icr: diarrhea

Question 1

acute bloody diarrhea with systemic symptoms

Answer 1

IBD (UC more likely)
ischemic colitis
infectious (shigella, salmonella, campylobacter, EIEC, EHEC)

Question 2

acute, bloody diarrhea without systemic symptoms

Answer 2

colon cancer
bleeding diverticula
vascular ectasias
rectum inflammation
over-anticoagulation with coumadin

Question 3

acute, non bloody with systemic symptoms

Answer 3

INFECTION

Question 4

acute non bloody without systemic symptoms

Answer 4

IBD, lactose intolerance, medications, laxatives, OTC

Question 5

osmotic diarrhea

Answer 5

present after eating

Question 6

secretory diarrhea

Answer 6

net secretion of excess anions (HCO3 or Cl-) or net inhibition of Na absorption

Question 7

inflammatory diarrhea

Answer 7

has pus or mucus due to mucosa disruption

Question 8

steatorrhea

Answer 8

fatty/porridge consistency

chronic pancreatitis, lack of bile in lumen

Question 9

organic cuases

Answer 9

weightloss and night bowel movements, low Alb and Hgb

Question 10

functional causes

Answer 10

no weightloss, only daytime movements, lack of blood or PMNs; history of issues