Diarrhea Flashcards
Best initial test for antibiotic associated Diarrhea
Stool CD toxin test
Most accurate test for antibiotic associated Diarrhea
PCR or NAAT
Treatment for Antibiotic associated Diarrhea
Oral vancomycin
-if no response Fidaxomicin
Vancomycin can be given via enema
Treatment for Whipple Disease
Ceftriaxone followed by TMP/SMX
Diagnosis for Celiac Disease
Small Bowel Biopsy with flattening of Villi
Most accurate test for Chronic Pancreatitis
Secretin Stimulation Test
-normal pancreas releases large volume of bicarbonate-rich fluid
Other tests for Chronic Pancreatitis
Abd X-ray
-calcification of Pancreas
Abd CT
-calcification of pancreas
MRCP or EUS
-More accurate that Xray/CT
Treatment of Chronic Pancreatitis
Enzyme Replacement
Best initial test for carcinoid syndrome
Urinary 5-HIAA Test
First must use CT/MRI to find metastases
Treatment for Carcinoid Syndrome
Local
-resection
Metastatic
-Octreotide to control diarrhea
Diagnose Lactose Intolerance
Remove milk-products from diet
-wait 1 day for symptom resolution
Treatment of Lactose Intolerance
Avoid milk products
Oral lactose replacement
Treatment of Irritable Bowel Syndrome (IBS)
Fiber in diet
antispasmodics
TCA or SSRI
Additional Treatment for Diarrhea-predominant IBS
Loperamide
Rifaximin
Alosetron
Eluxadoline
Probiotics
Additional Treatment for Constipation-predominant IBS
Fiber
Polyethylene Glycol
Lubiprostone
Linaclotide
Most accurate test to diagnose IBD
Endoscopy
Treatments for IBD
Steroids: acute
5-ASA: chronic remission
Azathiprine/6-MP
Ca and Vit D
Anti-TNF
Ciprofloxacin + Metronidazole
Vedolizumab
Treatments for Short Bowel Syndrome
Diet avoiding hight fat foods
IV Hyperalimentation
Loperamide to slow bowel
Teduglutide
Vitamin Supplementation
Diagnosing Small Intestine Bacterial Overgrowth
Small bowel aspirate with quantitative cultures
Treatments for Small Intestine Bacterial Overgrowth
Rifampin
Treatment for Microscopic Colitis
Steroids
