diarrhea pathophys Flashcards
diarrhea technical def
more than 3 BMs/day or more than 200g or increased liquidity
acute vs chronic
less than 2 weeks acute
longer than 4 weeks
where are Short chain fatty acids absorbed?
colon
taking a hx of diarrhea
Duration Severity Stool characteristics Fasting, eating, urgency surgery meds diet hx of radiation travel
exam of diarrhea
assess severity skin thyroid exam right side heart murmur arthritis lymphadenopathy
labs for diarrhea
stool osmolality
occult blood
fat content
Urgency, pain and cramping, mucus, blood, small amount of stool
Recto-sigmoid issue
large amount of stool, not much urgency, little mucus
small bowel and colonic
causes of acute diarrhea
drugs: Abx (C. Diff) bacterial infection viral protozoa parasitic
Acute Watery diarrhea aka
Enterotoxigenic E coli
aka: traveler’s diarrhea
Bloody diarrhea
Enteropathogenic E Coli
Enterohemorrhagic E Coli
Osmotic Diarrhea stops with…..
fasting, osmolar gap high
stool osmotic gap equation
290-2(Na+K)
normal stool osmotic gap is 50-100.
<50 implies
secretory diarrhea from
> 100 implies
osmotic diarrhea