Chronic diarrhea Flashcards
1
Q
Chronic diarrhea PLUS Blood p.r.
A
Do Colonoscopy + Biopsy
2
Q
+ biopsy
A
3
Q
Chronic Fatty diarrhea
A
Small Bowel: Imaging, Biopsy, Aspirate
4
Q
imaging
A
biopsy
5
Q
Exclude iatrogenic problem:
A
6
Q
medication
A
surgery
7
Q
Pain aggravated before BM, relieved with BM, sense incomplete evacuation
A
Suspect IBS
8
Q
No blood, features of malabsirption
A
Consider functional diarrhea
9
Q
Consider functional
A
Dietary exclusiojln
Eg lactose, sorbitol
10
Q
Ibs or functional diarrhea considered
A
Limited screen for organic disease: hematology, chemistry, CRP, ESR, Fe, Folate, B12, TTG-igA, C4, stool for excesa fat, calprotectin
11
Q
Low serum K*
A
Stool bol, osm, pH, lacative screen, Hormonal screen
12
Q
Low Hb Alb; abnormal MCV;
MCH; excesa fat in stool
A
- Colonoscopy + biopsy
- Small bowel: xray, biopsy, aspirate, stool 48h fat
13
Q
Screening tests all normal, what to do next?
A
Give Opioid Rx
+ follow up
14
Q
X
A
15
Q
C
A
