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CLINICAL PRESENTATION

Explore the clinical presentation of small and large bowel diarrhea, acute diarrhea causes like viral gastroenteritis, traveler's diarrhea culprits such as E. coli, and chronic/recurring diarrhea conditions. Learn about history-taking, physical examination, laboratory tests, and management strategies for various types of diarrhea.

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CLINICAL PRESENTATION

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Presentation Transcript

  1. CLINICAL PRESENTATION • Small bowel diarrheas • large, loose stools • periumbilical or RLQ pain • Large bowel diarrheas • frequent, small, loose stools • crampy, LLQ pain or tenesmus

  2. ACUTE DIARRHEA • Viral gastroenteritis • Staphylococcus aureus • Clostridium perfringens • Salmonella • Shigella • Cryptosporidiosis • Drug-induced diarrhea • Clostridium difficile

  3. TRAVELER’S DIARRHEA • Toxigenic E. coli • Entamoeba histolytica • Giardia lamblia • Choleria

  4. CHRONIC & RECURRENT DIARRHEAS • Irritable bowel syndrome • Inflammatory bowel disease • Pseudomembranous colitis • Diabetic enteropathy • Dumping syndrome • Malabsorption of lactose • Chronic laxative use

  5. HISTORY • Nature of bowel movements • Associated symptoms • Epidemiologic information • travel • food intake • personal contact • HIV status • Drug history

  6. PHYSICAL • Vital sign • Skin • Lymph nodes • Abdomen • Rectal

  7. LABORATORY TESTS • Gram’s stain for leukocytes • Stool for C&S • CBC • Electrolytes • Stool for O&P, C. difficile (if indicated) • LFTs & PT time • Amylase, glucose

  8. MANAGEMENT • Acute diarrhea • maintain hydration • absorbent products • lomotil • immodium • antibiotics • Traveler’s diarrhea • prophylactic • treatment

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