px 5px; background: #F5F5F5;" align="left" |
-* [[Ocular motility disorders|Abnormal extraocular movement]]
+* ''[[Escherichia coli]]''
-* [[Lymphadenopathy]]
+* ''[[Klebsiella pneumoniae]]''
-* [[Hyperpigmentation]]
+* ''[[Enterobacter cloacae]]''
-* [[Uveitis]]
+| style="padding: 5px 5px; background: #F5F5F5;" align="left" |
-* [[Endocarditis]]
+* Diagnosis of exclusion
-* [[Encephalitis]]
-* [[Dementia]]
-* [[Pleural effusion]]
-| style="padding: 5px 5px; background: #F5F5F5;" align="left" |
-* [[Tropheryma whipplei|''Tropheryma whipplei'']]
-| style="padding: 5px 5px; background: #F5F5F5;" align="left" |
-* [[Small intestine]] [[biopsy]] for [[Tropheryma whipplei]] testing
-* [[PCR]] testing
 |-
-! colspan="2" style="background:#DCDCDC;" align="center" |[[Tropical sprue]]
+! colspan="2" style="background:#DCDCDC;" align="center" |[[Small bowel bacterial overgrowth syndrome|Small bowel bacterial overgrowth]]
+| 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="center" | +
+* [[Abdominal distension|Abdominal distention]]
-| style="padding: 5px 5px; background: #F5F5F5;" align="left" |
-* Angular [[stomatitis]]
-* Oral mucosal lesion
 | style="padding: 5px 5px; background: #F5F5F5;" align="center" | +
 | style="padding: 5px 5px; background: #F5F5F5;" align="center" |–
@@ Line 568: / Line 539: @@
 | style="padding: 5px 5px; background: #F5F5F5;" align="left" |
 *Positive [[stool culture]]
+*Positive [[fecal fat]]
 | style="padding: 5px 5px; background: #F5F5F5;" align="center" | Nl
-| style="padding: 5px 5px; background: #F5F5F5;" align="center" | ↓
+| style="padding: 5px 5px; background: #F5F5F5;" align="center" |↓
 | style="padding: 5px 5px; background: #F5F5F5;" align="center" | Nl
-| style="padding: 5px 5px; background: #F5F5F5;" align="left" |
-* [[Fat soluble vitamins]] deficiency
-* [[Vitamin B12 deficiency]]
-* [[Folate deficiency]]
-* [[Hypokalemia]]
 | style="padding: 5px 5px; background: #F5F5F5;" align="left" |
-*[[Myalgia]]
+* [[Hypoalbuminemia]]
-*[[Neuropathy]]
+* Abnormal [[Hydrogen Breath Test|hydrogen breath test]]
-*[[Edema]]
+* [[Lactic acidosis]]
 | style="padding: 5px 5px; background: #F5F5F5;" align="left" |
-* ''[[Escherichia coli]]''
+* [[Malabsorption]]
-* ''[[Klebsiella pneumoniae]]''
+* [[Rosacea]]
-* ''[[Enterobacter cloacae]]''
+| style="padding: 5px 5px; background: #F5F5F5;" align="left" |
-| style="padding: 5px 5px; background: #F5F5F5;" align="left" |
+* Excess bacteria in the [[small intestine]]
+* Alterations in [[Intestine|intestinal]] [[anatomy]] or GI motility
+| style="padding: 5px 5px; background: #F5F5F5;" align="left" |
 * Diagnosis of exclusion
 |-
-! colspan="2" style="background:#DCDCDC;" align="center" |[[Small bowel bacterial overgrowth syndrome|Small bowel bacterial overgrowth]]
+! colspan="2" rowspan="2" style="background:#4479BA; color: #FFFFFF;" align="center" |Cause
-| style="padding: 5px 5px; background: #F5F5F5;" align="center" | –
+! colspan="2" style="background:#4479BA; color: #FFFFFF;" align="center" |Duration
-| style="padding: 5px 5px; background: #F5F5F5;" align="center" | +
+! colspan="3" style="background:#4479BA; color: #FFFFFF;" align="center" |Diarrhea
-| style="padding: 5px 5px; background: #F5F5F5;" align="center" | +
+! rowspan="2" style="background:#4479BA; color: #FFFFFF;" align="center" |Fever
-| style="padding: 5px 5px; background: #F5F5F5;" align="center" | –
+! rowspan="2" style="background:#4479BA; color: #FFFFFF;" align="center" |Abdominal pain
-| style="padding: 5px 5px; background: #F5F5F5;" align="center" | +
+! rowspan="2" style="background:#4479BA; color: #FFFFFF;" align="center" |Weight loss
-| style="padding: 5px 5px; background: #F5F5F5;" align="center" | –
+! rowspan="2" style="background:#4479BA; color: #FFFFFF;" align="center" |GI signs
-| style="padding: 5px 5px; background: #F5F5F5;" align="center" | +
+! colspan="5" style="background:#4479BA; color: #FFFFFF;" align="center" |Stool exam
-| style="padding: 5px 5px; background: #F5F5F5;" align="center" | +
+! colspan="3" style="background:#4479BA; color: #FFFFFF;" align="center" |CBC
-| style="padding: 5px 5px; background: #F5F5F5;" align="left" |
+! rowspan="2" style="background:#4479BA; color: #FFFFFF;" align="center" |Other lab findings
-* [[Abdominal distension|Abdominal distention]]
+! rowspan="2" style="background:#4479BA; color: #FFFFFF;" align="center" |Extra intestinal findings
+! rowspan="2" style="background:#4479BA; color: #FFFFFF;" align="center" |Cause/Pathogenesis
+! rowspan="2" style="background:#4479BA; color: #FFFFFF;" align="center" |Gold standard diagnosis
+|-
+! style="background:#4479BA; color: #FFFFFF;" align="center" |Acute
+! style="background:#4479BA; color: #FFFFFF;" align="center" |Chronic
+! style="background:#4479BA; color: #FFFFFF;" align="center" |Watery
+! style="background:#4479BA; color: #FFFFFF;" align="center" |Bloody
+! style="background:#4479BA; color: #FFFFFF;" align="center" |Fatty
+! style="background:#4479BA; color: #FFFFFF;" align="center" |WBC
+! style="background:#4479BA; color: #FFFFFF;" align="center" |RBC
+! style="background:#4479BA; color: #FFFFFF;" align="center" |Ova/Parasite
+! style="background:#4479BA; color: #FFFFFF;" align="center" |Osmotic gap
+! style="background:#4479BA; color: #FFFFFF;" align="center" |Other
+! style="background:#4479BA; color: #FFFFFF;" align="center" |WBC
+! style="background:#4479BA; color: #FFFFFF;" align="center" |Hgb
+! style="background:#4479BA; color: #FFFFFF;" align="center" |Plt
+|-
+! style="background:#DCDCDC;" align="center" |[[Escherichia coli enteritis]]
+| style="background:#DCDCDC;" align="center" |[[EPEC|'''EPEC''']]
+| 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" |
+*Diffuse [[abdominal tenderness]]
+| 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" | Nl
 | style="padding: 5px 5px; background: #F5F5F5;" align="left" |
 *Positive [[stool culture]]
-*Positive [[fecal fat]]
+| style="padding: 5px 5px; background: #F5F5F5;" align="center" |↑
-| style="padding: 5px 5px; background: #F5F5F5;" align="center" | Nl
+| style="padding: 5px 5px; background: #F5F5F5;" align="center" |Nl
-| style="padding: 5px 5px; background: #F5F5F5;" align="center" |↓
+| style="padding: 5px 5px; background: #F5F5F5;" align="center" |Nl
-| style="padding: 5px 5px; background: #F5F5F5;" align="center" | Nl
+| style="padding: 5px 5px; background: #F5F5F5;" align="left" |–
+| style="padding: 5px 5px; background: #F5F5F5;" align="left" |–
 | style="padding: 5px 5px; background: #F5F5F5;" align="left" |
-* [[Hypoalbuminemia]]
+*''[[Enteropathogenic E. coli]]''
-* Abnormal [[Hydrogen Breath Test|hydrogen breath test]]
-* [[Lactic acidosis]]
 | style="padding: 5px 5px; background: #F5F5F5;" align="left" |
-* [[Malabsorption]]
+*[[Hybridization probe|DNA probe]] or [[polymerase chain reaction]] ([[Polymerase chain reaction|PCR]]) of the ''EPEC'' adherence factor
-* [[Rosacea]]
+*[[Stool culture]]
-| style="padding: 5px 5px; background: #F5F5F5;" align="left" |
+|-
-* Excess bacteria in the [[small intestine]]
+! colspan="2" style="background:#DCDCDC;" align="center" |[[Human Immunodeficiency Virus (HIV)|HIV]]
-* Alterations in [[Intestine|intestinal]] [[anatomy]] or GI motility
+| 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" |
+*[[Abdominal distension|Abdominal distention]]
+*Diffuse [[Tenderness (medicine)|abdominal tenderness]]
+| 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" | Nl
+| 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" | Nl
+| style="padding: 5px 5px; background: #F5F5F5;" align="left" |
+*Decreased [[CD4]] level
+*[[Electrolyte disturbance|Electrolyte imbalance]]
 | style="padding: 5px 5px; background: #F5F5F5;" align="left" |
-* Diagnosis of exclusion
+*[[Lymphadenopathy]]
-|-
+*Disseminated [[infection]]
-! colspan="2" rowspan="2" style="background:#4479BA; color: #FFFFFF;" align="center" |Cause
+| style="padding: 5px 5px; background: #F5F5F5;" align="left" |
-! colspan="2" style="background:#4479BA; color: #FFFFFF;" align="center" |Duration
+*[[Human Immunodeficiency Virus (HIV)|''HIV'']]
-! colspan="3" style="background:#4479BA; color: #FFFFFF;" align="center" |Diarrhea
+| style="padding: 5px 5px; background: #F5F5F5;" align="left" |
-! rowspan="2" style="background:#4479BA; color: #FFFFFF;" align="center" |Fever
+*HIV virologic (viral load) test
-! rowspan="2" style="background:#4479BA; color: #FFFFFF;" align="center" |Abdominal pain
+*Immunoassay
-! rowspan="2" style="background:#4479BA; color: #FFFFFF;" align="center" |Weight loss
-! rowspan="2" style="background:#4479BA; color: #FFFFFF;" align="center" |GI signs
-! colspan="5" style="background:#4479BA; color: #FFFFFF;" align="center" |Stool exam
-! colspan="3" style="background:#4479BA; color: #FFFFFF;" align="center" |CBC
-! rowspan="2" style="background:#4479BA; color: #FFFFFF;" align="center" |Other lab findings
-! rowspan="2" style="background:#4479BA; color: #FFFFFF;" align="center" |Extra intestinal findings
-! rowspan="2" style="background:#4479BA; color: #FFFFFF;" align="center" |Cause/Pathogenesis
-! rowspan="2" style="background:#4479BA; color: #FFFFFF;" align="center" |Gold standard diagnosis
 |-
-! style="background:#4479BA; color: #FFFFFF;" align="center" |Acute
+! colspan="2" style="background:#DCDCDC;" align="center" |[[Giardia lamblia|Giardia]]
-! style="background:#4479BA; color: #FFFFFF;" align="center" |Chronic
+| style="padding: 5px 5px; background: #F5F5F5;" align="center" | –
-! style="background:#4479BA; color: #FFFFFF;" align="center" |Watery
+| style="padding: 5px 5px; background: #F5F5F5;" align="center" | +
-! style="background:#4479BA; color: #FFFFFF;" align="center" |Bloody
-! style="background:#4479BA; color: #FFFFFF;" align="center" |Fatty
-! style="background:#4479BA; color: #FFFFFF;" align="center" |WBC
-! style="background:#4479BA; color: #FFFFFF;" align="center" |RBC
-! style="background:#4479BA; color: #FFFFFF;" align="center" |Ova/Parasite
-! style="background:#4479BA; color: #FFFFFF;" align="center" |Osmotic gap
-! style="background:#4479BA; color: #FFFFFF;" align="center" |Other
-! style="background:#4479BA; color: #FFFFFF;" align="center" |WBC
-! style="background:#4479BA; color: #FFFFFF;" align="center" |Hgb
-! style="background:#4479BA; color: #FFFFFF;" align="center" |Plt
-|-
-! colspan="2" style="background:#DCDCDC;" align="center" |[[Salmonellosis]]
 | 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" |
-*[[Abdominal distention]]
+*[[Abdominal distension|Abdominal distention]]
-*Diffuse [[abdominal tenderness]]
+*Diffuse [[Tenderness (medicine)|abdominal tenderness]]
-*[[Hepatosplenomegaly]]
+| 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" | Nl
+| style="padding: 5px 5px; background: #F5F5F5;" align="left" |–
+| style="padding: 5px 5px; background: #F5F5F5;" align="center" |Nl
+| style="padding: 5px 5px; background: #F5F5F5;" align="center" |Nl
+| style="padding: 5px 5px; background: #F5F5F5;" align="center" |Nl
+| style="padding: 5px 5px; background: #F5F5F5;" align="left" |–
 | style="padding: 5px 5px; background: #F5F5F5;" align="left" |
-*Positive [[stool culture]]
+*[[Malabsorption]]
-*Positive serologic testing
+*[[Urticaria]]
-| style="padding: 5px 5px; background: #F5F5F5;" align="center" |↑
+*[[Depression]]
-| style="padding: 5px 5px; background: #F5F5F5;" align="center" | Nl
-| style="padding: 5px 5px; background: #F5F5F5;" align="center" |↑
 | style="padding: 5px 5px; background: #F5F5F5;" align="left" |
-*[[Hypokalemia]]
+*''[[Giardia lamblia]]''
-*[[Hypernatremia]]
-*[[Hyponatremia]]
-* [[Hypercalciuria]]
-* [[Hypocitraturia]]
 | style="padding: 5px 5px; background: #F5F5F5;" align="left" |
-* [[Post-infectious arthritis|Post–infectious arthritis]]
+*Antigen detection assays
-* [[Obtundation]]
-* [[Bacteremia]]
-* [[Pericarditis]]
-* [[Pyelonephritis]]
-*[[Brain abscess]]
-| style="padding: 5px 5px; background: #F5F5F5;" align="left" |
-*[[Salmonella|''Salmonella'']]
-| style="padding: 5px 5px; background: #F5F5F5;" align="left" |
-*[[Stool culture]]
 |-
-! rowspan="2" style="background:#DCDCDC;" align="center" |[[Escherichia coli enteritis]]
+! colspan="2" style="background:#DCDCDC;" align="center" |[[Cryptosporidium]]
-| style="background:#DCDCDC;" align="center" |[[EPEC|'''EPEC''']]
+| 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" |
-*Diffuse [[abdominal tenderness]]
+*[[Abdominal distension|Abdominal distention]]
+*Diffuse [[Tenderness (medicine)|abdominal tenderness]]
+| 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" | Nl
 | style="padding: 5px 5px; background: #F5F5F5;" align="left" |
-*Positive [[stool culture]]
+*Positive stool microscopy
-| style="padding: 5px 5px; background: #F5F5F5;" align="center" |↑
+| style="padding: 5px 5px; background: #F5F5F5;" align="center" |Nl
 | style="padding: 5px 5px; background: #F5F5F5;" align="center" |Nl
 | style="padding: 5px 5px; background: #F5F5F5;" align="center" |Nl
-| style="padding: 5px 5px; background: #F5F5F5;" align="left" |–
-| style="padding: 5px 5px; background: #F5F5F5;" align="left" |–
 | style="padding: 5px 5px; background: #F5F5F5;" align="left" |
-*''[[Enteropathogenic E. coli]]''
+*Elevated [[alkaline phosphatase]]
+| style="padding: 5px 5px; background: #F5F5F5;" align="left" |
+*Chronic, life–threatening illness in [[Immunodeficiency|immunocompromised]] patients
+| style="padding: 5px 5px; background: #F5F5F5;" align="left" |
+*[[Cryptosporidium|''Cryptosporidium'']]
 | style="padding: 5px 5px; background: #F5F5F5;" align="left" |
-*[[Hybridization probe|DNA probe]] or [[polymerase chain reaction]] ([[Polymerase chain reaction|PCR]]) of the ''EPEC'' adherence factor
+*Polymerase chain reaction
-*[[Stool culture]]
 |-
-| style="background:#DCDCDC;" align="center" |[[EAEC|'''EAEC''']]
+! colspan="2" rowspan="2" style="background:#4479BA; color: #FFFFFF;" align="center" |Cause
-| style="padding: 5px 5px; background: #F5F5F5;" align="center" | +
+! colspan="2" style="background:#4479BA; color: #FFFFFF;" align="center" |Duration
-| style="padding: 5px 5px; background: #F5F5F5;" align="center" | +
+! colspan="3" style="background:#4479BA; color: #FFFFFF;" align="center" |Diarrhea
-| style="padding: 5px 5px; background: #F5F5F5;" align="center" | +
+! rowspan="2" style="background:#4479BA; color: #FFFFFF;" align="center" |Fever
-| style="padding: 5px 5px; background: #F5F5F5;" align="center" | +
+! rowspan="2" style="background:#4479BA; color: #FFFFFF;" align="center" |Abdominal pain
-| style="padding: 5px 5px; background: #F5F5F5;" align="center" | –
+! rowspan="2" style="background:#4479BA; color: #FFFFFF;" align="center" |Weight loss
-| style="padding: 5px 5px; background: #F5F5F5;" align="center" | –
+! rowspan="2" style="background:#4479BA; color: #FFFFFF;" align="center" |GI signs
-| style="padding: 5px 5px; background: #F5F5F5;" align="center" | +
+! colspan="5" style="background:#4479BA; color: #FFFFFF;" align="center" |Stool exam
-| style="padding: 5px 5px; background: #F5F5F5;" align="center" | –
+! colspan="3" style="background:#4479BA; color: #FFFFFF;" align="center" |CBC
-| style="padding: 5px 5px; background: #F5F5F5;" align="Left" |
+! rowspan="2" style="background:#4479BA; color: #FFFFFF;" align="center" |Other lab findings
-*Diffuse [[abdominal tenderness]]
+! rowspan="2" style="background:#4479BA; color: #FFFFFF;" align="center" |Extra intestinal findings
-| style="padding: 5px 5px; background: #F5F5F5;" align="center" | +
+! rowspan="2" style="background:#4479BA; color: #FFFFFF;" align="center" |Cause/Pathogenesis
-| style="padding: 5px 5px; background: #F5F5F5;" align="center" | +
+! rowspan="2" style="background:#4479BA; color: #FFFFFF;" align="center" |Gold standard diagnosis
-| style="padding: 5px 5px; background: #F5F5F5;" align="center" | –
+|-
-| style="padding: 5px 5px; background: #F5F5F5;" align="center" | Nl
+! style="background:#4479BA; color: #FFFFFF;" align="center" |Acute
-| style="padding: 5px 5px; background: #F5F5F5;" align="left" |
+! style="background:#4479BA; color: #FFFFFF;" align="center" |Chronic
-*Positive [[stool culture]]
+! style="background:#4479BA; color: #FFFFFF;" align="center" |Watery
-| style="padding: 5px 5px; background: #F5F5F5;" align="center" |↑
+! style="background:#4479BA; color: #FFFFFF;" align="center" |Bloody
-| style="padding: 5px 5px; background: #F5F5F5;" align="center" |↓
+! style="background:#4479BA; color: #FFFFFF;" align="center" |Fatty
-| style="padding: 5px 5px; background: #F5F5F5;" align="center" |↓
+! style="background:#4479BA; color: #FFFFFF;" align="center" |WBC
-| style="padding: 5px 5px; background: #F5F5F5;" align="left" |–
+! style="background:#4479BA; color: #FFFFFF;" align="center" |RBC
-| style="padding: 5px 5px; background: #F5F5F5;" align="left" |
+! style="background:#4479BA; color: #FFFFFF;" align="center" |Ova/Parasite
-*Chronic infection in [[Immunodeficiency|immunocompromised]] patients
+! style="background:#4479BA; color: #FFFFFF;" align="center" |Osmotic gap
-| style="padding: 5px 5px; background: #F5F5F5;" align="left" |
+! style="background:#4479BA; color: #FFFFFF;" align="center" |Other
-*[[Escherichia coli enteritis|''Enteroaggregative E. coli'']]
+! style="background:#4479BA; color: #FFFFFF;" align="center" |WBC
-| style="padding: 5px 5px; background: #F5F5F5;" align="left" |
+! style="background:#4479BA; color: #FFFFFF;" align="center" |Hgb
-*[[Stool culture]]
+! style="background:#4479BA; color: #FFFFFF;" align="center" |Plt
 |-
-! colspan="2" style="background:#DCDCDC;" align="center" |[[Aeromonas]]
+! colspan="2" style="background:#DCDCDC;" align="center" |[[Isospora]]
+| 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" |
+*[[Abdominal distension|Abdominal distention]]
-* [[Abdominal distention]]
+*Diffuse [[Tenderness (medicine)|abdominal tenderness]]
-* Hyperactive [[Stomach rumble|bowel sounds]]
+| style="padding: 5px 5px; background: #F5F5F5;" align="center" | +
-* Diffuse [[abdominal tenderness]]
 | 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" | Nl
 | style="padding: 5px 5px; background: #F5F5F5;" align="left" |
-*Positive [[stool culture]]
+*Positive stool microscopy
+*Positive [[fecal fat]]
 | style="padding: 5px 5px; background: #F5F5F5;" align="center" |↑
 | style="padding: 5px 5px; background: #F5F5F5;" align="center" | Nl
-| style="padding: 5px 5px; background: #F5F5F5;" align="center" | Nl
+| style="padding: 5px 5px; background: #F5F5F5;" align="center" |Nl
-| style="padding: 5px 5px; background: #F5F5F5;" align="left" |–
+| style="padding: 5px 5px; background: #F5F5F5;" align="left" |
+*Elevated [[Eosinophil granulocyte|eosinophils]]
+*[[Hypokalemia]]
+*Increased [[creatinine]]
 | style="padding: 5px 5px; background: #F5F5F5;" align="left" |
-*Wound [[infection]]
+*Chronic illness in [[Immunodeficiency|immunocompromised]] patients
-*[[Bacteremia]]
-*[[Hemolytic-uremic syndrome|Hemolytic uremic syndrome]]
-*[[Meningitis]]
-*[[Ocular]] infection
-*[[Pneumonia]]
-*[[Urinary tract infection]]
-*[[Osteomyelitis]]
-*[[Peritonitis]]
-*[[Acute cholecystitis]]
-*[[Opportunistic infection|Opportunistic infections]] in [[Immunodeficiency|immunocompromised]] patients
 | style="padding: 5px 5px; background: #F5F5F5;" align="left" |
-*''[[Aeromonas]]'' virulence factors including [[Endotoxin|endotoxins]], [[Hemolysin|hemolysins]], [[Enterotoxin|enterotoxins]], and adherence factors
+*[[Isospora|''Isospora'']]
 | style="padding: 5px 5px; background: #F5F5F5;" align="left" |
-*[[Blood culture]]
+*Detecting oocysts in the feces
-*Wound [[Culture collection|culture]]
 |-
-! colspan="2" rowspan="2" style="background:#4479BA; color: #FFFFFF;" align="center" |Cause
+! colspan="2" style="background:#DCDCDC;" align="center" |[[Carcinoid syndrome|Carcinoid tumor]]
-! colspan="2" style="background:#4479BA; color: #FFFFFF;" align="center" |Duration
+| style="padding: 5px 5px; background: #F5F5F5;" align="center" | –
-! colspan="3" style="background:#4479BA; color: #FFFFFF;" align="center" |Diarrhea
-! rowspan="2" style="background:#4479BA; color: #FFFFFF;" align="center" |Fever
-! rowspan="2" style="background:#4479BA; color: #FFFFFF;" align="center" |Abdominal pain
-! rowspan="2" style="background:#4479BA; color: #FFFFFF;" align="center" |Weight loss
-! rowspan="2" style="background:#4479BA; color: #FFFFFF;" align="center" |GI signs
-! colspan="5" style="background:#4479BA; color: #FFFFFF;" align="center" |Stool exam
-! colspan="3" style="background:#4479BA; color: #FFFFFF;" align="center" |CBC
-! rowspan="2" style="background:#4479BA; color: #FFFFFF;" align="center" |Other lab findings
-! rowspan="2" style="background:#4479BA; color: #FFFFFF;" align="center" |Extra intestinal findings
-! rowspan="2" style="background:#4479BA; color: #FFFFFF;" align="center" |Cause/Pathogenesis
-! rowspan="2" style="background:#4479BA; color: #FFFFFF;" align="center" |Gold standard diagnosis
-|-
-! style="background:#4479BA; color: #FFFFFF;" align="center" |Acute
-! style="background:#4479BA; color: #FFFFFF;" align="center" |Chronic
-! style="background:#4479BA; color: #FFFFFF;" align="center" |Watery
-! style="background:#4479BA; color: #FFFFFF;" align="center" |Bloody
-! style="background:#4479BA; color: #FFFFFF;" align="center" |Fatty
-! style="background:#4479BA; color: #FFFFFF;" align="center" |WBC
-! style="background:#4479BA; color: #FFFFFF;" align="center" |RBC
-! style="background:#4479BA; color: #FFFFFF;" align="center" |Ova/Parasite
-! style="background:#4479BA; color: #FFFFFF;" align="center" |Osmotic gap
-! style="background:#4479BA; color: #FFFFFF;" align="center" |Other
-! style="background:#4479BA; color: #FFFFFF;" align="center" |WBC
-! style="background:#4479BA; color: #FFFFFF;" align="center" |Hgb
-! style="background:#4479BA; color: #FFFFFF;" align="center" |Plt
-|-
-! colspan="2" style="background:#DCDCDC;" align="center" |[[Mycobacterium avium complex]]
-| 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" |
+* [[Abdominal distention]]
 | style="padding: 5px 5px; background: #F5F5F5;" align="center" | –
-| style="padding: 5px 5px; background: #F5F5F5;" align="left" |
-*[[Abdominal distension|Abdominal distention]]
-*[[Hepatosplenomegaly]]
-| 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" | Nl
+| style="padding: 5px 5px; background: #F5F5F5;" align="center" |↓
 | style="padding: 5px 5px; background: #F5F5F5;" align="left" |–
-| style="padding: 5px 5px; background: #F5F5F5;" align="center" |↓
+| style="padding: 5px 5px; background: #F5F5F5;" align="center" |Nl
-| style="padding: 5px 5px; background: #F5F5F5;" align="center" |↓
+| style="padding: 5px 5px; background: #F5F5F5;" align="center" |Nl
-| style="padding: 5px 5px; background: #F5F5F5;" align="center" | Nl
+| style="padding: 5px 5px; background: #F5F5F5;" align="center" |Nl
 | style="padding: 5px 5px; background: #F5F5F5;" align="left" |
-*Elevated [[Liver function tests|liver enzymes]]
+*Elevated urinary [[5-Hydroxyindoleacetic acid|5–hydroxyindoleacetic acid]] ([[5-Hydroxyindoleacetic acid|5–HIAA]]) level
+*High [[chromogranin A]]
 | style="padding: 5px 5px; background: #F5F5F5;" align="left" |
-*[[Opportunistic infection]] in [[Immunodeficiency|immunocompromised]] patients
+*[[Flushing|Facial flushing]]
-*[[Pulmonary]] [[infection]]
+*[[Jaundice]]
-*[[Lymphadenopathy|Adenopathy]]
+*[[Edema]]
-*[[Sleep hyperhidrosis|Night sweats]]
+*[[Valvular heart disease]]
+*[[Congestive heart failure|Right–sided heart failure]]
 | style="padding: 5px 5px; background: #F5F5F5;" align="left" |
-*[[Mycobacterium avium complex|''Mycobacterium avium complex'']]
+*Well–differentiated [[Neuroendocrine tumors|neuroendocrine tumor]]
 | style="padding: 5px 5px; background: #F5F5F5;" align="left" |
-*[[Blood culture]]
+*Blood [[chromogranin A]]  level
 |-
-! colspan="2" style="background:#DCDCDC;" align="center" |[[CMV colitis]]
+! colspan="2" style="background:#DCDCDC;" align="center" |[[VIPoma]]
 | 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" |
-*Diffuse [[Tenderness (medicine)|abdominal tenderness]]
 | style="padding: 5px 5px; background: #F5F5F5;" align="center" | +
 | style="padding: 5px 5px; background: #F5F5F5;" align="center" | +
+| style="padding: 5px 5px; background: #F5F5F5;" align="Left" |
+* [[Abdominal distention]]
+* Abdominal [[RUQ]] [[tenderness]]
+* [[Nausea]]
+* [[Vomiting]]
+| 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="center" | Nl
-| style="padding: 5px 5px; background: #F5F5F5;" align="left" |
-*Viral antigen assay
-| style="padding: 5px 5px; background: #F5F5F5;" align="center" |↓
 | style="padding: 5px 5px; background: #F5F5F5;" align="center" | Nl
 | style="padding: 5px 5px; background: #F5F5F5;" align="center" | Nl
 | style="padding: 5px 5px; background: #F5F5F5;" align="left" |
-*Decreased [[CD4]] level
+*Elevated [[VIP]] level
-*Abnormal [[Liver function tests|liver function test]]
+*[[Hypokalemia]]
-| style="padding: 5px 5px; background: #F5F5F5;" align="left" |
+*[[Hypochlorhydria]] or [[achlorhydria]]
-*[[Encephalitis]]
+*Low osmotic gap (<50 mOsm/kg)
-*[[Guillain-Barré syndrome|Guillain–Barré syndrome]]
+| style="padding: 5px 5px; background: #F5F5F5;" align="left" |
-*[[Pneumonia]]
+* [[Rash]]
-*[[Retinitis]]
+* [[Facial flushing]]
-*[[Pericarditis]] and [[myocarditis]]
+* [[Dehydration]]
-*[[Atherosclerosis]]
+* [[Lethargy]]
-*[[Venous thromboembolism|Venous thrombosis]]
+* [[Muscle weakness]]
 | style="padding: 5px 5px; background: #F5F5F5;" align="left" |
-*[[Cytomegalovirus|''Cytomegalovirus'']]
+* Primary secretory tumor
 | style="padding: 5px 5px; background: #F5F5F5;" align="left" |
-*[[Quantitative polymerase chain reaction|Quantitative PCR]] tests
+* Blood [[VIP]] levels
+* Followed by imaging
 |-
-! colspan="2" style="background:#DCDCDC;" align="center" |[[Human Immunodeficiency Virus (HIV)|HIV]]
+! colspan="2" style="background:#DCDCDC;" align="center" |[[Zollinger-Ellison syndrome|Zollinger–Ellison syndrome]]
 | 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" |
-*[[Abdominal distension|Abdominal distention]]
+** [[Tenderness|Epigastric tenderness]]
-*Diffuse [[Tenderness (medicine)|abdominal tenderness]]
+| 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="center" | Nl
-| 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" | Nl
+| style="padding: 5px 5px; background: #F5F5F5;" align="left" |
+* Positive [[secretin]] stimulation test
+* Elevated serum [[chromogranin A]]
+| style="padding: 5px 5px; background: #F5F5F5;" align="left" |
+** [[Jaundice]]
+| style="padding: 5px 5px; background: #F5F5F5;" align="left" |
+* [[Gastrin]] producing [[tumor]] mainly in [[duodenum]]
 | style="padding: 5px 5px; background: #F5F5F5;" align="left" |
-*Decreased [[CD4]] level
+* [[Secretin]] stimulation test
-*[[Electrolyte disturbance|Electrolyte imbalance]]
-| style="padding: 5px 5px; background: #F5F5F5;" align="left" |
-*[[Lymphadenopathy]]
-*Disseminated [[infection]]
-| style="padding: 5px 5px; background: #F5F5F5;" align="left" |
-*[[Human Immunodeficiency Virus (HIV)|''HIV'']]
-| style="padding: 5px 5px; background: #F5F5F5;" align="left" |
-*HIV virologic (viral load) test
-*Immunoassay
 |-
 ! colspan="2" rowspan="2" style="background:#4479BA; color: #FFFFFF;" align="center" |Cause
@@ Line 944: / Line 895: @@
 ! style="background:#4479BA; color: #FFFFFF;" align="center" |Plt
 |-
-! colspan="2" style="background:#DCDCDC;" align="center" |[[Entamoeba histolytica]]
+! colspan="2" style="background:#DCDCDC;" align="center" |[[Neuroendocrine tumors|Somatostatinoma]]
+| 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="center" | +
+** [[Tenderness|Epigastric tenderness]]
-| 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="center" | –
-*[[Abdominal distension|Abdominal distention]]
+| style="padding: 5px 5px; background: #F5F5F5;" align="center" |↓
-*Diffuse [[Tenderness (medicine)|abdominal tenderness]]
+| 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" | Nl
-| style="padding: 5px 5px; background: #F5F5F5;" align="left" |–
-| style="padding: 5px 5px; background: #F5F5F5;" align="center" |↑
 | style="padding: 5px 5px; background: #F5F5F5;" align="center" | Nl
 | style="padding: 5px 5px; background: #F5F5F5;" align="center" | Nl
-| style="padding: 5px 5px; background: #F5F5F5;" align="left" |–
 | style="padding: 5px 5px; background: #F5F5F5;" align="left" |
-*[[Liver abscess]]
+*Elevated fasting plasma [[somatostatin]]
-*Pleuropulmonary infection
-*[[Cardiac]] [[infection]]
-*[[Brain abscess]]
-*[[Skin and soft-tissue infections|Cutaneous infection]]
 | style="padding: 5px 5px; background: #F5F5F5;" align="left" |
-*[[Entamoeba histolytica|''Entamoeba histolytica'']]
+** [[Diabetes mellitus]]
+** [[Gallstone disease|Cholelithiasis]]
+** [[Jaundice]]
+| style="padding: 5px 5px; background: #F5F5F5;" align="left" |
+*[[Neuroendocrine tumors]] of D–cell origin
 | style="padding: 5px 5px; background: #F5F5F5;" align="left" |
-*Antigen testing
+*Plasma [[somatostatin]] level
-*Serology
+*Followed by imaging
 |-
-! colspan="2" style="background:#DCDCDC;" align="center" |[[Giardia lamblia|Giardia]]
+! colspan="2" style="background:#DCDCDC;" align="center" |[[Lymphoma]]
 | 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" |
-*[[Abdominal distension|Abdominal distention]]
 *Diffuse [[Tenderness (medicine)|abdominal tenderness]]
-| style="padding: 5px 5px; background: #F5F5F5;" align="center" |–
+*[[Hepatosplenomegaly]]
-| 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" | Nl
 | style="padding: 5px 5px; background: #F5F5F5;" align="left" |–
-| style="padding: 5px 5px; background: #F5F5F5;" align="center" |Nl
+| style="padding: 5px 5px; background: #F5F5F5;" align="center" | Nl
-| style="padding: 5px 5px; background: #F5F5F5;" align="center" |Nl
+| style="padding: 5px 5px; background: #F5F5F5;" align="center" |↓
-| style="padding: 5px 5px; background: #F5F5F5;" align="center" |Nl
+| style="padding: 5px 5px; background: #F5F5F5;" align="center" | Nl
-| style="padding: 5px 5px; background: #F5F5F5;" align="left" |–
 | style="padding: 5px 5px; background: #F5F5F5;" align="left" |
-*[[Malabsorption]]
+*[[Paraproteinemia]]
-*[[Urticaria]]
-*[[Depression]]
 | style="padding: 5px 5px; background: #F5F5F5;" align="left" |
-*''[[Giardia lamblia]]''
+* [[Malabsorption]]
+* [[Lactose intolerance]]
+* [[Ascites]]
+| style="padding: 5px 5px; background: #F5F5F5;" align="left" |
+*Primary [[tumor]] of GI tract
 | style="padding: 5px 5px; background: #F5F5F5;" align="left" |
-*Antigen detection assays
+*[[Colonoscopy]] with [[biopsy]]
 |-
-! colspan="2" style="background:#DCDCDC;" align="center" |[[Cryptosporidium]]
+! colspan="2" style="background:#DCDCDC;" align="center" |[[Colorectal cancer]]
 | 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="center" | –
-*[[Abdominal distension|Abdominal distention]]
+| style="padding: 5px 5px; background: #F5F5F5;" align="center" | +
+| style="padding: 5px 5px; background: #F5F5F5;" align="center" | +
+| style="padding: 5px 5px; background: #F5F5F5;" align="left" |
 *Diffuse [[Tenderness (medicine)|abdominal tenderness]]
-| 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" | Nl
+| style="padding: 5px 5px; background: #F5F5F5;" align="left" |–
+| style="padding: 5px 5px; background: #F5F5F5;" align="center" | Nl
+| style="padding: 5px 5px; background: #F5F5F5;" align="center" |↓
 | style="padding: 5px 5px; background: #F5F5F5;" align="center" | Nl
 | style="padding: 5px 5px; background: #F5F5F5;" align="left" |
-*Positive stool microscopy
+* Positive [[carcinoembryonic antigen]]
-| style="padding: 5px 5px; background: #F5F5F5;" align="center" |Nl
-| style="padding: 5px 5px; background: #F5F5F5;" align="center" |Nl
-| style="padding: 5px 5px; background: #F5F5F5;" align="center" |Nl
-| style="padding: 5px 5px; background: #F5F5F5;" align="left" |
-*Elevated [[alkaline phosphatase]]
 | style="padding: 5px 5px; background: #F5F5F5;" align="left" |
-*Chronic, life–threatening illness in [[Immunodeficiency|immunocompromised]] patients
+*[[Metastasis]]
 | style="padding: 5px 5px; background: #F5F5F5;" align="left" |
-*[[Cryptosporidium|''Cryptosporidium'']]
+*[[FAP|FAP gene]]
+*[[Hereditary nonpolyposis colorectal cancer|HNPCC gene]]
 | style="padding: 5px 5px; background: #F5F5F5;" align="left" |
-*Polymerase chain reaction
+** [[Colonoscopy]] and [[biopsy]]
 |-
-! colspan="2" style="background:#DCDCDC;" align="center" |[[Microsporidia]]
+! colspan="2" style="background:#DCDCDC;" align="center" |Medications
-| style="padding: 5px 5px; background: #F5F5F5;" align="center" | +
+* [[ACE inhibitor|ACE inhibitors]]
-| style="padding: 5px 5px; background: #F5F5F5;" align="center" | +
+* [[Digoxin]]
-| style="padding: 5px 5px; background: #F5F5F5;" align="center" | +
+* [[Cephalosporin|Cephalosporins]]
-| style="padding: 5px 5px; background: #F5F5F5;" align="center" |–
+* [[Statins]]
-| style="padding: 5px 5px; background: #F5F5F5;" align="center" |–
+* [[Thiazide|Thiazide diuretics]]
+* [[Triptans]]
+* [[Lactulose]]
+* [[HIV AIDS medical therapy|Anti retroviral agents]]
+* [[Chemotherapy|Chemotherapeutic agents]]
+* [[Antifungal drug|Antifungals]]
+* [[Magnesium]]
+| 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" |
-*[[Abdominal distension|Abdominal distention]]
+*[[Abdominal distention]]
-*Diffuse [[Tenderness (medicine)|abdominal tenderness]]
+*[[Dehydration]]
-| 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="center" |↑
+| style="padding: 5px 5px; background: #F5F5F5;" align="center" | Nl
 | style="padding: 5px 5px; background: #F5F5F5;" align="center" | Nl
 | style="padding: 5px 5px; background: #F5F5F5;" align="left" |
-*Positive stool microscopy
+*Elevated plasma level of drug
-| style="padding: 5px 5px; background: #F5F5F5;" align="center" |Nl
+| style="padding: 5px 5px; background: #F5F5F5;" align="left" |–
-| style="padding: 5px 5px; background: #F5F5F5;" align="center" |Nl
-| style="padding: 5px 5px; background: #F5F5F5;" align="center" |Nl
 | style="padding: 5px 5px; background: #F5F5F5;" align="left" |
-*Decreased [[CD4]] count
+*[[Inflammation]]
+*[[Pseudomembranous enterocolitis|Pseudomembranous colitis]]
 | style="padding: 5px 5px; background: #F5F5F5;" align="left" |
-*[[Malabsorption]]
+*Clinical evaluation after discontinuation of the drugs
-*[[Keratitis]]
-*[[Seizure]]
-*[[Myositis]]
-| style="padding: 5px 5px; background: #F5F5F5;" align="left" |
-*[[Microsporidia]]
-| style="padding: 5px 5px; background: #F5F5F5;" align="left" |
-*Antigen detection assays
 |-
-! colspan="2" style="background:#DCDCDC;" align="center" |[[Isospora]]
+! colspan="2" rowspan="2" style="background:#4479BA; color: #FFFFFF;" align="center" |Cause
-| style="padding: 5px 5px; background: #F5F5F5;" align="center" | +
+! colspan="2" style="background:#4479BA; color: #FFFFFF;" align="center" |Duration
-| style="padding: 5px 5px; background: #F5F5F5;" align="center" | +
+! colspan="3" style="background:#4479BA; color: #FFFFFF;" align="center" |Diarrhea
-| style="padding: 5px 5px; background: #F5F5F5;" align="center" | +
+! rowspan="2" style="background:#4479BA; color: #FFFFFF;" align="center" |Fever
-| style="padding: 5px 5px; background: #F5F5F5;" align="center" |–
+! rowspan="2" style="background:#4479BA; color: #FFFFFF;" align="center" |Abdominal pain
-| style="padding: 5px 5px; background: #F5F5F5;" align="center" | +
+! rowspan="2" style="background:#4479BA; color: #FFFFFF;" align="center" |Weight loss
+! rowspan="2" style="background:#4479BA; color: #FFFFFF;" align="center" |GI signs
+! colspan="5" style="background:#4479BA; color: #FFFFFF;" align="center" |Stool exam
+! colspan="3" style="background:#4479BA; color: #FFFFFF;" align="center" |CBC
+! rowspan="2" style="background:#4479BA; color: #FFFFFF;" align="center" |Other lab findings
+! rowspan="2" style="background:#4479BA; color: #FFFFFF;" align="center" |Extra intestinal findings
+! rowspan="2" style="background:#4479BA; color: #FFFFFF;" align="center" |Cause/Pathogenesis
+! rowspan="2" style="background:#4479BA; color: #FFFFFF;" align="center" |Gold standard diagnosis
+|-
+! style="background:#4479BA; color: #FFFFFF;" align="center" |Acute
+! style="background:#4479BA; color: #FFFFFF;" align="center" |Chronic
+! style="background:#4479BA; color: #FFFFFF;" align="center" |Watery
+! style="background:#4479BA; color: #FFFFFF;" align="center" |Bloody
+! style="background:#4479BA; color: #FFFFFF;" align="center" |Fatty
+! style="background:#4479BA; color: #FFFFFF;" align="center" |WBC
+! style="background:#4479BA; color: #FFFFFF;" align="center" |RBC
+! style="background:#4479BA; color: #FFFFFF;" align="center" |Ova/Parasite
+! style="background:#4479BA; color: #FFFFFF;" align="center" |Osmotic gap
+! style="background:#4479BA; color: #FFFFFF;" align="center" |Other
+! style="background:#4479BA; color: #FFFFFF;" align="center" |WBC
+! style="background:#4479BA; color: #FFFFFF;" align="center" |Hgb
+! style="background:#4479BA; color: #FFFFFF;" align="center" |Plt
+|-
+! colspan="2" style="background:#DCDCDC;" align="center" |Factitious diarrhea
 | 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="center" | –
-*[[Abdominal distension|Abdominal distention]]
+| style="padding: 5px 5px; background: #F5F5F5;" align="center" | –
-*Diffuse [[Tenderness (medicine)|abdominal tenderness]]
+| 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" |
+*[[Abdominal distention]]
+| 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="center" | Nl
 | style="padding: 5px 5px; background: #F5F5F5;" align="center" | Nl
-| style="padding: 5px 5px; background: #F5F5F5;" align="left" |
-*Positive stool microscopy
-*Positive [[fecal fat]]
-| style="padding: 5px 5px; background: #F5F5F5;" align="center" |↑
 | style="padding: 5px 5px; background: #F5F5F5;" align="center" | Nl
-| style="padding: 5px 5px; background: #F5F5F5;" align="center" |Nl
 | style="padding: 5px 5px; background: #F5F5F5;" align="left" |
-*Elevated [[Eosinophil granulocyte|eosinophils]]
+*[[Hypokalemia]]
-*[[Hypokalemia]]
+*[[Metabolic alkalosis]]
-*Increased [[creatinine]]
+*[[Hypermagnesemia]]
 | style="padding: 5px 5px; background: #F5F5F5;" align="left" |
-*Chronic illness in [[Immunodeficiency|immunocompromised]] patients
+*[[Malabsorption]]
+*[[Lethargy]]
+*[[Generalized weakness]]
+*[[Acute kidney injury|Acute renal failure]]
 | style="padding: 5px 5px; background: #F5F5F5;" align="left" |
-*[[Isospora|''Isospora'']]
+*[[Medication|Medications]]
 | style="padding: 5px 5px; background: #F5F5F5;" align="left" |
-*Detecting oocysts in the feces
+*Clinical evaluation after discontinuation of the drugs
 |-
-! colspan="2" rowspan="2" style="background:#4479BA; color: #FFFFFF;" align="center" |Cause
+! colspan="2" style="background:#DCDCDC;" align="center" |[[Heavy metal ingestion]]
-! colspan="2" style="background:#4479BA; color: #FFFFFF;" align="center" |Duration
+| style="padding: 5px 5px; background: #F5F5F5;" align="center" | –
-! colspan="3" style="background:#4479BA; color: #FFFFFF;" align="center" |Diarrhea
+| style="padding: 5px 5px; background: #F5F5F5;" align="center" | +
-! rowspan="2" style="background:#4479BA; color: #FFFFFF;" align="center" |Fever
+| style="padding: 5px 5px; background: #F5F5F5;" align="center" | +
-! rowspan="2" style="background:#4479BA; color: #FFFFFF;" align="center" |Abdominal pain
+| style="padding: 5px 5px; background: #F5F5F5;" align="center" | –
-! rowspan="2" style="background:#4479BA; color: #FFFFFF;" align="center" |Weight loss
+| style="padding: 5px 5px; background: #F5F5F5;" align="center" | –
-! rowspan="2" style="background:#4479BA; color: #FFFFFF;" align="center" |GI signs
+| style="padding: 5px 5px; background: #F5F5F5;" align="center" | –
-! colspan="5" style="background:#4479BA; color: #FFFFFF;" align="center" |Stool exam
+| style="padding: 5px 5px; background: #F5F5F5;" align="center" | +
-! colspan="3" style="background:#4479BA; color: #FFFFFF;" align="center" |CBC
+| style="padding: 5px 5px; background: #F5F5F5;" align="center" | +
-! rowspan="2" style="background:#4479BA; color: #FFFFFF;" align="center" |Other lab findings
+| style="padding: 5px 5px; background: #F5F5F5;" align="Left" |
-! rowspan="2" style="background:#4479BA; color: #FFFFFF;" align="center" |Extra intestinal findings
+*[[Abdominal distention]]
-! rowspan="2" style="background:#4479BA; color: #FFFFFF;" align="center" |Cause/Pathogenesis
-! rowspan="2" style="background:#4479BA; color: #FFFFFF;" align="center" |Gold standard diagnosis
-|-
-! style="background:#4479BA; color: #FFFFFF;" align="center" |Acute
-! style="background:#4479BA; color: #FFFFFF;" align="center" |Chronic
-! style="background:#4479BA; color: #FFFFFF;" align="center" |Watery
-! style="background:#4479BA; color: #FFFFFF;" align="center" |Bloody
-! style="background:#4479BA; color: #FFFFFF;" align="center" |Fatty
-! style="background:#4479BA; color: #FFFFFF;" align="center" |WBC
-! style="background:#4479BA; color: #FFFFFF;" align="center" |RBC
-! style="background:#4479BA; color: #FFFFFF;" align="center" |Ova/Parasite
-! style="background:#4479BA; color: #FFFFFF;" align="center" |Osmotic gap
-! style="background:#4479BA; color: #FFFFFF;" align="center" |Other
-! style="background:#4479BA; color: #FFFFFF;" align="center" |WBC
-! style="background:#4479BA; color: #FFFFFF;" align="center" |Hgb
-! style="background:#4479BA; color: #FFFFFF;" align="center" |Plt
-|-
-! colspan="2" style="background:#DCDCDC;" align="center" |[[Carcinoid syndrome|Carcinoid tumor]]
 | 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" | Nl
+| style="padding: 5px 5px; background: #F5F5F5;" align="left" |–
+| style="padding: 5px 5px; background: #F5F5F5;" align="center" | Nl
+| style="padding: 5px 5px; background: #F5F5F5;" align="center" | Nl
+| style="padding: 5px 5px; background: #F5F5F5;" align="center" | Nl
+| style="padding: 5px 5px; background: #F5F5F5;" align="left" |
+*Elevated plasma heavy metal level
+| style="padding: 5px 5px; background: #F5F5F5;" align="left" |
+*[[Headache]]
+*[[Paresthesia|Numbness]]
+*[[Alopecia]]
+*[[Vertigo]]
+| style="padding: 5px 5px; background: #F5F5F5;" align="left" |
+*[[Heavy metal ingestion]]
+| style="padding: 5px 5px; background: #F5F5F5;" align="left" |
+*Plasma level of heavy metal
+|-
+! 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="Left" |
-* [[Abdominal distention]]
 | 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" |–
+* [[Tenderness (medicine)|Abdominal tenderness]]
-| style="padding: 5px 5px; background: #F5F5F5;" align="center" |Nl
+| 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" | Nl
+| style="padding: 5px 5px; background: #F5F5F5;" align="left" |
+*Positive [[fecal fat]]
 | style="padding: 5px 5px; background: #F5F5F5;" align="center" |Nl
+| style="padding: 5px 5px; background: #F5F5F5;" align="center" |↓
 | style="padding: 5px 5px; background: #F5F5F5;" align="center" |Nl
 | style="padding: 5px 5px; background: #F5F5F5;" align="left" |
-*Elevated urinary [[5-Hydroxyindoleacetic acid|5–hydroxyindoleacetic acid]] ([[5-Hydroxyindoleacetic acid|5–HIAA]]) level
+*Vitamin B12 deficiency
-*High [[chromogranin A]]
+*[[Hypoalbuminemia]]
 | style="padding: 5px 5px; background: #F5F5F5;" align="left" |
-*[[Flushing|Facial flushing]]
+*Prior history of [[Cancer|malignancy]] and [[radiation therapy]]
-*[[Jaundice]]
+*[[Malabsorption]]
-*[[Edema]]
+*[[Telangiectasia|Telangiectasias]]
-*[[Valvular heart disease]]
-*[[Congestive heart failure|Right–sided heart failure]]
 | style="padding: 5px 5px; background: #F5F5F5;" align="left" |
-*Well–differentiated [[Neuroendocrine tumors|neuroendocrine tumor]]
+*[[Radiation therapy|Radiation]]
 | style="padding: 5px 5px; background: #F5F5F5;" align="left" |
-*Blood [[chromogranin A]]  level
+*Segmental bowel [[inflammation]] on [[endoscopy]] or [[colonoscopy]]
 |-
-! colspan="2" style="background:#DCDCDC;" align="center" |[[VIPoma]]
+! colspan="2" style="background:#DCDCDC;" align="center" |[[Abetalipoproteinemia]]
-| 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 1,173: / Line 1,159: @@
 | 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" |
-* [[Abdominal distention]]
+* [[Abdominal distension]]
-* Abdominal [[RUQ]] [[tenderness]]
+| style="padding: 5px 5px; background: #F5F5F5;" align="center" | –
-* [[Nausea]]
+| style="padding: 5px 5px; background: #F5F5F5;" align="center" | –
-* [[Vomiting]]
-| 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" | Nl
 | style="padding: 5px 5px; background: #F5F5F5;" align="left" |–
 | style="padding: 5px 5px; background: #F5F5F5;" align="center" | Nl
@@ Line 1,187: / Line 1,170: @@
 | style="padding: 5px 5px; background: #F5F5F5;" align="center" | Nl
 | style="padding: 5px 5px; background: #F5F5F5;" align="left" |
-*Elevated [[VIP]] level
+* Low [[triglyceride]]
-*[[Hypokalemia]]
+* Low total [[cholesterol]] levels
-*[[Hypochlorhydria]] or [[achlorhydria]]
+* [[Acanthocytes]]
-*Low osmotic gap (<50 mOsm/kg)
+* Low [[vitamin E]] levels
 | style="padding: 5px 5px; background: #F5F5F5;" align="left" |
-* [[Rash]]
+* [[Ataxia]]
-* [[Facial flushing]]
+* [[Visual field defect]]
-* [[Dehydration]]
+* [[Dysarthria]]
-* [[Lethargy]]
+| style="padding: 5px 5px; background: #F5F5F5;" align="left" |
-* [[Muscle weakness]]
+* [[Autosomal recessive]] disorder caused by mutations encoding the [[microsomal triglyceride transfer protein]] (MTP)
 | style="padding: 5px 5px; background: #F5F5F5;" align="left" |
-* Primary secretory tumor
+* Clinical findings and low [[triglyceride]] and [[cholesterol]] level
-| style="padding: 5px 5px; background: #F5F5F5;" align="left" |
-* Blood [[VIP]] levels
-* Followed by imaging
 |-
-! colspan="2" style="background:#DCDCDC;" align="center" |[[Zollinger-Ellison syndrome|Zollinger–Ellison syndrome]]
+! colspan="2" rowspan="2" style="background:#4479BA; color: #FFFFFF;" align="center" |Cause
-| style="padding: 5px 5px; background: #F5F5F5;" align="center" | –
+! colspan="2" style="background:#4479BA; color: #FFFFFF;" align="center" |Duration
-| style="padding: 5px 5px; background: #F5F5F5;" align="center" | +
+! colspan="3" style="background:#4479BA; color: #FFFFFF;" align="center" |Diarrhea
-| style="padding: 5px 5px; background: #F5F5F5;" align="center" | +
+! rowspan="2" style="background:#4479BA; color: #FFFFFF;" align="center" |Fever
+! rowspan="2" style="background:#4479BA; color: #FFFFFF;" align="center" |Abdominal pain
+! rowspan="2" style="background:#4479BA; color: #FFFFFF;" align="center" |Weight loss
+! rowspan="2" style="background:#4479BA; color: #FFFFFF;" align="center" |GI signs
+! colspan="5" style="background:#4479BA; color: #FFFFFF;" align="center" |Stool exam
+! colspan="3" style="background:#4479BA; color: #FFFFFF;" align="center" |CBC
+! rowspan="2" style="background:#4479BA; color: #FFFFFF;" align="center" |Other lab findings
+! rowspan="2" style="background:#4479BA; color: #FFFFFF;" align="center" |Extra intestinal findings
+! rowspan="2" style="background:#4479BA; color: #FFFFFF;" align="center" |Cause/Pathogenesis
+! rowspan="2" style="background:#4479BA; color: #FFFFFF;" align="center" |Gold standard diagnosis
+|-
+! style="background:#4479BA; color: #FFFFFF;" align="center" |Acute
+! style="background:#4479BA; color: #FFFFFF;" align="center" |Chronic
+! style="background:#4479BA; color: #FFFFFF;" align="center" |Watery
+! style="background:#4479BA; color: #FFFFFF;" align="center" |Bloody
+! style="background:#4479BA; color: #FFFFFF;" align="center" |Fatty
+! style="background:#4479BA; color: #FFFFFF;" align="center" |WBC
+! style="background:#4479BA; color: #FFFFFF;" align="center" |RBC
+! style="background:#4479BA; color: #FFFFFF;" align="center" |Ova/Parasite
+! style="background:#4479BA; color: #FFFFFF;" align="center" |Osmotic gap
+! style="background:#4479BA; color: #FFFFFF;" align="center" |Other
+! style="background:#4479BA; color: #FFFFFF;" align="center" |WBC
+! style="background:#4479BA; color: #FFFFFF;" align="center" |Hgb
+! style="background:#4479BA; color: #FFFFFF;" align="center" |Plt
+|-
+! colspan="2" style="background:#DCDCDC;" align="center" |[[Hyperthyroidism]]
+| 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" |–
-** [[Tenderness|Epigastric tenderness]]
+| 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="center" | Nl
-| style="padding: 5px 5px; background: #F5F5F5;" align="center" |↓
+| style="padding: 5px 5px; background: #F5F5F5;" align="left" |
+*Positive [[fecal fat]]
+| style="padding: 5px 5px; background: #F5F5F5;" align="center" | Nl
+| style="padding: 5px 5px; background: #F5F5F5;" align="center" | Nl
 | style="padding: 5px 5px; background: #F5F5F5;" align="center" | Nl
-| style="padding: 5px 5px; background: #F5F5F5;" align="left" |
-* Positive [[secretin]] stimulation test
-* Elevated serum [[chromogranin A]]
-| style="padding: 5px 5px; background: #F5F5F5;" align="left" |
-** [[Jaundice]]
-| style="padding: 5px 5px; background: #F5F5F5;" align="left" |
-* [[Gastrin]] producing [[tumor]] mainly in [[duodenum]]
 | style="padding: 5px 5px; background: #F5F5F5;" align="left" |
-* [[Secretin]] stimulation test
+* Elevated [[T4]]
-|-
+* Elevated [[T3]]
-! colspan="2" style="background:#DCDCDC;" align="center" |[[Neuroendocrine tumors|Somatostatinoma]]
+* Decreased [[TSH]]
-| style="padding: 5px 5px; background: #F5F5F5;" align="center" | –
+* High serum [[alkaline phosphatase]]
-| 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" |
-** [[Tenderness|Epigastric tenderness]]
-| 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="center" | Nl
-| style="padding: 5px 5px; background: #F5F5F5;" align="center" | Nl
-| style="padding: 5px 5px; background: #F5F5F5;" align="center" | Nl
 | style="padding: 5px 5px; background: #F5F5F5;" align="left" |
-*Elevated fasting plasma [[somatostatin]]
+* Lump in the neck
-| style="padding: 5px 5px; background: #F5F5F5;" align="left" |
+* Lid lag
-** [[Diabetes mellitus]]
+* [[Malabsorption]]
-** [[Gallstone disease|Cholelithiasis]]
+* [[Sweating]]
-** [[Jaundice]]
+* [[Hyperpigmentation]]
+* [[Proptosis]]
+* [[Tremor]]
+* Increased [[Deep tendon reflex|DTR]]
 | style="padding: 5px 5px; background: #F5F5F5;" align="left" |
-*[[Neuroendocrine tumors]] of D–cell origin
+* [[Graves' disease]]
+* [[Hashimoto's thyroiditis]]
+* [[Toxic adenoma]]
 | style="padding: 5px 5px; background: #F5F5F5;" align="left" |
-*Plasma [[somatostatin]] level
+* [[TSH]]
-*Followed by imaging
-|-
-! colspan="2" rowspan="2" style="background:#4479BA; color: #FFFFFF;" align="center" |Cause
-! colspan="2" style="background:#4479BA; color: #FFFFFF;" align="center" |Duration
-! colspan="3" style="background:#4479BA; color: #FFFFFF;" align="center" |Diarrhea
-! rowspan="2" style="background:#4479BA; color: #FFFFFF;" align="center" |Fever
-! rowspan="2" style="background:#4479BA; color: #FFFFFF;" align="center" |Abdominal pain
-! rowspan="2" style="background:#4479BA; color: #FFFFFF;" align="center" |Weight loss
-! rowspan="2" style="background:#4479BA; color: #FFFFFF;" align="center" |GI signs
-! colspan="5" style="background:#4479BA; color: #FFFFFF;" align="center" |Stool exam
-! colspan="3" style="background:#4479BA; color: #FFFFFF;" align="center" |CBC
-! rowspan="2" style="background:#4479BA; color: #FFFFFF;" align="center" |Other lab findings
-! rowspan="2" style="background:#4479BA; color: #FFFFFF;" align="center" |Extra intestinal findings
-! rowspan="2" style="background:#4479BA; color: #FFFFFF;" align="center" |Cause/Pathogenesis
-! rowspan="2" style="background:#4479BA; color: #FFFFFF;" align="center" |Gold standard diagnosis
-|-
-! style="background:#4479BA; color: #FFFFFF;" align="center" |Acute
-! style="background:#4479BA; color: #FFFFFF;" align="center" |Chronic
-! style="background:#4479BA; color: #FFFFFF;" align="center" |Watery
-! style="background:#4479BA; color: #FFFFFF;" align="center" |Bloody
-! style="background:#4479BA; color: #FFFFFF;" align="center" |Fatty
-! style="background:#4479BA; color: #FFFFFF;" align="center" |WBC
-! style="background:#4479BA; color: #FFFFFF;" align="center" |RBC
-! style="background:#4479BA; color: #FFFFFF;" align="center" |Ova/Parasite
-! style="background:#4479BA; color: #FFFFFF;" align="center" |Osmotic gap
-! style="background:#4479BA; color: #FFFFFF;" align="center" |Other
-! style="background:#4479BA; color: #FFFFFF;" align="center" |WBC
-! style="background:#4479BA; color: #FFFFFF;" align="center" |Hgb
-! style="background:#4479BA; color: #FFFFFF;" align="center" |Plt
-|-
-! colspan="2" style="background:#DCDCDC;" align="center" |[[Lymphoma]]
-| 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" |
-*Diffuse [[Tenderness (medicine)|abdominal tenderness]]
-*[[Hepatosplenomegaly]]
-| 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" | Nl
-| style="padding: 5px 5px; background: #F5F5F5;" align="left" |–
-| style="padding: 5px 5px; background: #F5F5F5;" align="center" | Nl
-| style="padding: 5px 5px; background: #F5F5F5;" align="center" |↓
-| style="padding: 5px 5px; background: #F5F5F5;" align="center" | Nl
-| style="padding: 5px 5px; background: #F5F5F5;" align="left" |
-*[[Paraproteinemia]]
-| style="padding: 5px 5px; background: #F5F5F5;" align="left" |
-* [[Malabsorption]]
-* [[Lactose intolerance]]
-* [[Ascites]]
-| style="padding: 5px 5px; background: #F5F5F5;" align="left" |
-*Primary [[tumor]] of GI tract
-| style="padding: 5px 5px; background: #F5F5F5;" align="left" |
-*[[Colonoscopy]] with [[biopsy]]
-|-
-! colspan="2" style="background:#DCDCDC;" align="center" |[[Colorectal cancer]]
-| 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" |
-*Diffuse [[Tenderness (medicine)|abdominal tenderness]]
-| 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" | Nl
-| style="padding: 5px 5px; background: #F5F5F5;" align="left" |–
-| style="padding: 5px 5px; background: #F5F5F5;" align="center" | Nl
-| style="padding: 5px 5px; background: #F5F5F5;" align="center" |↓
-| style="padding: 5px 5px; background: #F5F5F5;" align="center" | Nl
-| style="padding: 5px 5px; background: #F5F5F5;" align="left" |
-* Positive [[carcinoembryonic antigen]]
-| style="padding: 5px 5px; background: #F5F5F5;" align="left" |
-*[[Metastasis]]
-| style="padding: 5px 5px; background: #F5F5F5;" align="left" |
-*[[FAP|FAP gene]]
-*[[Hereditary nonpolyposis colorectal cancer|HNPCC gene]]
-| style="padding: 5px 5px; background: #F5F5F5;" align="left" |
-** [[Colonoscopy]] and [[biopsy]]
-|-
-! colspan="2" style="background:#DCDCDC;" align="center" |Medications
-* [[ACE inhibitor|ACE inhibitors]]
-* [[Digoxin]]
-* [[Cephalosporin|Cephalosporins]]
-* [[Statins]]
-* [[Thiazide|Thiazide diuretics]]
-* [[Triptans]]
-* [[Lactulose]]
-* [[HIV AIDS medical therapy|Anti retroviral agents]]
-* [[Chemotherapy|Chemotherapeutic agents]]
-* [[Antifungal drug|Antifungals]]
-* [[Magnesium]]
-| 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" |
-*[[Abdominal distention]]
-*[[Dehydration]]
-| 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="center" |↑
-| style="padding: 5px 5px; background: #F5F5F5;" align="center" | Nl
-| style="padding: 5px 5px; background: #F5F5F5;" align="center" | Nl
-| style="padding: 5px 5px; background: #F5F5F5;" align="left" |
-*Elevated plasma level of drug
-| style="padding: 5px 5px; background: #F5F5F5;" align="left" |–
-| style="padding: 5px 5px; background: #F5F5F5;" align="left" |
-*[[Inflammation]]
-*[[Pseudomembranous enterocolitis|Pseudomembranous colitis]]
-| style="padding: 5px 5px; background: #F5F5F5;" align="left" |
-*Clinical evaluation after discontinuation of the drugs
-|-
-! colspan="2" style="background:#DCDCDC;" align="center" |Factitious diarrhea
-| 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" |
-*[[Abdominal distention]]
-| 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="center" | Nl
-| style="padding: 5px 5px; background: #F5F5F5;" align="center" | Nl
-| style="padding: 5px 5px; background: #F5F5F5;" align="center" | Nl
-| style="padding: 5px 5px; background: #F5F5F5;" align="left" |
-*[[Hypokalemia]]
-*[[Metabolic alkalosis]]
-*[[Hypermagnesemia]]
-| style="padding: 5px 5px; background: #F5F5F5;" align="left" |
-*[[Malabsorption]]
-*[[Lethargy]]
-*[[Generalized weakness]]
-*[[Acute kidney injury|Acute renal failure]]
-| style="padding: 5px 5px; background: #F5F5F5;" align="left" |
-*[[Medication|Medications]]
-| style="padding: 5px 5px; background: #F5F5F5;" align="left" |
-*Clinical evaluation after discontinuation of the drugs
-|-
-! colspan="2" rowspan="2" style="background:#4479BA; color: #FFFFFF;" align="center" |Cause
-! colspan="2" style="background:#4479BA; color: #FFFFFF;" align="center" |Duration
-! colspan="3" style="background:#4479BA; color: #FFFFFF;" align="center" |Diarrhea
-! rowspan="2" style="background:#4479BA; color: #FFFFFF;" align="center" |Fever
-! rowspan="2" style="background:#4479BA; color: #FFFFFF;" align="center" |Abdominal pain
-! rowspan="2" style="background:#4479BA; color: #FFFFFF;" align="center" |Weight loss
-! rowspan="2" style="background:#4479BA; color: #FFFFFF;" align="center" |GI signs
-! colspan="5" style="background:#4479BA; color: #FFFFFF;" align="center" |Stool exam
-! colspan="3" style="background:#4479BA; color: #FFFFFF;" align="center" |CBC
-! rowspan="2" style="background:#4479BA; color: #FFFFFF;" align="center" |Other lab findings
-! rowspan="2" style="background:#4479BA; color: #FFFFFF;" align="center" |Extra intestinal findings
-! rowspan="2" style="background:#4479BA; color: #FFFFFF;" align="center" |Cause/Pathogenesis
-! rowspan="2" style="background:#4479BA; color: #FFFFFF;" align="center" |Gold standard diagnosis
-|-
-! style="background:#4479BA; color: #FFFFFF;" align="center" |Acute
-! style="background:#4479BA; color: #FFFFFF;" align="center" |Chronic
-! style="background:#4479BA; color: #FFFFFF;" align="center" |Watery
-! style="background:#4479BA; color: #FFFFFF;" align="center" |Bloody
-! style="background:#4479BA; color: #FFFFFF;" align="center" |Fatty
-! style="background:#4479BA; color: #FFFFFF;" align="center" |WBC
-! style="background:#4479BA; color: #FFFFFF;" align="center" |RBC
-! style="background:#4479BA; color: #FFFFFF;" align="center" |Ova/Parasite
-! style="background:#4479BA; color: #FFFFFF;" align="center" |Osmotic gap
-! style="background:#4479BA; color: #FFFFFF;" align="center" |Other
-! style="background:#4479BA; color: #FFFFFF;" align="center" |WBC
-! style="background:#4479BA; color: #FFFFFF;" align="center" |Hgb
-! style="background:#4479BA; color: #FFFFFF;" align="center" |Plt
-|-
-! colspan="2" style="background:#DCDCDC;" align="center" |[[Heavy metal ingestion]]
-| 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" |
-*[[Abdominal distention]]
-| 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" | Nl
-| style="padding: 5px 5px; background: #F5F5F5;" align="left" |–
-| style="padding: 5px 5px; background: #F5F5F5;" align="center" | Nl
-| style="padding: 5px 5px; background: #F5F5F5;" align="center" | Nl
-| style="padding: 5px 5px; background: #F5F5F5;" align="center" | Nl
-| style="padding: 5px 5px; background: #F5F5F5;" align="left" |
-*Elevated plasma heavy metal level
-| style="padding: 5px 5px; background: #F5F5F5;" align="left" |
-*[[Headache]]
-*[[Paresthesia|Numbness]]
-*[[Alopecia]]
-*[[Vertigo]]
-| style="padding: 5px 5px; background: #F5F5F5;" align="left" |
-*[[Heavy metal ingestion]]
-| style="padding: 5px 5px; background: #F5F5F5;" align="left" |
-*Plasma level of heavy metal
-|-
-! colspan="2" style="background:#DCDCDC;" align="center" |[[Organophosphate poisoning]]
-| 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" |
-*[[Saliva|Salivation]]
-*[[Nausea and vomiting|Vomiting]]
-| 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" | Nl
-| style="padding: 5px 5px; background: #F5F5F5;" align="left" |–
-| style="padding: 5px 5px; background: #F5F5F5;" align="center" | Nl
-| style="padding: 5px 5px; background: #F5F5F5;" align="center" | Nl
-| style="padding: 5px 5px; background: #F5F5F5;" align="center" | Nl
-| style="padding: 5px 5px; background: #F5F5F5;" align="left" |
-*Reduced RBC acetylcholinesterase
-*Plasma [[cholinesterase]] activity
-| style="padding: 5px 5px; background: #F5F5F5;" align="left" |
-*[[Dysautonomia|Autonomic dysfunction]]
-*Motor deficit
-*Sensory deficit
-*[[Bronchospasm]]
-*[[Urination]]
-*[[Miosis]]
-*[[Bradycardia]]
-*[[Lacrimation]]
-*[[Sweating]]
-*[[Cardiac arrhythmia|Cardiac arrhythmias]]
-*[[Acute kidney injury|Acute renal injury]]
-| style="padding: 5px 5px; background: #F5F5F5;" align="left" |
-*[[Neurotoxin|Neurotoxins]] bind to [[ACHE|acetylcholinesterase]] (AChE)
-| style="padding: 5px 5px; background: #F5F5F5;" align="left" |
-*Clinical diagnosis
-|-
-! colspan="2" style="background:#DCDCDC;" align="center" |[[Opium withdrawal]]
-| 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" |
-*Hyperactive [[Stomach rumble|bowel sounds]]
-| 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" | Nl
-| style="padding: 5px 5px; background: #F5F5F5;" align="left" |–
-| style="padding: 5px 5px; background: #F5F5F5;" align="center" | Nl
-| style="padding: 5px 5px; background: #F5F5F5;" align="center" | Nl
-| style="padding: 5px 5px; background: #F5F5F5;" align="center" | Nl
-| style="padding: 5px 5px; background: #F5F5F5;" align="left" |
-*[[Azotemia]]
-*[[Hypokalemia]]
-*[[Metabolic alkalosis]]
-| style="padding: 5px 5px; background: #F5F5F5;" align="left" |
-*[[Dysphoria]]
-*[[Agitation (emotion)|Restlessness]]
-*[[Perspiration|Sweating]]
-*[[Rhinorrhea]]
-*[[Tears|Lacrimation]]
-*[[Myalgia]]
-*[[Arthralgia]]
-| style="padding: 5px 5px; background: #F5F5F5;" align="left" |
-*[[Opium|Opium withdrawal]]
-| style="padding: 5px 5px; background: #F5F5F5;" align="left" |
-*Clinical diagnosis following [[opium withdrawal]]
-|-
-! colspan="2" rowspan="2" style="background:#4479BA; color: #FFFFFF;" align="center" |Cause
-! colspan="2" style="background:#4479BA; color: #FFFFFF;" align="center" |Duration
-! colspan="3" style="background:#4479BA; color: #FFFFFF;" align="center" |Diarrhea
-! rowspan="2" style="background:#4479BA; color: #FFFFFF;" align="center" |Fever
-! rowspan="2" style="background:#4479BA; color: #FFFFFF;" align="center" |Abdominal pain
-! rowspan="2" style="background:#4479BA; color: #FFFFFF;" align="center" |Weight loss
-! rowspan="2" style="background:#4479BA; color: #FFFFFF;" align="center" |GI signs
-! colspan="5" style="background:#4479BA; color: #FFFFFF;" align="center" |Stool exam
-! colspan="3" style="background:#4479BA; color: #FFFFFF;" align="center" |CBC
-! rowspan="2" style="background:#4479BA; color: #FFFFFF;" align="center" |Other lab findings
-! rowspan="2" style="background:#4479BA; color: #FFFFFF;" align="center" |Extra intestinal findings
-! rowspan="2" style="background:#4479BA; color: #FFFFFF;" align="center" |Cause/Pathogenesis
-! rowspan="2" style="background:#4479BA; color: #FFFFFF;" align="center" |Gold standard diagnosis
-|-
-! style="background:#4479BA; color: #FFFFFF;" align="center" |Acute
-! style="background:#4479BA; color: #FFFFFF;" align="center" |Chronic
-! style="background:#4479BA; color: #FFFFFF;" align="center" |Watery
-! style="background:#4479BA; color: #FFFFFF;" align="center" |Bloody
-! style="background:#4479BA; color: #FFFFFF;" align="center" |Fatty
-! style="background:#4479BA; color: #FFFFFF;" align="center" |WBC
-! style="background:#4479BA; color: #FFFFFF;" align="center" |RBC
-! style="background:#4479BA; color: #FFFFFF;" align="center" |Ova/Parasite
-! style="background:#4479BA; color: #FFFFFF;" align="center" |Osmotic gap
-! style="background:#4479BA; color: #FFFFFF;" align="center" |Other
-! style="background:#4479BA; color: #FFFFFF;" align="center" |WBC
-! style="background:#4479BA; color: #FFFFFF;" align="center" |Hgb
-! style="background:#4479BA; color: #FFFFFF;" align="center" |Plt
-|-
-! 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="Left" |
-* [[Tenderness (medicine)|Abdominal tenderness]]
-| 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" | Nl
-| style="padding: 5px 5px; background: #F5F5F5;" align="left" |
-*Positive [[fecal fat]]
-| style="padding: 5px 5px; background: #F5F5F5;" align="center" |Nl
-| style="padding: 5px 5px; background: #F5F5F5;" align="center" |↓
-| style="padding: 5px 5px; background: #F5F5F5;" align="center" |Nl
-| style="padding: 5px 5px; background: #F5F5F5;" align="left" |
-*Vitamin B12 deficiency
-*[[Hypoalbuminemia]]
-| style="padding: 5px 5px; background: #F5F5F5;" align="left" |
-*Prior history of [[Cancer|malignancy]] and [[radiation therapy]]
-*[[Malabsorption]]
-*[[Telangiectasia|Telangiectasias]]
-| style="padding: 5px 5px; background: #F5F5F5;" align="left" |
-*[[Radiation therapy|Radiation]]
-| style="padding: 5px 5px; background: #F5F5F5;" align="left" |
-*Segmental bowel [[inflammation]] on [[endoscopy]] or [[colonoscopy]]
-|-
-! colspan="2" style="background:#DCDCDC;" align="center" |[[Abetalipoproteinemia]]
-| 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" |
-* [[Abdominal distension]]
-| 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" | Nl
-| style="padding: 5px 5px; background: #F5F5F5;" align="left" |–
-| style="padding: 5px 5px; background: #F5F5F5;" align="center" | Nl
-| style="padding: 5px 5px; background: #F5F5F5;" align="center" | Nl
-| style="padding: 5px 5px; background: #F5F5F5;" align="center" | Nl
-| style="padding: 5px 5px; background: #F5F5F5;" align="left" |
-* Low [[triglyceride]]
-* Low total [[cholesterol]] levels
-* [[Acanthocytes]]
-* Low [[vitamin E]] levels
-| style="padding: 5px 5px; background: #F5F5F5;" align="left" |
-* [[Ataxia]]
-* [[Visual field defect]]
-* [[Dysarthria]]
-| style="padding: 5px 5px; background: #F5F5F5;" align="left" |
-* [[Autosomal recessive]] disorder caused by mutations encoding the [[microsomal triglyceride transfer protein]] (MTP)
-| style="padding: 5px 5px; background: #F5F5F5;" align="left" |
-* Clinical findings and low [[triglyceride]] and [[cholesterol]] level
-|-
-! colspan="2" style="background:#DCDCDC;" align="center" |[[Hyperthyroidism]]
-| 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="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" | Nl
-| style="padding: 5px 5px; background: #F5F5F5;" align="left" |
-*Positive [[fecal fat]]
-| style="padding: 5px 5px; background: #F5F5F5;" align="center" | Nl
-| style="padding: 5px 5px; background: #F5F5F5;" align="center" | Nl
-| style="padding: 5px 5px; background: #F5F5F5;" align="center" | Nl
-| style="padding: 5px 5px; background: #F5F5F5;" align="left" |
-* Elevated [[T4]]
-* Elevated [[T3]]
-* Decreased [[TSH]]
-* High serum [[alkaline phosphatase]]
-| style="padding: 5px 5px; background: #F5F5F5;" align="left" |
-* Lump in the neck
-* Lid lag
-* [[Malabsorption]]
-* [[Sweating]]
-* [[Hyperpigmentation]]
-* [[Proptosis]]
-* [[Tremor]]
-* Increased [[Deep tendon reflex|DTR]]
-| style="padding: 5px 5px; background: #F5F5F5;" align="left" |
-* [[Graves' disease]]
-* [[Hashimoto's thyroiditis]]
-* [[Toxic adenoma]]
-| style="padding: 5px 5px; background: #F5F5F5;" align="left" |
-* [[TSH]]
-|-
-! colspan="2" rowspan="2" style="background:#4479BA; color: #FFFFFF;" align="center" |Cause
-! colspan="2" style="background:#4479BA; color: #FFFFFF;" align="center" |Duration
-! colspan="3" style="background:#4479BA; color: #FFFFFF;" align="center" |Diarrhea
-! rowspan="2" style="background:#4479BA; color: #FFFFFF;" align="center" |Fever
-! rowspan="2" style="background:#4479BA; color: #FFFFFF;" align="center" |Abdominal pain
-! rowspan="2" style="background:#4479BA; color: #FFFFFF;" align="center" |Weight loss
-! rowspan="2" style="background:#4479BA; color: #FFFFFF;" align="center" |GI signs
-! colspan="5" style="background:#4479BA; color: #FFFFFF;" align="center" |Stool exam
-! colspan="3" style="background:#4479BA; color: #FFFFFF;" align="center" |CBC
-! rowspan="2" style="background:#4479BA; color: #FFFFFF;" align="center" |Other lab findings
-! rowspan="2" style="background:#4479BA; color: #FFFFFF;" align="center" |Extra intestinal findings
-! rowspan="2" style="background:#4479BA; color: #FFFFFF;" align="center" |Cause/Pathogenesis
-! rowspan="2" style="background:#4479BA; color: #FFFFFF;" align="center" |Gold standard diagnosis
-|-
-! style="background:#4479BA; color: #FFFFFF;" align="center" |Acute
-! style="background:#4479BA; color: #FFFFFF;" align="center" |Chronic
-! style="background:#4479BA; color: #FFFFFF;" align="center" |Watery
-! style="background:#4479BA; color: #FFFFFF;" align="center" |Bloody
-! style="background:#4479BA; color: #FFFFFF;" align="center" |Fatty
-! style="background:#4479BA; color: #FFFFFF;" align="center" |WBC
-! style="background:#4479BA; color: #FFFFFF;" align="center" |RBC
-! style="background:#4479BA; color: #FFFFFF;" align="center" |Ova/Parasite
-! style="background:#4479BA; color: #FFFFFF;" align="center" |Osmotic gap
-! style="background:#4479BA; color: #FFFFFF;" align="center" |Other
-! style="background:#4479BA; color: #FFFFFF;" align="center" |WBC
-! style="background:#4479BA; color: #FFFFFF;" align="center" |Hgb
-! style="background:#4479BA; color: #FFFFFF;" align="center" |Plt
 |-
 ! colspan="2" style="background:#DCDCDC;" align="center" |[[Diabetic neuropathy]]

Chronic diarrhea, abdominal pain, and weight loss differential diagnosis: Difference between revisions

Latest revision as of 17:17, 11 April 2018

Differential Diagnosis of Chronic Diarrhea, Abdominal Pain, and Weight Loss from other diseases

References

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