Acute fatty diarrhea differential diagnosis: Difference between revisions

Revision as of 20:11, 21 December 2017

Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Sadaf Sharfaei M.D.[2]

Differential Diagnosis of Acute Fatty Diarrhea from other diseases

The following table outlines the major differential diagnoses of acute fatty diarrhea.^[1]^[2]^[3]^[4]^[5]^[6]^[7]^[8]^[9]^[10]^[11]^[12]^[13]^[14]^[15]^[16]^[17]^[18]^[19]^[20]^[21]^[22]^[23]^[24]^[25]^[26]^[27]^[28]^[29]^[30]

Abbreviations: GI: Gastrointestinal, CBC: Complete blood count, WBC: White blood cell, RBC: Red blood cell, Plt: Platelet, Hgb: Hemoglobin, ESR: Erythrocyte sedimentation rate, CRP: C–reactive protein, IgE: Immunoglobulin E, IgA: Immunoglobulin A, ETEC: Escherichia coli enteritis, EPEC: Enteropathogenic Escherichia coli, EIEC: Enteroinvasive Escherichia coli, EHEC: Enterohemorrhagic Escherichia coli, EAEC: Enteroaggregative Escherichia coli, Nl: Normal, ASCA: Anti saccharomyces cerevisiae antibodies, ANCA: Anti–neutrophil cytoplasmic antibody, DNA: Deoxyribonucleic acid, CFTR: Cystic fibrosis transmembrane conductance regulator, SLC10A2: Solute carrier family 10 member 2, SeHCAT: Selenium homocholic acid taurine or tauroselcholic acid, IEL: Intraepithelial lymphocytes, MRCP: Magnetic resonance cholangiopancreatography, ANA: Antinuclear antibodies, AMA: Anti-mitochondrial antibody, LDH: Lactate dehydrogenase, CPK: Creatine phosphokinase, PCR: Polymerase chain reaction, ELISA: Enzyme–linked immunosorbent assay, LT: Heat–labile enterotoxin, ST: Heat–stable enterotoxin, RT-PCR: Reverse–transcriptase polymerase chain reaction, CD4: Cluster of differentiation 4, HIV: Human immunodeficiency virus, RUQ: Right-upper quadrant, VIP: Vasoactive intestinal peptide, GI: Gastrointestinal, FAP: Familial adenomatous polyposis, HNPCC: Hereditary nonpolyposis colorectal cancer, MTP: Microsomal triglyceride transfer protein, Scl‑70: Anti–topoisomerase I, TSH: Thyroid-stimulating hormone, T4: Thyroxine, T3: Triiodothyronine, DTR: Deep tendon reflex, RNA: Ribonucleic acid

	Symptoms								GI signs
Cause	Clinical manifestation									Lab findings									Extra intestinal findings	Cause/Pathogenesis	Gold standard diagnosis
	Duration		Diarrhea			Fever	Abdominal pain	Weight loss
	Duration		Diarrhea							Stool exam					CBC			Other lab findings
	Acute	Chronic	Watery	Bloody	Fatty					WBC	RBC	Ova/Parasite	Osmotic gap	Other	WBC	Hgb	Plt	Other lab findings
Tropical sprue	+	+	+	–	+	+	+	+	Angular stomatitis Oral mucosal lesion	+	–	–	Nl	Positive stool culture	Nl	↓	Nl	Fat soluble vitamins deficiency Vitamin B12 deficiency Folate deficiency Hypokalemia	Myalgia Neuropathy Edema	Escherichia coli Klebsiella pneumoniae Enterobacter cloacae	Diagnosis of exclusion
Isospora	+	+	+	–	+	+	+	+	Abdominal distention Diffuse abdominal tenderness	+	+	+	Nl	Positive stool microscopy Positive fecal fat	↑	Nl	Nl	Elevated eosinophils Hypokalemia Increased creatinine	Chronic illness in immunocompromised patients	Isospora	Detecting oocysts in the feces
VIPoma	+	+	+	–	+	–	+	+	Abdominal distention Abdominal RUQ tenderness Nausea Vomiting	–	–	–	↓	–	Nl	Nl	Nl	Elevated VIP level Hypokalemia Hypochlorhydria or achlorhydria Low osmotic gap (<50 mOsm/kg)	Rash Facial flushing Dehydration Lethargy Muscle weakness	Primary secretory tumor	Blood VIP levels Followed by imaging
Cause	Duration		Diarrhea			Fever	Abdominal pain	Weight loss	GI signs	Stool exam					CBC			Other lab findings	Extra intestinal findings	Cause/Pathogenesis	Gold standard diagnosis
Cause	Acute	Chronic	Watery	Bloody	Fatty	Fever	Abdominal pain	Weight loss	GI signs	WBC	RBC	Ova/Parasite	Osmotic gap	Other	WBC	Hgb	Plt	Other lab findings	Extra intestinal findings	Cause/Pathogenesis	Gold standard diagnosis
Medications ACE inhibitors Digoxin Cephalosporins Statins Thiazide diuretics Triptans Lactulose Anti retroviral agents Chemotherapeutic agents Antifungals Magnesium	+	+	+	–	±	±	+	+	Abdominal distention Dehydration	–	–	–	↑/↓	–	↑	Nl	Nl	Elevated plasma level of drug	–	Inflammation Pseudomembranous colitis	Clinical evaluation after discontinuation of the drugs
Short bowel syndrome	+	+	+	–	+	–	–	+	Abdominal distention Abdominal tenderness	–	–	–	Nl	Positive fecal fat	Nl	↓	↑	Hypoalbuminemia High level of acute phase reactant Abnormal liver function tests	Prior intestinal surgery Malabsorption Crohn's disease Malignancy Peripheral edema Muscle atrophy	Surgical bowel resection	Clinical diagnosis following bowel resection
Radiation enteritis	+	+	+	+	+	–	+	+	Abdominal tenderness	+	+	–	Nl	Positive fecal fat	Nl	↓	Nl	Vitamin B12 deficiency Hypoalbuminemia	Prior history of malignancy and radiation therapy Malabsorption Telangiectasias	Radiation	Segmental bowel inflammation on endoscopy or colonoscopy

References

↑ Casburn-Jones, Anna C; Farthing, Michael Jg (2004). "Traveler's diarrhea". Journal of Gastroenterology and Hepatology. 19 (6): 610–618. doi:10.1111/j.1440-1746.2003.03287.x. ISSN 0815-9319.
↑ Kamat, Deepak; Mathur, Ambika (2006). "Prevention and Management of Travelers' Diarrhea". Disease-a-Month. 52 (7): 289–302. doi:10.1016/j.disamonth.2006.08.003. ISSN 0011-5029.
↑ Pfeiffer, Margaret L.; DuPont, Herbert L.; Ochoa, Theresa J. (2012). "The patient presenting with acute dysentery – A systematic review". Journal of Infection. 64 (4): 374–386. doi:10.1016/j.jinf.2012.01.006. ISSN 0163-4453.
↑ Barr W, Smith A (2014). "Acute diarrhea". Am Fam Physician. 89 (3): 180–9. PMID 24506120.
↑ Amil Dias J (2017). "Celiac Disease: What Do We Know in 2017?". GE Port J Gastroenterol. 24 (6): 275–278. doi:10.1159/000479881. PMID 29255768.
↑ Kotloff KL, Riddle MS, Platts-Mills JA, Pavlinac P, Zaidi A (2017). "Shigellosis". Lancet. doi:10.1016/S0140-6736(17)33296-8. PMID 29254859. Vancouver style error: initials (help)
↑ Yamamoto-Furusho, J.K.; Bosques-Padilla, F.; de-Paula, J.; Galiano, M.T.; Ibañez, P.; Juliao, F.; Kotze, P.G.; Rocha, J.L.; Steinwurz, F.; Veitia, G.; Zaltman, C. (2017). "Diagnóstico y tratamiento de la enfermedad inflamatoria intestinal: Primer Consenso Latinoamericano de la Pan American Crohn's and Colitis Organisation". Revista de Gastroenterología de México. 82 (1): 46–84. doi:10.1016/j.rgmx.2016.07.003. ISSN 0375-0906.
↑ Borbély, Yves M; Osterwalder, Alice; Kröll, Dino; Nett, Philipp C; Inglin, Roman A (2017). "Diarrhea after bariatric procedures: Diagnosis and therapy". World Journal of Gastroenterology. 23 (26): 4689. doi:10.3748/wjg.v23.i26.4689. ISSN 1007-9327.
↑ Crawford, Sue E.; Ramani, Sasirekha; Tate, Jacqueline E.; Parashar, Umesh D.; Svensson, Lennart; Hagbom, Marie; Franco, Manuel A.; Greenberg, Harry B.; O'Ryan, Miguel; Kang, Gagandeep; Desselberger, Ulrich; Estes, Mary K. (2017). "Rotavirus infection". Nature Reviews Disease Primers. 3: 17083. doi:10.1038/nrdp.2017.83. ISSN 2056-676X.
↑ Kist M (2000). "[Chronic diarrhea: value of microbiology in diagnosis]". Praxis (Bern 1994) (in German). 89 (39): 1559–65. PMID 11068510.
↑ Guerrant RL, Shields DS, Thorson SM, Schorling JB, Gröschel DH (1985). "Evaluation and diagnosis of acute infectious diarrhea". Am. J. Med. 78 (6B): 91–8. PMID 4014291.
↑ López-Vélez R, Turrientes MC, Garrón C, Montilla P, Navajas R, Fenoy S, del Aguila C (1999). "Microsporidiosis in travelers with diarrhea from the tropics". J Travel Med. 6 (4): 223–7. PMID 10575169.
↑ Wahnschaffe, Ulrich; Ignatius, Ralf; Loddenkemper, Christoph; Liesenfeld, Oliver; Muehlen, Marion; Jelinek, Thomas; Burchard, Gerd Dieter; Weinke, Thomas; Harms, Gundel; Stein, Harald; Zeitz, Martin; Ullrich, Reiner; Schneider, Thomas (2009). "Diagnostic value of endoscopy for the diagnosis of giardiasis and other intestinal diseases in patients with persistent diarrhea from tropical or subtropical areas". Scandinavian Journal of Gastroenterology. 42 (3): 391–396. doi:10.1080/00365520600881193. ISSN 0036-5521.
↑ Mena Bares LM, Carmona Asenjo E, García Sánchez MV, Moreno Ortega E, Maza Muret FR, Guiote Moreno MV, Santos Bueno AM, Iglesias Flores E, Benítez Cantero JM, Vallejo Casas JA (2017). "75SeHCAT scan in bile acid malabsorption in chronic diarrhoea". Rev Esp Med Nucl Imagen Mol. 36 (1): 37–47. doi:10.1016/j.remn.2016.08.005. PMID 27765536.
↑ Gibson RJ, Stringer AM (2009). "Chemotherapy-induced diarrhoea". Curr Opin Support Palliat Care. 3 (1): 31–5. doi:10.1097/SPC.0b013e32832531bb. PMID 19365159.
↑ Abraham BP, Sellin JH (2012). "Drug-induced, factitious, & idiopathic diarrhoea". Best Pract Res Clin Gastroenterol. 26 (5): 633–48. doi:10.1016/j.bpg.2012.11.007. PMID 23384808.
↑ Reintam Blaser A, Deane AM, Fruhwald S (2015). "Diarrhoea in the critically ill". Curr Opin Crit Care. 21 (2): 142–53. doi:10.1097/MCC.0000000000000188. PMID 25692805.
↑ McMahan ZH, DuPont HL (2007). "Review article: the history of acute infectious diarrhoea management--from poorly focused empiricism to fluid therapy and modern pharmacotherapy". Aliment. Pharmacol. Ther. 25 (7): 759–69. doi:10.1111/j.1365-2036.2007.03261.x. PMID 17373914.
↑ Schiller LR (2012). "Definitions, pathophysiology, and evaluation of chronic diarrhoea". Best Pract Res Clin Gastroenterol. 26 (5): 551–62. doi:10.1016/j.bpg.2012.11.011. PMID 23384801.
↑ Giannella RA (1986). "Chronic diarrhea in travelers: diagnostic and therapeutic considerations". Rev. Infect. Dis. 8 Suppl 2: S223–6. PMID 3523719.
↑ Silverberg MS, Satsangi J, Ahmad T, Arnott ID, Bernstein CN, Brant SR; et al. (2005). "Toward an integrated clinical, molecular and serological classification of inflammatory bowel disease: report of a Working Party of the 2005 Montreal World Congress of Gastroenterology". Can J Gastroenterol. 19 Suppl A: 5A–36A. PMID 16151544.
↑ Sauter GH, Moussavian AC, Meyer G, Steitz HO, Parhofer KG, Jüngst D (2002). "Bowel habits and bile acid malabsorption in the months after cholecystectomy". Am J Gastroenterol. 97 (7): 1732–5. doi:10.1111/j.1572-0241.2002.05779.x. PMID 12135027.
↑ Maiuri L, Raia V, Potter J, Swallow D, Ho MW, Fiocca R; et al. (1991). "Mosaic pattern of lactase expression by villous enterocytes in human adult-type hypolactasia". Gastroenterology. 100 (2): 359–69. PMID 1702075.
↑ RUBIN CE, BRANDBORG LL, PHELPS PC, TAYLOR HC (1960). "Studies of celiac disease. I. The apparent identical and specific nature of the duodenal and proximal jejunal lesion in celiac disease and idiopathic sprue". Gastroenterology. 38: 28–49. PMID 14439871.
↑ Konvolinka CW (1994). "Acute diverticulitis under age forty". Am J Surg. 167 (6): 562–5. PMID 8209928.
↑ Satsangi J, Silverberg MS, Vermeire S, Colombel JF (2006). "The Montreal classification of inflammatory bowel disease: controversies, consensus, and implications". Gut. 55 (6): 749–53. doi:10.1136/gut.2005.082909. PMC 1856208. PMID 16698746.
↑ Haque R, Huston CD, Hughes M, Houpt E, Petri WA (2003). "Amebiasis". N Engl J Med. 348 (16): 1565–73. doi:10.1056/NEJMra022710. PMID 12700377.
↑ Hertzler SR, Savaiano DA (1996). "Colonic adaptation to daily lactose feeding in lactose maldigesters reduces lactose intolerance". Am J Clin Nutr. 64 (2): 232–6. PMID 8694025.
↑ Briet F, Pochart P, Marteau P, Flourie B, Arrigoni E, Rambaud JC (1997). "Improved clinical tolerance to chronic lactose ingestion in subjects with lactose intolerance: a placebo effect?". Gut. 41 (5): 632–5. PMC 1891556. PMID 9414969.
↑ BLACK-SCHAFFER B (1949). "The tinctoral demonstration of a glycoprotein in Whipple's disease". Proc Soc Exp Biol Med. 72 (1): 225–7. PMID 15391722.

[Casburn-JonesFarthing2004-1] Casburn-Jones, Anna C; Farthing, Michael Jg (2004). "Traveler's diarrhea". Journal of Gastroenterology and Hepatology. 19 (6): 610–618. doi:10.1111/j.1440-1746.2003.03287.x. ISSN 0815-9319.

[KamatMathur2006-2] Kamat, Deepak; Mathur, Ambika (2006). "Prevention and Management of Travelers' Diarrhea". Disease-a-Month. 52 (7): 289–302. doi:10.1016/j.disamonth.2006.08.003. ISSN 0011-5029.

[PfeifferDuPont2012-3] Pfeiffer, Margaret L.; DuPont, Herbert L.; Ochoa, Theresa J. (2012). "The patient presenting with acute dysentery – A systematic review". Journal of Infection. 64 (4): 374–386. doi:10.1016/j.jinf.2012.01.006. ISSN 0163-4453.

[pmid24506120-4] Barr W, Smith A (2014). "Acute diarrhea". Am Fam Physician. 89 (3): 180–9. PMID 24506120.

[pmid29255768-5] Amil Dias J (2017). "Celiac Disease: What Do We Know in 2017?". GE Port J Gastroenterol. 24 (6): 275–278. doi:10.1159/000479881. PMID 29255768.

[pmid29254859-6] Kotloff KL, Riddle MS, Platts-Mills JA, Pavlinac P, Zaidi A (2017). "Shigellosis". Lancet. doi:10.1016/S0140-6736(17)33296-8. PMID 29254859. Vancouver style error: initials (help)

[Yamamoto-FurushoBosques-Padilla2017-7] Yamamoto-Furusho, J.K.; Bosques-Padilla, F.; de-Paula, J.; Galiano, M.T.; Ibañez, P.; Juliao, F.; Kotze, P.G.; Rocha, J.L.; Steinwurz, F.; Veitia, G.; Zaltman, C. (2017). "Diagnóstico y tratamiento de la enfermedad inflamatoria intestinal: Primer Consenso Latinoamericano de la Pan American Crohn's and Colitis Organisation". Revista de Gastroenterología de México. 82 (1): 46–84. doi:10.1016/j.rgmx.2016.07.003. ISSN 0375-0906.

[BorbélyOsterwalder2017-8] Borbély, Yves M; Osterwalder, Alice; Kröll, Dino; Nett, Philipp C; Inglin, Roman A (2017). "Diarrhea after bariatric procedures: Diagnosis and therapy". World Journal of Gastroenterology. 23 (26): 4689. doi:10.3748/wjg.v23.i26.4689. ISSN 1007-9327.

[CrawfordRamani2017-9] Crawford, Sue E.; Ramani, Sasirekha; Tate, Jacqueline E.; Parashar, Umesh D.; Svensson, Lennart; Hagbom, Marie; Franco, Manuel A.; Greenberg, Harry B.; O'Ryan, Miguel; Kang, Gagandeep; Desselberger, Ulrich; Estes, Mary K. (2017). "Rotavirus infection". Nature Reviews Disease Primers. 3: 17083. doi:10.1038/nrdp.2017.83. ISSN 2056-676X.

[pmid11068510-10] Kist M (2000). "[Chronic diarrhea: value of microbiology in diagnosis]". Praxis (Bern 1994) (in German). 89 (39): 1559–65. PMID 11068510.

[pmid4014291-11] Guerrant RL, Shields DS, Thorson SM, Schorling JB, Gröschel DH (1985). "Evaluation and diagnosis of acute infectious diarrhea". Am. J. Med. 78 (6B): 91–8. PMID 4014291.

[pmid10575169-12] López-Vélez R, Turrientes MC, Garrón C, Montilla P, Navajas R, Fenoy S, del Aguila C (1999). "Microsporidiosis in travelers with diarrhea from the tropics". J Travel Med. 6 (4): 223–7. PMID 10575169.

[WahnschaffeIgnatius2009-13] Wahnschaffe, Ulrich; Ignatius, Ralf; Loddenkemper, Christoph; Liesenfeld, Oliver; Muehlen, Marion; Jelinek, Thomas; Burchard, Gerd Dieter; Weinke, Thomas; Harms, Gundel; Stein, Harald; Zeitz, Martin; Ullrich, Reiner; Schneider, Thomas (2009). "Diagnostic value of endoscopy for the diagnosis of giardiasis and other intestinal diseases in patients with persistent diarrhea from tropical or subtropical areas". Scandinavian Journal of Gastroenterology. 42 (3): 391–396. doi:10.1080/00365520600881193. ISSN 0036-5521.

[pmid27765536-14] Mena Bares LM, Carmona Asenjo E, García Sánchez MV, Moreno Ortega E, Maza Muret FR, Guiote Moreno MV, Santos Bueno AM, Iglesias Flores E, Benítez Cantero JM, Vallejo Casas JA (2017). "75SeHCAT scan in bile acid malabsorption in chronic diarrhoea". Rev Esp Med Nucl Imagen Mol. 36 (1): 37–47. doi:10.1016/j.remn.2016.08.005. PMID 27765536.

[pmid19365159-15] Gibson RJ, Stringer AM (2009). "Chemotherapy-induced diarrhoea". Curr Opin Support Palliat Care. 3 (1): 31–5. doi:10.1097/SPC.0b013e32832531bb. PMID 19365159.

[pmid23384808-16] Abraham BP, Sellin JH (2012). "Drug-induced, factitious, & idiopathic diarrhoea". Best Pract Res Clin Gastroenterol. 26 (5): 633–48. doi:10.1016/j.bpg.2012.11.007. PMID 23384808.

[pmid25692805-17] Reintam Blaser A, Deane AM, Fruhwald S (2015). "Diarrhoea in the critically ill". Curr Opin Crit Care. 21 (2): 142–53. doi:10.1097/MCC.0000000000000188. PMID 25692805.

[pmid17373914-18] McMahan ZH, DuPont HL (2007). "Review article: the history of acute infectious diarrhoea management--from poorly focused empiricism to fluid therapy and modern pharmacotherapy". Aliment. Pharmacol. Ther. 25 (7): 759–69. doi:10.1111/j.1365-2036.2007.03261.x. PMID 17373914.

[pmid23384801-19] Schiller LR (2012). "Definitions, pathophysiology, and evaluation of chronic diarrhoea". Best Pract Res Clin Gastroenterol. 26 (5): 551–62. doi:10.1016/j.bpg.2012.11.011. PMID 23384801.

[pmid3523719-20] Giannella RA (1986). "Chronic diarrhea in travelers: diagnostic and therapeutic considerations". Rev. Infect. Dis. 8 Suppl 2: S223–6. PMID 3523719.

[pmid16151544-21] Silverberg MS, Satsangi J, Ahmad T, Arnott ID, Bernstein CN, Brant SR; et al. (2005). "Toward an integrated clinical, molecular and serological classification of inflammatory bowel disease: report of a Working Party of the 2005 Montreal World Congress of Gastroenterology". Can J Gastroenterol. 19 Suppl A: 5A–36A. PMID 16151544.

[pmid12135027-22] Sauter GH, Moussavian AC, Meyer G, Steitz HO, Parhofer KG, Jüngst D (2002). "Bowel habits and bile acid malabsorption in the months after cholecystectomy". Am J Gastroenterol. 97 (7): 1732–5. doi:10.1111/j.1572-0241.2002.05779.x. PMID 12135027.

[pmid1702075-23] Maiuri L, Raia V, Potter J, Swallow D, Ho MW, Fiocca R; et al. (1991). "Mosaic pattern of lactase expression by villous enterocytes in human adult-type hypolactasia". Gastroenterology. 100 (2): 359–69. PMID 1702075.

[pmid14439871-24] RUBIN CE, BRANDBORG LL, PHELPS PC, TAYLOR HC (1960). "Studies of celiac disease. I. The apparent identical and specific nature of the duodenal and proximal jejunal lesion in celiac disease and idiopathic sprue". Gastroenterology. 38: 28–49. PMID 14439871.

[pmid8209928-25] Konvolinka CW (1994). "Acute diverticulitis under age forty". Am J Surg. 167 (6): 562–5. PMID 8209928.

[pmid16698746-26] Satsangi J, Silverberg MS, Vermeire S, Colombel JF (2006). "The Montreal classification of inflammatory bowel disease: controversies, consensus, and implications". Gut. 55 (6): 749–53. doi:10.1136/gut.2005.082909. PMC 1856208. PMID 16698746.

[pmid12700377-27] Haque R, Huston CD, Hughes M, Houpt E, Petri WA (2003). "Amebiasis". N Engl J Med. 348 (16): 1565–73. doi:10.1056/NEJMra022710. PMID 12700377.

[pmid8694025-28] Hertzler SR, Savaiano DA (1996). "Colonic adaptation to daily lactose feeding in lactose maldigesters reduces lactose intolerance". Am J Clin Nutr. 64 (2): 232–6. PMID 8694025.

[pmid9414969-29] Briet F, Pochart P, Marteau P, Flourie B, Arrigoni E, Rambaud JC (1997). "Improved clinical tolerance to chronic lactose ingestion in subjects with lactose intolerance: a placebo effect?". Gut. 41 (5): 632–5. PMC 1891556. PMID 9414969.

[pmid15391722-30] BLACK-SCHAFFER B (1949). "The tinctoral demonstration of a glycoprotein in Whipple's disease". Proc Soc Exp Biol Med. 72 (1): 225–7. PMID 15391722.

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@@ Line 1: / Line 1: @@
 __NOTOC__
 {{CMG}}; {{AE}} {{SSH}}
@@ Line 41: / Line 42: @@
 ! style="background:#4479BA; color: #FFFFFF;" align="center" |Hgb
 ! style="background:#4479BA; color: #FFFFFF;" align="center" |Plt
-|-
-! colspan="2" style="background:#DCDCDC;" align="center" |[[Ischemic colitis]]
-| style="padding: 5px 5px; background: #F5F5F5;" align="center" | +
-| style="padding: 5px 5px; background: #F5F5F5;" align="center" | +
-| style="padding: 5px 5px; background: #F5F5F5;" align="center" | +
-| style="padding: 5px 5px; background: #F5F5F5;" align="center" | +
-| style="padding: 5px 5px; background: #F5F5F5;" align="center" | –
-| style="padding: 5px 5px; background: #F5F5F5;" align="center" | +
-| style="padding: 5px 5px; background: #F5F5F5;" align="center" | +
-| style="padding: 5px 5px; background: #F5F5F5;" align="center" | +
-| style="padding: 5px 5px; background: #F5F5F5;" align="Left" |
-*Hyperactive then absent [[Stomach rumble|bowel sounds]]
-*[[Tenderness (medicine)|Abdominal tenderness]]
-| style="padding: 5px 5px; background: #F5F5F5;" align="center" | +
-| style="padding: 5px 5px; background: #F5F5F5;" align="center" | +
-| style="padding: 5px 5px; background: #F5F5F5;" align="center" | –
-| style="padding: 5px 5px; background: #F5F5F5;" align="center" | Nl
-| style="padding: 5px 5px; background: #F5F5F5;" align="left" |–
-| style="padding: 5px 5px; background: #F5F5F5;" align="center" |↑
-| style="padding: 5px 5px; background: #F5F5F5;" align="center" |↓
-| style="padding: 5px 5px; background: #F5F5F5;" align="center" |↑
-| style="padding: 5px 5px; background: #F5F5F5;" align="left" |
-*Elevated [[C-reactive protein|CRP]]
-*Elevated [[Erythrocyte sedimentation rate|ESR]]
-*Elevated serum [[Lactic acid|lactate]]
-*Elevated [[lactate dehydrogenase]] ([[Lactate dehydrogenase|LDH]])
-*Elevated [[Creatine kinase|creatine phosphokinase]] ([[Creatine kinase|CPK]])
-*Elevated [[amylase]]
-*[[Hypoalbuminemia]]
-| style="padding: 5px 5px; background: #F5F5F5;" align="left" |
-*[[Henoch-Schönlein purpura|IgA vasculitis]]
-| style="padding: 5px 5px; background: #F5F5F5;" align="left" |
-*[[Thrombophilia|Hypercoagulability]]
-*Nonocclusive [[Ischemic colitis|colonic ischemia]]
-*[[Embolism|Embolic]] and [[Thrombosis|thrombotic]] arterial occlusion
-*[[Mesenteric vein thrombosis]]
-| style="padding: 5px 5px; background: #F5F5F5;" align="left" |
-*Abdominal [[Computed tomography|CT scan]]
-|-
-! colspan="2" style="background:#DCDCDC;" align="center" |[[Lactose intolerance]]
-| style="padding: 5px 5px; background: #F5F5F5;" align="center" | +
-| style="padding: 5px 5px; background: #F5F5F5;" align="center" | +
-| style="padding: 5px 5px; background: #F5F5F5;" align="center" | +
-| style="padding: 5px 5px; background: #F5F5F5;" align="center" | –
-| style="padding: 5px 5px; background: #F5F5F5;" align="center" | –
-| style="padding: 5px 5px; background: #F5F5F5;" align="center" | –
-| style="padding: 5px 5px; background: #F5F5F5;" align="center" | +
-| style="padding: 5px 5px; background: #F5F5F5;" align="center" | –
-| style="padding: 5px 5px; background: #F5F5F5;" align="left" |
-* [[Abdominal tenderness ]]
-* [[Abdominal distention]]
-| style="padding: 5px 5px; background: #F5F5F5;" align="center" |–
-| style="padding: 5px 5px; background: #F5F5F5;" align="center" |–
-| style="padding: 5px 5px; background: #F5F5F5;" align="center" | –
-| style="padding: 5px 5px; background: #F5F5F5;" align="center" |↑
-| style="padding: 5px 5px; background: #F5F5F5;" align="left" |–
-| style="padding: 5px 5px; background: #F5F5F5;" align="center" | Nl
-| style="padding: 5px 5px; background: #F5F5F5;" align="center" | Nl
-| style="padding: 5px 5px; background: #F5F5F5;" align="center" | Nl
-| style="padding: 5px 5px; background: #F5F5F5;" align="left" |
-* Lactose tolerance test
-* Genetic testing
-| style="padding: 5px 5px; background: #F5F5F5;" align="left" |
-* [[Headache]]
-* [[Vertigo]]
-* [[Memory impairment]]
-* [[Lethargy]]
-| style="padding: 5px 5px; background: #F5F5F5;" align="left" |
-* Reduction of lactase enzyme activity or inability to produce persistent [[lactase]]
-* Congenital [[lactase deficiency]]
-* Secondary lactose malabsorption
-| style="padding: 5px 5px; background: #F5F5F5;" align="left" |
-* [[Small bowel]] [[biopsy]]
-* Lactose breath hydrogen test
 |-
 ! colspan="2" style="background:#DCDCDC;" align="center" |[[Tropical sprue]]
@@ Line 152: / Line 79: @@
 | style="padding: 5px 5px; background: #F5F5F5;" align="left" |
 * Diagnosis of exclusion
-|-
-! colspan="2" rowspan="2" style="background:#4479BA; color: #FFFFFF;" align="center" |Cause
-! colspan="2" style="background:#4479BA; color: #FFFFFF;" align="center" |Duration
-! colspan="3" style="background:#4479BA; color: #FFFFFF;" align="center" |Diarrhea
-! rowspan="2" style="background:#4479BA; color: #FFFFFF;" align="center" |Fever
-! rowspan="2" style="background:#4479BA; color: #FFFFFF;" align="center" |Abdominal pain
-! rowspan="2" style="background:#4479BA; color: #FFFFFF;" align="center" |Weight loss
-! rowspan="2" style="background:#4479BA; color: #FFFFFF;" align="center" |GI signs
-! colspan="5" style="background:#4479BA; color: #FFFFFF;" align="center" |Stool exam
-! colspan="3" style="background:#4479BA; color: #FFFFFF;" align="center" |CBC
-! rowspan="2" style="background:#4479BA; color: #FFFFFF;" align="center" |Other lab findings
-! rowspan="2" style="background:#4479BA; color: #FFFFFF;" align="center" |Extra intestinal findings
-! rowspan="2" style="background:#4479BA; color: #FFFFFF;" align="center" |Cause/Pathogenesis
-! rowspan="2" style="background:#4479BA; color: #FFFFFF;" align="center" |Gold standard diagnosis
-|-
-! style="background:#4479BA; color: #FFFFFF;" align="center" |Acute
-! style="background:#4479BA; color: #FFFFFF;" align="center" |Chronic
-! style="background:#4479BA; color: #FFFFFF;" align="center" |Watery
-! style="background:#4479BA; color: #FFFFFF;" align="center" |Bloody
-! style="background:#4479BA; color: #FFFFFF;" align="center" |Fatty
-! style="background:#4479BA; color: #FFFFFF;" align="center" |WBC
-! style="background:#4479BA; color: #FFFFFF;" align="center" |RBC
-! style="background:#4479BA; color: #FFFFFF;" align="center" |Ova/Parasite
-! style="background:#4479BA; color: #FFFFFF;" align="center" |Osmotic gap
-! style="background:#4479BA; color: #FFFFFF;" align="center" |Other
-! style="background:#4479BA; color: #FFFFFF;" align="center" |WBC
-! style="background:#4479BA; color: #FFFFFF;" align="center" |Hgb
-! style="background:#4479BA; color: #FFFFFF;" align="center" |Plt
-|-
-! colspan="2" style="background:#DCDCDC;" align="center" |[[Pseudomembranous enterocolitis]]
-| style="padding: 5px 5px; background: #F5F5F5;" align="center" | +
-| style="padding: 5px 5px; background: #F5F5F5;" align="center" | –
-| style="padding: 5px 5px; background: #F5F5F5;" align="center" | +
-| style="padding: 5px 5px; background: #F5F5F5;" align="center" |±
-| style="padding: 5px 5px; background: #F5F5F5;" align="center" | –
-| style="padding: 5px 5px; background: #F5F5F5;" align="center" | +
-| style="padding: 5px 5px; background: #F5F5F5;" align="center" | +
-| style="padding: 5px 5px; background: #F5F5F5;" align="center" |±
-| style="padding: 5px 5px; background: #F5F5F5;" align="left" |
-* Generalized [[Tenderness (medicine)|abdominal tenderness]]
-* [[Abdominal distention]]
-* [[Rebound tenderness|Rebound abdominal tenderness]]
-| style="padding: 5px 5px; background: #F5F5F5;" align="center" | +
-| style="padding: 5px 5px; background: #F5F5F5;" align="center" | +
-| style="padding: 5px 5px; background: #F5F5F5;" align="center" | –
-| style="padding: 5px 5px; background: #F5F5F5;" align="center" | Nl
-| style="padding: 5px 5px; background: #F5F5F5;" align="left" |
-* [[Enzyme linked immunosorbent assay (ELISA)|Enzyme–linked immunosorbent assay]] ([[Enzyme linked immunosorbent assay (ELISA)|ELISA]])
-* [[Polymerase chain reaction]] ([[Polymerase chain reaction|PCR]]) assay or ''[[Clostridium difficile infection|C. difficile]]'' antigen
-| style="padding: 5px 5px; background: #F5F5F5;" align="center" |↑
-| style="padding: 5px 5px; background: #F5F5F5;" align="center" |↓
-| style="padding: 5px 5px; background: #F5F5F5;" align="center" |↓
-| style="padding: 5px 5px; background: #F5F5F5;" align="left" |
-* Elevated [[Creatinine|serum creatinine]]
-* [[Hypoalbuminemia]]
-* Elevated [[lactic acid]]
-| style="padding: 5px 5px; background: #F5F5F5;" align="left" |
-* [[Dehydration]]
-* [[Acute kidney injury]]
-* [[Bacteremia]]
-* [[Reactive arthritis]]
-* [[Necrotizing fasciitis]]
-| style="padding: 5px 5px; background: #F5F5F5;" align="left" |
-* [[Clostridium difficile|''Clostridium difficile'']]
-* Recent [[antibiotics]] use
-* Recent [[surgery]]
-| style="padding: 5px 5px; background: #F5F5F5;" align="left" |
-* [[Stool examination|Stool exam]]
-* Pseudomembranes on [[colonoscopy]]
-|-
-! colspan="2" style="background:#DCDCDC;" align="center" | [[Campylobacteriosis]]
-| style="padding: 5px 5px; background: #F5F5F5;" align="center" | +
-| style="padding: 5px 5px; background: #F5F5F5;" align="center" |–
-| style="padding: 5px 5px; background: #F5F5F5;" align="center" | +
-| style="padding: 5px 5px; background: #F5F5F5;" align="center" | +
-| style="padding: 5px 5px; background: #F5F5F5;" align="center" |–
-| style="padding: 5px 5px; background: #F5F5F5;" align="center" | +
-| style="padding: 5px 5px; background: #F5F5F5;" align="center" | +
-| style="padding: 5px 5px; background: #F5F5F5;" align="center" |–
-| style="padding: 5px 5px; background: #F5F5F5;" align="Left" |
-*Diffuse [[abdominal tenderness]]
-| style="padding: 5px 5px; background: #F5F5F5;" align="center" | +
-| style="padding: 5px 5px; background: #F5F5F5;" align="center" | +
-| style="padding: 5px 5px; background: #F5F5F5;" align="center" | –
-| style="padding: 5px 5px; background: #F5F5F5;" align="center" | Nl
-| style="padding: 5px 5px; background: #F5F5F5;" align="left" |
-*Positive [[stool culture]]
-| style="padding: 5px 5px; background: #F5F5F5;" align="center" |↑
-| style="padding: 5px 5px; background: #F5F5F5;" align="center" |Nl
-| style="padding: 5px 5px; background: #F5F5F5;" align="center" |Nl
-| style="padding: 5px 5px; background: #F5F5F5;" align="left" |Nl
-| style="padding: 5px 5px; background: #F5F5F5;" align="left" |
-*[[Toxic megacolon]]
-*[[Sepsis]]
-*[[Arthritis]]
-*[[Endocarditis]]
-*[[Guillain-Barré syndrome|Guillain–Barré syndrome]]
-| style="padding: 5px 5px; background: #F5F5F5;" align="left" |
-*[[Campylobacter jejuni|''Campylobacter jejuni'']]
-| style="padding: 5px 5px; background: #F5F5F5;" align="left" |
-*[[Stool culture]]
-|-
-! colspan="2" style="background:#DCDCDC;" align="center" |[[Salmonellosis]]
-| style="padding: 5px 5px; background: #F5F5F5;" align="center" | +
-| style="padding: 5px 5px; background: #F5F5F5;" align="center" | +
-| style="padding: 5px 5px; background: #F5F5F5;" align="center" | +
-| style="padding: 5px 5px; background: #F5F5F5;" align="center" | +
-| style="padding: 5px 5px; background: #F5F5F5;" align="center" | –
-| style="padding: 5px 5px; background: #F5F5F5;" align="center" | +
-| style="padding: 5px 5px; background: #F5F5F5;" align="center" | +
-| style="padding: 5px 5px; background: #F5F5F5;" align="center" | –
-| style="padding: 5px 5px; background: #F5F5F5;" align="Left" |
-*[[Abdominal distention]]
-*Diffuse [[abdominal tenderness]]
-*[[Hepatosplenomegaly]]
-| style="padding: 5px 5px; background: #F5F5F5;" align="center" | +
-| style="padding: 5px 5px; background: #F5F5F5;" align="center" | +
-| style="padding: 5px 5px; background: #F5F5F5;" align="center" | –
-| style="padding: 5px 5px; background: #F5F5F5;" align="center" | Nl
-| style="padding: 5px 5px; background: #F5F5F5;" align="left" |
-*Positive [[stool culture]]
-*Positive serologic testing
-| style="padding: 5px 5px; background: #F5F5F5;" align="center" |↑
-| style="padding: 5px 5px; background: #F5F5F5;" align="center" | Nl
-| style="padding: 5px 5px; background: #F5F5F5;" align="center" |↑
-| style="padding: 5px 5px; background: #F5F5F5;" align="left" |
-*[[Hypokalemia]]
-*[[Hypernatremia]]
-*[[Hyponatremia]]
-* [[Hypercalciuria]]
-* [[Hypocitraturia]]
-| style="padding: 5px 5px; background: #F5F5F5;" align="left" |
-* [[Post-infectious arthritis|Post–infectious arthritis]]
-* [[Obtundation]]
-* [[Bacteremia]]
-* [[Pericarditis]]
-* [[Pyelonephritis]]
-*[[Brain abscess]]
-| style="padding: 5px 5px; background: #F5F5F5;" align="left" |
-*[[Salmonella|''Salmonella'']]
-| style="padding: 5px 5px; background: #F5F5F5;" align="left" |
-*[[Stool culture]]
-|-
-! colspan="2" style="background:#DCDCDC;" align="center" |[[Shigellosis]]
-| style="padding: 5px 5px; background: #F5F5F5;" align="center" | +
-| style="padding: 5px 5px; background: #F5F5F5;" align="center" |–
-| style="padding: 5px 5px; background: #F5F5F5;" align="center" | +
-| style="padding: 5px 5px; background: #F5F5F5;" align="center" | +
-| style="padding: 5px 5px; background: #F5F5F5;" align="center" |–
-| style="padding: 5px 5px; background: #F5F5F5;" align="center" | +
-| style="padding: 5px 5px; background: #F5F5F5;" align="center" | +
-| style="padding: 5px 5px; background: #F5F5F5;" align="center" |–
-| style="padding: 5px 5px; background: #F5F5F5;" align="Left" |
-* [[Abdominal distention]]
-* Hyperactive [[Stomach rumble|bowel sounds]]
-* Diffuse [[abdominal tenderness]]
-| style="padding: 5px 5px; background: #F5F5F5;" align="center" | +
-| style="padding: 5px 5px; background: #F5F5F5;" align="center" | +
-| style="padding: 5px 5px; background: #F5F5F5;" align="center" | –
-| style="padding: 5px 5px; background: #F5F5F5;" align="center" | Nl
-| style="padding: 5px 5px; background: #F5F5F5;" align="left" |
-*Positive [[stool culture]]
-| style="padding: 5px 5px; background: #F5F5F5;" align="center" |↑/↓
-| style="padding: 5px 5px; background: #F5F5F5;" align="center" |↓
-| style="padding: 5px 5px; background: #F5F5F5;" align="center" |↓
-| style="padding: 5px 5px; background: #F5F5F5;" align="left" |
-*Elevated [[C-reactive protein|CRP]]
-*Elevated [[Erythrocyte sedimentation rate|ESR]]
-*[[Hyponatremia]]
-* [[Hypoglycemia]]
-* [[Azotemia]]
-| style="padding: 5px 5px; background: #F5F5F5;" align="left" |
-* [[Headache]]
-* [[Lethargy]]
-* [[Seizures]]
-* [[Delirium]]
-* [[Post-infectious arthritis|Post–infectious arthritis]]
-* [[Myocarditis]]
-| style="padding: 5px 5px; background: #F5F5F5;" align="left" |
-*[[Shigella|''Shigella'']]
-| style="padding: 5px 5px; background: #F5F5F5;" align="left" |
-*[[Stool culture]]
-|-
-! colspan="2" rowspan="2" style="background:#4479BA; color: #FFFFFF;" align="center" |Cause
-! colspan="2" style="background:#4479BA; color: #FFFFFF;" align="center" |Duration
-! colspan="3" style="background:#4479BA; color: #FFFFFF;" align="center" |Diarrhea
-! rowspan="2" style="background:#4479BA; color: #FFFFFF;" align="center" |Fever
-! rowspan="2" style="background:#4479BA; color: #FFFFFF;" align="center" |Abdominal pain
-! rowspan="2" style="background:#4479BA; color: #FFFFFF;" align="center" |Weight loss
-! rowspan="2" style="background:#4479BA; color: #FFFFFF;" align="center" |GI signs
-! colspan="5" style="background:#4479BA; color: #FFFFFF;" align="center" |Stool exam
-! colspan="3" style="background:#4479BA; color: #FFFFFF;" align="center" |CBC
-! rowspan="2" style="background:#4479BA; color: #FFFFFF;" align="center" |Other lab findings
-! rowspan="2" style="background:#4479BA; color: #FFFFFF;" align="center" |Extra intestinal findings
-! rowspan="2" style="background:#4479BA; color: #FFFFFF;" align="center" |Cause/Pathogenesis
-! rowspan="2" style="background:#4479BA; color: #FFFFFF;" align="center" |Gold standard diagnosis
-|-
-! style="background:#4479BA; color: #FFFFFF;" align="center" |Acute
-! style="background:#4479BA; color: #FFFFFF;" align="center" |Chronic
-! style="background:#4479BA; color: #FFFFFF;" align="center" |Watery
-! style="background:#4479BA; color: #FFFFFF;" align="center" |Bloody
-! style="background:#4479BA; color: #FFFFFF;" align="center" |Fatty
-! style="background:#4479BA; color: #FFFFFF;" align="center" |WBC
-! style="background:#4479BA; color: #FFFFFF;" align="center" |RBC
-! style="background:#4479BA; color: #FFFFFF;" align="center" |Ova/Parasite
-! style="background:#4479BA; color: #FFFFFF;" align="center" |Osmotic gap
-! style="background:#4479BA; color: #FFFFFF;" align="center" |Other
-! style="background:#4479BA; color: #FFFFFF;" align="center" |WBC
-! style="background:#4479BA; color: #FFFFFF;" align="center" |Hgb
-! style="background:#4479BA; color: #FFFFFF;" align="center" |Plt
-|-
-! rowspan="5" style="background:#DCDCDC;" align="center" |[[Escherichia coli enteritis]]
-| style="background:#DCDCDC;" align="center" |[[ETEC|'''ETEC''']]
-([[Traveler's diarrhea]])
-| style="padding: 5px 5px; background: #F5F5F5;" align="center" | +
-| style="padding: 5px 5px; background: #F5F5F5;" align="center" | –
-| style="padding: 5px 5px; background: #F5F5F5;" align="center" | +
-| style="padding: 5px 5px; background: #F5F5F5;" align="center" | –
-| style="padding: 5px 5px; background: #F5F5F5;" align="center" | –
-| style="padding: 5px 5px; background: #F5F5F5;" align="center" | +
-| style="padding: 5px 5px; background: #F5F5F5;" align="center" | –
-| style="padding: 5px 5px; background: #F5F5F5;" align="center" | –
-| style="padding: 5px 5px; background: #F5F5F5;" align="Left" |
-*Diffuse [[abdominal tenderness]]
-| style="padding: 5px 5px; background: #F5F5F5;" align="center" | +
-| style="padding: 5px 5px; background: #F5F5F5;" align="center" |–
-| style="padding: 5px 5px; background: #F5F5F5;" align="center" | –
-| style="padding: 5px 5px; background: #F5F5F5;" align="center" | Nl
-| style="padding: 5px 5px; background: #F5F5F5;" align="left" |
-*Positive [[stool culture]]
-| style="padding: 5px 5px; background: #F5F5F5;" align="center" |↑
-| style="padding: 5px 5px; background: #F5F5F5;" align="center" |Nl
-| style="padding: 5px 5px; background: #F5F5F5;" align="center" |Nl
-| style="padding: 5px 5px; background: #F5F5F5;" align="left" |–
-| style="padding: 5px 5px; background: #F5F5F5;" align="left" |–
-| style="padding: 5px 5px; background: #F5F5F5;" align="left" |
-*[[Escherichia coli|''Enterotoxigenic escherichia coli'']]
-*[[Enterotoxin|Enterotoxins]]:
-**Heat–labile [[enterotoxin]] (LT)
-**Heat–stable [[enterotoxin]] (ST)
-| style="padding: 5px 5px; background: #F5F5F5;" align="left" |
-*[[Stool culture]]
-|-
-| style="background:#DCDCDC;" align="center" |[[EPEC|'''EPEC''']]
-| style="padding: 5px 5px; background: #F5F5F5;" align="center" | +
-| style="padding: 5px 5px; background: #F5F5F5;" align="center" | +
-| style="padding: 5px 5px; background: #F5F5F5;" align="center" | +
-| style="padding: 5px 5px; background: #F5F5F5;" align="center" | +
-| style="padding: 5px 5px; background: #F5F5F5;" align="center" |–
-| style="padding: 5px 5px; background: #F5F5F5;" align="center" | +
-| style="padding: 5px 5px; background: #F5F5F5;" align="center" | +
-| style="padding: 5px 5px; background: #F5F5F5;" align="center" | +
-| style="padding: 5px 5px; background: #F5F5F5;" align="Left" |
-*Diffuse [[abdominal tenderness]]
-| style="padding: 5px 5px; background: #F5F5F5;" align="center" | +
-| style="padding: 5px 5px; background: #F5F5F5;" align="center" | +
-| style="padding: 5px 5px; background: #F5F5F5;" align="center" | –
-| style="padding: 5px 5px; background: #F5F5F5;" align="center" | Nl
-| style="padding: 5px 5px; background: #F5F5F5;" align="left" |
-*Positive [[stool culture]]
-| style="padding: 5px 5px; background: #F5F5F5;" align="center" |↑
-| style="padding: 5px 5px; background: #F5F5F5;" align="center" |Nl
-| style="padding: 5px 5px; background: #F5F5F5;" align="center" |Nl
-| style="padding: 5px 5px; background: #F5F5F5;" align="left" |–
-| style="padding: 5px 5px; background: #F5F5F5;" align="left" |–
-| style="padding: 5px 5px; background: #F5F5F5;" align="left" |
-*''[[Enteropathogenic E. coli]]''
-| style="padding: 5px 5px; background: #F5F5F5;" align="left" |
-*[[Hybridization probe|DNA probe]] or [[polymerase chain reaction]] ([[Polymerase chain reaction|PCR]]) of the ''EPEC'' adherence factor
-*[[Stool culture]]
-|-
-| style="background:#DCDCDC;" align="center" |[[EIEC|'''EIEC''']]
-| style="padding: 5px 5px; background: #F5F5F5;" align="center" | +
-| style="padding: 5px 5px; background: #F5F5F5;" align="center" |–
-| style="padding: 5px 5px; background: #F5F5F5;" align="center" | +
-| style="padding: 5px 5px; background: #F5F5F5;" align="center" | +
-| style="padding: 5px 5px; background: #F5F5F5;" align="center" |–
-| style="padding: 5px 5px; background: #F5F5F5;" align="center" | +
-| style="padding: 5px 5px; background: #F5F5F5;" align="center" | +
-| style="padding: 5px 5px; background: #F5F5F5;" align="center" |–
-| style="padding: 5px 5px; background: #F5F5F5;" align="Left" |
-*Diffuse [[abdominal tenderness]]
-| style="padding: 5px 5px; background: #F5F5F5;" align="center" | +
-| style="padding: 5px 5px; background: #F5F5F5;" align="center" | +
-| style="padding: 5px 5px; background: #F5F5F5;" align="center" | –
-| style="padding: 5px 5px; background: #F5F5F5;" align="center" | Nl
-| style="padding: 5px 5px; background: #F5F5F5;" align="left" |
-*Positive [[stool culture]]
-| style="padding: 5px 5px; background: #F5F5F5;" align="center" |↑
-| style="padding: 5px 5px; background: #F5F5F5;" align="center" |Nl
-| style="padding: 5px 5px; background: #F5F5F5;" align="center" |Nl
-| style="padding: 5px 5px; background: #F5F5F5;" align="left" |–
-| style="padding: 5px 5px; background: #F5F5F5;" align="left" |–
-| style="padding: 5px 5px; background: #F5F5F5;" align="left" |
-*[[Escherichia coli enteritis|''Enteroinvasive E. coli'']]
-| style="padding: 5px 5px; background: #F5F5F5;" align="left" |
-*[[Hybridization probe|DNA probe]]
-*[[Stool culture]]
-|-
-| style="background:#DCDCDC;" align="center" |[[EHEC|'''EHEC''']]
-| style="padding: 5px 5px; background: #F5F5F5;" align="center" | +
-| style="padding: 5px 5px; background: #F5F5F5;" align="center" | –
-| style="padding: 5px 5px; background: #F5F5F5;" align="center" | +
-| style="padding: 5px 5px; background: #F5F5F5;" align="center" | +
-| style="padding: 5px 5px; background: #F5F5F5;" align="center" | –
-| style="padding: 5px 5px; background: #F5F5F5;" align="center" | –
-| style="padding: 5px 5px; background: #F5F5F5;" align="center" | +
-| style="padding: 5px 5px; background: #F5F5F5;" align="center" | –
-| style="padding: 5px 5px; background: #F5F5F5;" align="Left" |
-*Diffuse [[abdominal tenderness]]
-| style="padding: 5px 5px; background: #F5F5F5;" align="center" | +
-| style="padding: 5px 5px; background: #F5F5F5;" align="center" | +
-| style="padding: 5px 5px; background: #F5F5F5;" align="center" | –
-| style="padding: 5px 5px; background: #F5F5F5;" align="center" | Nl
-| style="padding: 5px 5px; background: #F5F5F5;" align="left" |
-*Positive [[stool culture]]
-| style="padding: 5px 5px; background: #F5F5F5;" align="center" |↑
-| style="padding: 5px 5px; background: #F5F5F5;" align="center" |↓
-| style="padding: 5px 5px; background: #F5F5F5;" align="center" |↓
-| style="padding: 5px 5px; background: #F5F5F5;" align="left" |
-* [[Azotemia]]
-| style="padding: 5px 5px; background: #F5F5F5;" align="left" |
-*[[Hemolytic-uremic syndrome|Hemolytic uremic syndrome]] ([[Hemolytic-uremic syndrome|HUS]])
-*[[Renal insufficiency|Renal failure]]
-| style="padding: 5px 5px; background: #F5F5F5;" align="left" |
-*[[Enterohemorrhagic escherichica coli|''Enterohemorrhagic E. coli'']]
-*[[Shiga toxin|Shiga toxins]]
-| style="padding: 5px 5px; background: #F5F5F5;" align="left" |
-*[[Stool culture]]
-|-
-| style="background:#DCDCDC;" align="center" |[[EAEC|'''EAEC''']]
-| style="padding: 5px 5px; background: #F5F5F5;" align="center" | +
-| style="padding: 5px 5px; background: #F5F5F5;" align="center" | +
-| style="padding: 5px 5px; background: #F5F5F5;" align="center" | +
-| style="padding: 5px 5px; background: #F5F5F5;" align="center" | +
-| style="padding: 5px 5px; background: #F5F5F5;" align="center" | –
-| style="padding: 5px 5px; background: #F5F5F5;" align="center" | –
-| style="padding: 5px 5px; background: #F5F5F5;" align="center" | +
-| style="padding: 5px 5px; background: #F5F5F5;" align="center" | –
-| style="padding: 5px 5px; background: #F5F5F5;" align="Left" |
-*Diffuse [[abdominal tenderness]]
-| style="padding: 5px 5px; background: #F5F5F5;" align="center" | +
-| style="padding: 5px 5px; background: #F5F5F5;" align="center" | +
-| style="padding: 5px 5px; background: #F5F5F5;" align="center" | –
-| style="padding: 5px 5px; background: #F5F5F5;" align="center" | Nl
-| style="padding: 5px 5px; background: #F5F5F5;" align="left" |
-*Positive [[stool culture]]
-| style="padding: 5px 5px; background: #F5F5F5;" align="center" |↑
-| style="padding: 5px 5px; background: #F5F5F5;" align="center" |↓
-| style="padding: 5px 5px; background: #F5F5F5;" align="center" |↓
-| style="padding: 5px 5px; background: #F5F5F5;" align="left" |–
-| style="padding: 5px 5px; background: #F5F5F5;" align="left" |
-*Chronic infection in [[Immunodeficiency|immunocompromised]] patients
-| style="padding: 5px 5px; background: #F5F5F5;" align="left" |
-*[[Escherichia coli enteritis|''Enteroaggregative E. coli'']]
-| style="padding: 5px 5px; background: #F5F5F5;" align="left" |
-*[[Stool culture]]
-|-
-! colspan="2" rowspan="2" style="background:#4479BA; color: #FFFFFF;" align="center" |Cause
-! colspan="2" style="background:#4479BA; color: #FFFFFF;" align="center" |Duration
-! colspan="3" style="background:#4479BA; color: #FFFFFF;" align="center" |Diarrhea
-! rowspan="2" style="background:#4479BA; color: #FFFFFF;" align="center" |Fever
-! rowspan="2" style="background:#4479BA; color: #FFFFFF;" align="center" |Abdominal pain
-! rowspan="2" style="background:#4479BA; color: #FFFFFF;" align="center" |Weight loss
-! rowspan="2" style="background:#4479BA; color: #FFFFFF;" align="center" |GI signs
-! colspan="5" style="background:#4479BA; color: #FFFFFF;" align="center" |Stool exam
-! colspan="3" style="background:#4479BA; color: #FFFFFF;" align="center" |CBC
-! rowspan="2" style="background:#4479BA; color: #FFFFFF;" align="center" |Other lab findings
-! rowspan="2" style="background:#4479BA; color: #FFFFFF;" align="center" |Extra intestinal findings
-! rowspan="2" style="background:#4479BA; color: #FFFFFF;" align="center" |Cause/Pathogenesis
-! rowspan="2" style="background:#4479BA; color: #FFFFFF;" align="center" |Gold standard diagnosis
-|-
-! style="background:#4479BA; color: #FFFFFF;" align="center" |Acute
-! style="background:#4479BA; color: #FFFFFF;" align="center" |Chronic
-! style="background:#4479BA; color: #FFFFFF;" align="center" |Watery
-! style="background:#4479BA; color: #FFFFFF;" align="center" |Bloody
-! style="background:#4479BA; color: #FFFFFF;" align="center" |Fatty
-! style="background:#4479BA; color: #FFFFFF;" align="center" |WBC
-! style="background:#4479BA; color: #FFFFFF;" align="center" |RBC
-! style="background:#4479BA; color: #FFFFFF;" align="center" |Ova/Parasite
-! style="background:#4479BA; color: #FFFFFF;" align="center" |Osmotic gap
-! style="background:#4479BA; color: #FFFFFF;" align="center" |Other
-! style="background:#4479BA; color: #FFFFFF;" align="center" |WBC
-! style="background:#4479BA; color: #FFFFFF;" align="center" |Hgb
-! style="background:#4479BA; color: #FFFFFF;" align="center" |Plt
-|-
-! colspan="2" style="background:#DCDCDC;" align="center" |[[Yersinia enterocolitica]]
-| style="padding: 5px 5px; background: #F5F5F5;" align="center" | +
-| style="padding: 5px 5px; background: #F5F5F5;" align="center" | –
-| style="padding: 5px 5px; background: #F5F5F5;" align="center" | +
-| style="padding: 5px 5px; background: #F5F5F5;" align="center" | +
-| style="padding: 5px 5px; background: #F5F5F5;" align="center" | –
-| style="padding: 5px 5px; background: #F5F5F5;" align="center" | +
-| style="padding: 5px 5px; background: #F5F5F5;" align="center" | +
-| style="padding: 5px 5px; background: #F5F5F5;" align="center" | –
-| style="padding: 5px 5px; background: #F5F5F5;" align="Left" |
-* [[Abdominal distention]]
-* Hyperactive [[Stomach rumble|bowel sounds]]
-* Diffuse [[abdominal tenderness]]
-| style="padding: 5px 5px; background: #F5F5F5;" align="center" | +
-| style="padding: 5px 5px; background: #F5F5F5;" align="center" | +
-| style="padding: 5px 5px; background: #F5F5F5;" align="center" | –
-| style="padding: 5px 5px; background: #F5F5F5;" align="center" | Nl
-| style="padding: 5px 5px; background: #F5F5F5;" align="left" |
-*Positive [[stool culture]]
-| style="padding: 5px 5px; background: #F5F5F5;" align="center" |↑
-| style="padding: 5px 5px; background: #F5F5F5;" align="center" | Nl
-| style="padding: 5px 5px; background: #F5F5F5;" align="center" | Nl
-| style="padding: 5px 5px; background: #F5F5F5;" align="left" |–
-| style="padding: 5px 5px; background: #F5F5F5;" align="left" |
-*[[Bacteremia]]
-*[[Reactive arthritis]]
-*[[Glomerulonephritis]]
-*[[Endocarditis]]
-*[[Erythema nodosum]]
-*[[Abscess]]
-| style="padding: 5px 5px; background: #F5F5F5;" align="left" |
-*[[Yersinia enterocolitica|''Yersinia enterocolitica'']]
-| style="padding: 5px 5px; background: #F5F5F5;" align="left" |
-*[[Stool culture]]
-|-
-! colspan="2" style="background:#DCDCDC;" align="center" |[[Vibrio cholerae|Vibrio cholera]]
-| style="padding: 5px 5px; background: #F5F5F5;" align="center" | +
-| style="padding: 5px 5px; background: #F5F5F5;" align="center" | –
-| style="padding: 5px 5px; background: #F5F5F5;" align="center" | +
-| style="padding: 5px 5px; background: #F5F5F5;" align="center" | –
-| style="padding: 5px 5px; background: #F5F5F5;" align="center" | –
-| style="padding: 5px 5px; background: #F5F5F5;" align="center" | –
-| style="padding: 5px 5px; background: #F5F5F5;" align="center" | +
-| style="padding: 5px 5px; background: #F5F5F5;" align="center" | –
-| style="padding: 5px 5px; background: #F5F5F5;" align="Left" |
-| style="padding: 5px 5px; background: #F5F5F5;" align="center" | +
-| style="padding: 5px 5px; background: #F5F5F5;" align="center" |–
-| style="padding: 5px 5px; background: #F5F5F5;" align="center" | –
-| style="padding: 5px 5px; background: #F5F5F5;" align="center" | Nl
-| style="padding: 5px 5px; background: #F5F5F5;" align="left" |
-*Positive [[stool culture]]
-| style="padding: 5px 5px; background: #F5F5F5;" align="center" |↑
-| style="padding: 5px 5px; background: #F5F5F5;" align="center" |Nl
-| style="padding: 5px 5px; background: #F5F5F5;" align="center" |Nl
-| style="padding: 5px 5px; background: #F5F5F5;" align="left" |
-*[[Azotemia]]
-| style="padding: 5px 5px; background: #F5F5F5;" align="left" |
-*Severe [[dehydration]]
-*Decreased [[Turgor|skin turgor]]
-*[[Oliguria]]
-*[[Renal insufficiency|Renal failure]]
-*[[Cramp|Muscle cramps]]
-*[[Seizure]]
-*[[Somnolence]]
-| style="padding: 5px 5px; background: #F5F5F5;" align="left" |
-*[[Cholera toxin]]
-| style="padding: 5px 5px; background: #F5F5F5;" align="left" |
-*[[Stool culture]]
-|-
-! colspan="2" style="background:#DCDCDC;" align="center" |[[Aeromonas]]
-| style="padding: 5px 5px; background: #F5F5F5;" align="center" | +
-| style="padding: 5px 5px; background: #F5F5F5;" align="center" | +
-| style="padding: 5px 5px; background: #F5F5F5;" align="center" | +
-| style="padding: 5px 5px; background: #F5F5F5;" align="center" | +
-| style="padding: 5px 5px; background: #F5F5F5;" align="center" | –
-| style="padding: 5px 5px; background: #F5F5F5;" align="center" | +
-| style="padding: 5px 5px; background: #F5F5F5;" align="center" | +
-| style="padding: 5px 5px; background: #F5F5F5;" align="center" | –
-| style="padding: 5px 5px; background: #F5F5F5;" align="Left" |
-* [[Abdominal distention]]
-* Hyperactive [[Stomach rumble|bowel sounds]]
-* Diffuse [[abdominal tenderness]]
-| style="padding: 5px 5px; background: #F5F5F5;" align="center" | +
-| style="padding: 5px 5px; background: #F5F5F5;" align="center" | +
-| style="padding: 5px 5px; background: #F5F5F5;" align="center" | –
-| style="padding: 5px 5px; background: #F5F5F5;" align="center" | Nl
-| style="padding: 5px 5px; background: #F5F5F5;" align="left" |
-*Positive [[stool culture]]
-| style="padding: 5px 5px; background: #F5F5F5;" align="center" |↑
-| style="padding: 5px 5px; background: #F5F5F5;" align="center" | Nl
-| style="padding: 5px 5px; background: #F5F5F5;" align="center" | Nl
-| style="padding: 5px 5px; background: #F5F5F5;" align="left" |–
-| style="padding: 5px 5px; background: #F5F5F5;" align="left" |
-*Wound [[infection]]
-*[[Bacteremia]]
-*[[Hemolytic-uremic syndrome|Hemolytic uremic syndrome]]
-*[[Meningitis]]
-*[[Ocular]] infection
-*[[Pneumonia]]
-*[[Urinary tract infection]]
-*[[Osteomyelitis]]
-*[[Peritonitis]]
-*[[Acute cholecystitis]]
-*[[Opportunistic infection|Opportunistic infections]] in [[Immunodeficiency|immunocompromised]] patients
-| style="padding: 5px 5px; background: #F5F5F5;" align="left" |
-*''[[Aeromonas]]'' virulence factors including [[Endotoxin|endotoxins]], [[Hemolysin|hemolysins]], [[Enterotoxin|enterotoxins]], and adherence factors
-| style="padding: 5px 5px; background: #F5F5F5;" align="left" |
-*[[Blood culture]]
-*Wound [[Culture collection|culture]]
-|-
-! colspan="2" rowspan="2" style="background:#4479BA; color: #FFFFFF;" align="center" |Cause
-! colspan="2" style="background:#4479BA; color: #FFFFFF;" align="center" |Duration
-! colspan="3" style="background:#4479BA; color: #FFFFFF;" align="center" |Diarrhea
-! rowspan="2" style="background:#4479BA; color: #FFFFFF;" align="center" |Fever
-! rowspan="2" style="background:#4479BA; color: #FFFFFF;" align="center" |Abdominal pain
-! rowspan="2" style="background:#4479BA; color: #FFFFFF;" align="center" |Weight loss
-! rowspan="2" style="background:#4479BA; color: #FFFFFF;" align="center" |GI signs
-! colspan="5" style="background:#4479BA; color: #FFFFFF;" align="center" |Stool exam
-! colspan="3" style="background:#4479BA; color: #FFFFFF;" align="center" |CBC
-! rowspan="2" style="background:#4479BA; color: #FFFFFF;" align="center" |Other lab findings
-! rowspan="2" style="background:#4479BA; color: #FFFFFF;" align="center" |Extra intestinal findings
-! rowspan="2" style="background:#4479BA; color: #FFFFFF;" align="center" |Cause/Pathogenesis
-! rowspan="2" style="background:#4479BA; color: #FFFFFF;" align="center" |Gold standard diagnosis
-|-
-! style="background:#4479BA; color: #FFFFFF;" align="center" |Acute
-! style="background:#4479BA; color: #FFFFFF;" align="center" |Chronic
-! style="background:#4479BA; color: #FFFFFF;" align="center" |Watery
-! style="background:#4479BA; color: #FFFFFF;" align="center" |Bloody
-! style="background:#4479BA; color: #FFFFFF;" align="center" |Fatty
-! style="background:#4479BA; color: #FFFFFF;" align="center" |WBC
-! style="background:#4479BA; color: #FFFFFF;" align="center" |RBC
-! style="background:#4479BA; color: #FFFFFF;" align="center" |Ova/Parasite
-! style="background:#4479BA; color: #FFFFFF;" align="center" |Osmotic gap
-! style="background:#4479BA; color: #FFFFFF;" align="center" |Other
-! style="background:#4479BA; color: #FFFFFF;" align="center" |WBC
-! style="background:#4479BA; color: #FFFFFF;" align="center" |Hgb
-! style="background:#4479BA; color: #FFFFFF;" align="center" |Plt
-|-
-! colspan="2" style="background:#DCDCDC;" align="center" |[[Plesiomonas shigelloides|Plesiomonas]]
-| style="padding: 5px 5px; background: #F5F5F5;" align="center" | +
-| style="padding: 5px 5px; background: #F5F5F5;" align="center" |–
-| style="padding: 5px 5px; background: #F5F5F5;" align="center" | +
-| style="padding: 5px 5px; background: #F5F5F5;" align="center" | +
-| style="padding: 5px 5px; background: #F5F5F5;" align="center" |–
-| style="padding: 5px 5px; background: #F5F5F5;" align="center" | +
-| style="padding: 5px 5px; background: #F5F5F5;" align="center" | +
-| style="padding: 5px 5px; background: #F5F5F5;" align="center" |–
-| style="padding: 5px 5px; background: #F5F5F5;" align="Left" |
-* Hyperactive [[Stomach rumble|bowel sounds]]
-* Diffuse [[abdominal tenderness]]
-| style="padding: 5px 5px; background: #F5F5F5;" align="center" | +
-| style="padding: 5px 5px; background: #F5F5F5;" align="center" | +
-| style="padding: 5px 5px; background: #F5F5F5;" align="center" | –
-| style="padding: 5px 5px; background: #F5F5F5;" align="center" | Nl
-| style="padding: 5px 5px; background: #F5F5F5;" align="left" |
-*Positive [[stool culture]]
-| style="padding: 5px 5px; background: #F5F5F5;" align="center" |↑
-| style="padding: 5px 5px; background: #F5F5F5;" align="center" |Nl
-| style="padding: 5px 5px; background: #F5F5F5;" align="center" |Nl
-| style="padding: 5px 5px; background: #F5F5F5;" align="left" |–
-| style="padding: 5px 5px; background: #F5F5F5;" align="left" |
-*[[Opportunistic infection|Opportunistic infections]] in [[Immunodeficiency|immunocompromised]] patients or [[Hepato-biliary diseases|hepatobiliary disease]]
-*[[Bacteremia]]
-*[[Cellulitis]] and [[Skin and soft-tissue infections|skin abscesses]]
-*[[Peritonitis]]
-*[[Meningoencephalitis]]
-*[[Ocular]] [[infection]]
-*[[Pneumonia]]
-*[[Prosthetic devices|Prosthetic]] joint [[infection]]
-*Septic [[Pregnancy termination complications|abortion]]
-| style="padding: 5px 5px; background: #F5F5F5;" align="left" |
-*[[Plesiomonas shigelloides|''Plesiomonas shigelloides'']]
-| style="padding: 5px 5px; background: #F5F5F5;" align="left" |
-*[[Blood culture]]
-|-
-! colspan="2" style="background:#DCDCDC;" align="center" |[[Mycobacterium avium complex]]
-| style="padding: 5px 5px; background: #F5F5F5;" align="center" | +
-| style="padding: 5px 5px; background: #F5F5F5;" align="center" | +
-| style="padding: 5px 5px; background: #F5F5F5;" align="center" | +
-| style="padding: 5px 5px; background: #F5F5F5;" align="center" | +
-| style="padding: 5px 5px; background: #F5F5F5;" align="center" | –
-| style="padding: 5px 5px; background: #F5F5F5;" align="center" | +
-| style="padding: 5px 5px; background: #F5F5F5;" align="center" | +
-| style="padding: 5px 5px; background: #F5F5F5;" align="center" | –
-| style="padding: 5px 5px; background: #F5F5F5;" align="left" |
-*[[Abdominal distension|Abdominal distention]]
-*[[Hepatosplenomegaly]]
-| style="padding: 5px 5px; background: #F5F5F5;" align="center" | +
-| style="padding: 5px 5px; background: #F5F5F5;" align="center" | +
-| style="padding: 5px 5px; background: #F5F5F5;" align="center" | –
-| style="padding: 5px 5px; background: #F5F5F5;" align="center" | Nl
-| style="padding: 5px 5px; background: #F5F5F5;" align="left" |–
-| style="padding: 5px 5px; background: #F5F5F5;" align="center" |↓
-| style="padding: 5px 5px; background: #F5F5F5;" align="center" |↓
-| style="padding: 5px 5px; background: #F5F5F5;" align="center" | Nl
-| style="padding: 5px 5px; background: #F5F5F5;" align="left" |
-*Elevated [[Liver function tests|liver enzymes]]
-| style="padding: 5px 5px; background: #F5F5F5;" align="left" |
-*[[Opportunistic infection]] in [[Immunodeficiency|immunocompromised]] patients
-*[[Pulmonary]] [[infection]]
-*[[Lymphadenopathy|Adenopathy]]
-*[[Sleep hyperhidrosis|Night sweats]]
-| style="padding: 5px 5px; background: #F5F5F5;" align="left" |
-*[[Mycobacterium avium complex|''Mycobacterium avium complex'']]
-| style="padding: 5px 5px; background: #F5F5F5;" align="left" |
-*[[Blood culture]]
-|-
-! colspan="2" style="background:#DCDCDC;" align="center" |[[Foodborne illness|Food poisoning]]
-* [[Staphylococcus aureus]]
-* [[Bacillus cereus]]
-* [[Clostridium perfringens]]
-| style="padding: 5px 5px; background: #F5F5F5;" align="center" | +
-| style="padding: 5px 5px; background: #F5F5F5;" align="center" | –
-| style="padding: 5px 5px; background: #F5F5F5;" align="center" | +
-| style="padding: 5px 5px; background: #F5F5F5;" align="center" |±
-| style="padding: 5px 5px; background: #F5F5F5;" align="center" | –
-| style="padding: 5px 5px; background: #F5F5F5;" align="center" | +
-| style="padding: 5px 5px; background: #F5F5F5;" align="center" | +
-| style="padding: 5px 5px; background: #F5F5F5;" align="center" |±
-| style="padding: 5px 5px; background: #F5F5F5;" align="left" |
-*[[Abdominal distension|Abdominal distention]]
-| style="padding: 5px 5px; background: #F5F5F5;" align="center" | +
-| style="padding: 5px 5px; background: #F5F5F5;" align="center" |±
-| style="padding: 5px 5px; background: #F5F5F5;" align="center" | –
-| style="padding: 5px 5px; background: #F5F5F5;" align="center" | Nl
-| style="padding: 5px 5px; background: #F5F5F5;" align="left" |
-*Positive [[stool culture]]
-| style="padding: 5px 5px; background: #F5F5F5;" align="center" |↑
-| style="padding: 5px 5px; background: #F5F5F5;" align="center" | Nl
-| style="padding: 5px 5px; background: #F5F5F5;" align="center" | Nl
-| style="padding: 5px 5px; background: #F5F5F5;" align="left" |–
-| style="padding: 5px 5px; background: #F5F5F5;" align="left" |
-*History of travel or ingestion of infected food
-| style="padding: 5px 5px; background: #F5F5F5;" align="left" |
-*[[Enterotoxin|Enterotoxins]]
-| style="padding: 5px 5px; background: #F5F5F5;" align="left" |
-*[[Stool culture]]
-|-
-! colspan="2" rowspan="2" style="background:#4479BA; color: #FFFFFF;" align="center" |Cause
-! colspan="2" style="background:#4479BA; color: #FFFFFF;" align="center" |Duration
-! colspan="3" style="background:#4479BA; color: #FFFFFF;" align="center" |Diarrhea
-! rowspan="2" style="background:#4479BA; color: #FFFFFF;" align="center" |Fever
-! rowspan="2" style="background:#4479BA; color: #FFFFFF;" align="center" |Abdominal pain
-! rowspan="2" style="background:#4479BA; color: #FFFFFF;" align="center" |Weight loss
-! rowspan="2" style="background:#4479BA; color: #FFFFFF;" align="center" |GI signs
-! colspan="5" style="background:#4479BA; color: #FFFFFF;" align="center" |Stool exam
-! colspan="3" style="background:#4479BA; color: #FFFFFF;" align="center" |CBC
-! rowspan="2" style="background:#4479BA; color: #FFFFFF;" align="center" |Other lab findings
-! rowspan="2" style="background:#4479BA; color: #FFFFFF;" align="center" |Extra intestinal findings
-! rowspan="2" style="background:#4479BA; color: #FFFFFF;" align="center" |Cause/Pathogenesis
-! rowspan="2" style="background:#4479BA; color: #FFFFFF;" align="center" |Gold standard diagnosis
-|-
-! style="background:#4479BA; color: #FFFFFF;" align="center" |Acute
-! style="background:#4479BA; color: #FFFFFF;" align="center" |Chronic
-! style="background:#4479BA; color: #FFFFFF;" align="center" |Watery
-! style="background:#4479BA; color: #FFFFFF;" align="center" |Bloody
-! style="background:#4479BA; color: #FFFFFF;" align="center" |Fatty
-! style="background:#4479BA; color: #FFFFFF;" align="center" |WBC
-! style="background:#4479BA; color: #FFFFFF;" align="center" |RBC
-! style="background:#4479BA; color: #FFFFFF;" align="center" |Ova/Parasite
-! style="background:#4479BA; color: #FFFFFF;" align="center" |Osmotic gap
-! style="background:#4479BA; color: #FFFFFF;" align="center" |Other
-! style="background:#4479BA; color: #FFFFFF;" align="center" |WBC
-! style="background:#4479BA; color: #FFFFFF;" align="center" |Hgb
-! style="background:#4479BA; color: #FFFFFF;" align="center" |Plt
-|-
-! colspan="2" style="background:#DCDCDC;" align="center" |[[Norovirus]]
-| style="padding: 5px 5px; background: #F5F5F5;" align="center" | +
-| style="padding: 5px 5px; background: #F5F5F5;" align="center" | –
-| style="padding: 5px 5px; background: #F5F5F5;" align="center" | +
-| style="padding: 5px 5px; background: #F5F5F5;" align="center" | –
-| style="padding: 5px 5px; background: #F5F5F5;" align="center" | –
-| style="padding: 5px 5px; background: #F5F5F5;" align="center" | +
-| style="padding: 5px 5px; background: #F5F5F5;" align="center" | +
-| style="padding: 5px 5px; background: #F5F5F5;" align="center" | –
-| style="padding: 5px 5px; background: #F5F5F5;" align="Left" |
-*[[Abdominal distension|Abdominal distention]]
-| style="padding: 5px 5px; background: #F5F5F5;" align="center" | –
-| style="padding: 5px 5px; background: #F5F5F5;" align="center" | –
-| style="padding: 5px 5px; background: #F5F5F5;" align="center" | –
-| style="padding: 5px 5px; background: #F5F5F5;" align="center" | Nl
-| style="padding: 5px 5px; background: #F5F5F5;" align="left" |
-*Positive stool reverse–transcriptase [[polymerase chain reaction]] (RT–PCR)
-| style="padding: 5px 5px; background: #F5F5F5;" align="center" |↓
-| style="padding: 5px 5px; background: #F5F5F5;" align="center" | Nl
-| style="padding: 5px 5px; background: #F5F5F5;" align="center" | Nl
-| style="padding: 5px 5px; background: #F5F5F5;" align="left" |–
-| style="padding: 5px 5px; background: #F5F5F5;" align="left" |
-*[[Myalgia]]
-*[[Headache]]
-*[[Seizure]]
-*[[Encephalopathy]]
-| style="padding: 5px 5px; background: #F5F5F5;" align="left" |
-*[[Norovirus|''Norovirus'']]
-| style="padding: 5px 5px; background: #F5F5F5;" align="left" |
-*Clinical diagnosis
-|-
-! colspan="2" style="background:#DCDCDC;" align="center" |[[Rotavirus]]
-| style="padding: 5px 5px; background: #F5F5F5;" align="center" | +
-| style="padding: 5px 5px; background: #F5F5F5;" align="center" | –
-| style="padding: 5px 5px; background: #F5F5F5;" align="center" | +
-| style="padding: 5px 5px; background: #F5F5F5;" align="center" | –
-| style="padding: 5px 5px; background: #F5F5F5;" align="center" | –
-| style="padding: 5px 5px; background: #F5F5F5;" align="center" | +
-| style="padding: 5px 5px; background: #F5F5F5;" align="center" | –
-| style="padding: 5px 5px; background: #F5F5F5;" align="center" | –
-| style="padding: 5px 5px; background: #F5F5F5;" align="Left" |
-* Hyperactive [[Stomach rumble|bowel sounds]]
-* Diffuse [[abdominal tenderness]]
-| style="padding: 5px 5px; background: #F5F5F5;" align="center" | +
-| style="padding: 5px 5px; background: #F5F5F5;" align="center" | –
-| style="padding: 5px 5px; background: #F5F5F5;" align="center" | –
-| style="padding: 5px 5px; background: #F5F5F5;" align="center" | Nl
-| style="padding: 5px 5px; background: #F5F5F5;" align="left" |–
-| style="padding: 5px 5px; background: #F5F5F5;" align="center" | Nl
-| style="padding: 5px 5px; background: #F5F5F5;" align="center" | Nl
-| style="padding: 5px 5px; background: #F5F5F5;" align="center" | Nl
-| style="padding: 5px 5px; background: #F5F5F5;" align="left" |
-*Elevated [[blood urea nitrogen]]
-*[[Hyperchloremic acidosis]]
-*[[Hypocalcemia]]
-| style="padding: 5px 5px; background: #F5F5F5;" align="left" |
-*[[Necrotizing enterocolitis]]
-*[[Intussusception]]
-*[[Biliary atresia]]
-*[[Central nervous system]] involvement
-| style="padding: 5px 5px; background: #F5F5F5;" align="left" |
-*[[Rotavirus|''Rotavirus'']]
-| style="padding: 5px 5px; background: #F5F5F5;" align="left" |
-*Stool immune–based assays
-|-
-! colspan="2" style="background:#DCDCDC;" align="center" |[[Echovirus]]
-| style="padding: 5px 5px; background: #F5F5F5;" align="center" | +
-| style="padding: 5px 5px; background: #F5F5F5;" align="center" |–
-| style="padding: 5px 5px; background: #F5F5F5;" align="center" | +
-| style="padding: 5px 5px; background: #F5F5F5;" align="center" |–
-| style="padding: 5px 5px; background: #F5F5F5;" align="center" |–
-| style="padding: 5px 5px; background: #F5F5F5;" align="center" | +
-| style="padding: 5px 5px; background: #F5F5F5;" align="center" | +
-| style="padding: 5px 5px; background: #F5F5F5;" align="center" |–
-| style="padding: 5px 5px; background: #F5F5F5;" align="Left" |
-*[[Abdominal distension|Abdominal distention]]
-| style="padding: 5px 5px; background: #F5F5F5;" align="center" | –
-| style="padding: 5px 5px; background: #F5F5F5;" align="center" | –
-| style="padding: 5px 5px; background: #F5F5F5;" align="center" | –
-| style="padding: 5px 5px; background: #F5F5F5;" align="center" | Nl
-| style="padding: 5px 5px; background: #F5F5F5;" align="left" |–
-| style="padding: 5px 5px; background: #F5F5F5;" align="center" |Nl
-| style="padding: 5px 5px; background: #F5F5F5;" align="center" |Nl
-| style="padding: 5px 5px; background: #F5F5F5;" align="center" |Nl
-| style="padding: 5px 5px; background: #F5F5F5;" align="left" |–
-| style="padding: 5px 5px; background: #F5F5F5;" align="left" |
-*[[Hepatic failure|Liver failure]]
-*[[Myocarditis]]
-| style="padding: 5px 5px; background: #F5F5F5;" align="left" |
-*[[Echovirus|''Echovirus'']]
-| style="padding: 5px 5px; background: #F5F5F5;" align="left" |
-*Clinical diagnosis
-|-
-! colspan="2" style="background:#DCDCDC;" align="center" |[[Adenoviridae|Adenovirus]]
-| style="padding: 5px 5px; background: #F5F5F5;" align="center" | +
-| style="padding: 5px 5px; background: #F5F5F5;" align="center" | –
-| style="padding: 5px 5px; background: #F5F5F5;" align="center" | +
-| style="padding: 5px 5px; background: #F5F5F5;" align="center" | –
-| style="padding: 5px 5px; background: #F5F5F5;" align="center" | –
-| style="padding: 5px 5px; background: #F5F5F5;" align="center" | +
-| style="padding: 5px 5px; background: #F5F5F5;" align="center" | +
-| style="padding: 5px 5px; background: #F5F5F5;" align="center" | –
-| style="padding: 5px 5px; background: #F5F5F5;" align="Left" |
-*[[Abdominal distension|Abdominal distention]]
-| style="padding: 5px 5px; background: #F5F5F5;" align="center" | –
-| style="padding: 5px 5px; background: #F5F5F5;" align="center" | –
-| style="padding: 5px 5px; background: #F5F5F5;" align="center" | –
-| style="padding: 5px 5px; background: #F5F5F5;" align="center" | Nl
-| style="padding: 5px 5px; background: #F5F5F5;" align="left" |
-*Viral antigen assay
-| style="padding: 5px 5px; background: #F5F5F5;" align="center" |Nl
-| style="padding: 5px 5px; background: #F5F5F5;" align="center" |Nl
-| style="padding: 5px 5px; background: #F5F5F5;" align="center" |Nl
-| style="padding: 5px 5px; background: #F5F5F5;" align="left" |–
-| style="padding: 5px 5px; background: #F5F5F5;" align="left" |
-*[[Respiratory disease]]
-*[[Hyperkeratosis|Follicular]] [[conjunctivitis]]
-*Epidemic [[keratoconjunctivitis]]
-*[[Hepatitis]]
-*[[Urethritis]]
-*[[Myocarditis]]
-*[[Meningitis]]
-*[[Bacteremia]]
-| style="padding: 5px 5px; background: #F5F5F5;" align="left" |
-*[[Adenoviridae|''Adenovirus'']]
-| style="padding: 5px 5px; background: #F5F5F5;" align="left" |
-*Clinical diagnosis
-|-
-! colspan="2" style="background:#DCDCDC;" align="center" |[[CMV colitis]]
-| style="padding: 5px 5px; background: #F5F5F5;" align="center" | +
-| style="padding: 5px 5px; background: #F5F5F5;" align="center" | +
-| style="padding: 5px 5px; background: #F5F5F5;" align="center" |–
-| style="padding: 5px 5px; background: #F5F5F5;" align="center" | +
-| style="padding: 5px 5px; background: #F5F5F5;" align="center" |–
-| style="padding: 5px 5px; background: #F5F5F5;" align="center" |±
-| style="padding: 5px 5px; background: #F5F5F5;" align="center" | +
-| style="padding: 5px 5px; background: #F5F5F5;" align="center" | –
-| style="padding: 5px 5px; background: #F5F5F5;" align="left" |
-*Diffuse [[Tenderness (medicine)|abdominal tenderness]]
-| style="padding: 5px 5px; background: #F5F5F5;" align="center" | +
-| style="padding: 5px 5px; background: #F5F5F5;" align="center" | +
-| style="padding: 5px 5px; background: #F5F5F5;" align="center" | –
-| style="padding: 5px 5px; background: #F5F5F5;" align="center" | Nl
-| style="padding: 5px 5px; background: #F5F5F5;" align="left" |
-*Viral antigen assay
-| style="padding: 5px 5px; background: #F5F5F5;" align="center" |↓
-| style="padding: 5px 5px; background: #F5F5F5;" align="center" | Nl
-| style="padding: 5px 5px; background: #F5F5F5;" align="center" | Nl
-| style="padding: 5px 5px; background: #F5F5F5;" align="left" |
-*Decreased [[CD4]] level
-*Abnormal [[Liver function tests|liver function test]]
-| style="padding: 5px 5px; background: #F5F5F5;" align="left" |
-*[[Encephalitis]]
-*[[Guillain-Barré syndrome|Guillain–Barré syndrome]]
-*[[Pneumonia]]
-*[[Retinitis]]
-*[[Pericarditis]] and [[myocarditis]]
-*[[Atherosclerosis]]
-*[[Venous thromboembolism|Venous thrombosis]]
-| style="padding: 5px 5px; background: #F5F5F5;" align="left" |
-*[[Cytomegalovirus|''Cytomegalovirus'']]
-| style="padding: 5px 5px; background: #F5F5F5;" align="left" |
-*[[Quantitative polymerase chain reaction|Quantitative PCR]] tests
-|-
-! colspan="2" rowspan="2" style="background:#4479BA; color: #FFFFFF;" align="center" |Cause
-! colspan="2" style="background:#4479BA; color: #FFFFFF;" align="center" |Duration
-! colspan="3" style="background:#4479BA; color: #FFFFFF;" align="center" |Diarrhea
-! rowspan="2" style="background:#4479BA; color: #FFFFFF;" align="center" |Fever
-! rowspan="2" style="background:#4479BA; color: #FFFFFF;" align="center" |Abdominal pain
-! rowspan="2" style="background:#4479BA; color: #FFFFFF;" align="center" |Weight loss
-! rowspan="2" style="background:#4479BA; color: #FFFFFF;" align="center" |GI signs
-! colspan="5" style="background:#4479BA; color: #FFFFFF;" align="center" |Stool exam
-! colspan="3" style="background:#4479BA; color: #FFFFFF;" align="center" |CBC
-! rowspan="2" style="background:#4479BA; color: #FFFFFF;" align="center" |Other lab findings
-! rowspan="2" style="background:#4479BA; color: #FFFFFF;" align="center" |Extra intestinal findings
-! rowspan="2" style="background:#4479BA; color: #FFFFFF;" align="center" |Cause/Pathogenesis
-! rowspan="2" style="background:#4479BA; color: #FFFFFF;" align="center" |Gold standard diagnosis
-|-
-! style="background:#4479BA; color: #FFFFFF;" align="center" |Acute
-! style="background:#4479BA; color: #FFFFFF;" align="center" |Chronic
-! style="background:#4479BA; color: #FFFFFF;" align="center" |Watery
-! style="background:#4479BA; color: #FFFFFF;" align="center" |Bloody
-! style="background:#4479BA; color: #FFFFFF;" align="center" |Fatty
-! style="background:#4479BA; color: #FFFFFF;" align="center" |WBC
-! style="background:#4479BA; color: #FFFFFF;" align="center" |RBC
-! style="background:#4479BA; color: #FFFFFF;" align="center" |Ova/Parasite
-! style="background:#4479BA; color: #FFFFFF;" align="center" |Osmotic gap
-! style="background:#4479BA; color: #FFFFFF;" align="center" |Other
-! style="background:#4479BA; color: #FFFFFF;" align="center" |WBC
-! style="background:#4479BA; color: #FFFFFF;" align="center" |Hgb
-! style="background:#4479BA; color: #FFFFFF;" align="center" |Plt
-|-
-! colspan="2" style="background:#DCDCDC;" align="center" |[[Entamoeba histolytica]]
-| style="padding: 5px 5px; background: #F5F5F5;" align="center" | +
-| style="padding: 5px 5px; background: #F5F5F5;" align="center" | +
-| style="padding: 5px 5px; background: #F5F5F5;" align="center" | +
-| style="padding: 5px 5px; background: #F5F5F5;" align="center" | +
-| style="padding: 5px 5px; background: #F5F5F5;" align="center" |–
-| style="padding: 5px 5px; background: #F5F5F5;" align="center" | +
-| style="padding: 5px 5px; background: #F5F5F5;" align="center" | +
-| style="padding: 5px 5px; background: #F5F5F5;" align="center" |–
-| style="padding: 5px 5px; background: #F5F5F5;" align="Left" |
-*[[Abdominal distension|Abdominal distention]]
-*Diffuse [[Tenderness (medicine)|abdominal tenderness]]
-| style="padding: 5px 5px; background: #F5F5F5;" align="center" | +
-| style="padding: 5px 5px; background: #F5F5F5;" align="center" | +
-| style="padding: 5px 5px; background: #F5F5F5;" align="center" | +
-| style="padding: 5px 5px; background: #F5F5F5;" align="center" | Nl
-| style="padding: 5px 5px; background: #F5F5F5;" align="left" |–
-| style="padding: 5px 5px; background: #F5F5F5;" align="center" |↑
-| style="padding: 5px 5px; background: #F5F5F5;" align="center" | Nl
-| style="padding: 5px 5px; background: #F5F5F5;" align="center" | Nl
-| style="padding: 5px 5px; background: #F5F5F5;" align="left" |–
-| style="padding: 5px 5px; background: #F5F5F5;" align="left" |
-*[[Liver abscess]]
-*Pleuropulmonary infection
-*[[Cardiac]] [[infection]]
-*[[Brain abscess]]
-*[[Skin and soft-tissue infections|Cutaneous infection]]
-| style="padding: 5px 5px; background: #F5F5F5;" align="left" |
-*[[Entamoeba histolytica|''Entamoeba histolytica'']]
-| style="padding: 5px 5px; background: #F5F5F5;" align="left" |
-*Antigen testing
-*Serology
-|-
-! colspan="2" style="background:#DCDCDC;" align="center" |[[Microsporidia]]
-| style="padding: 5px 5px; background: #F5F5F5;" align="center" | +
-| style="padding: 5px 5px; background: #F5F5F5;" align="center" | +
-| style="padding: 5px 5px; background: #F5F5F5;" align="center" | +
-| style="padding: 5px 5px; background: #F5F5F5;" align="center" |–
-| style="padding: 5px 5px; background: #F5F5F5;" align="center" |–
-| style="padding: 5px 5px; background: #F5F5F5;" align="center" | +
-| style="padding: 5px 5px; background: #F5F5F5;" align="center" | +
-| style="padding: 5px 5px; background: #F5F5F5;" align="center" |–
-| style="padding: 5px 5px; background: #F5F5F5;" align="Left" |
-*[[Abdominal distension|Abdominal distention]]
-*Diffuse [[Tenderness (medicine)|abdominal tenderness]]
-| style="padding: 5px 5px; background: #F5F5F5;" align="center" |–
-| style="padding: 5px 5px; background: #F5F5F5;" align="center" |–
-| style="padding: 5px 5px; background: #F5F5F5;" align="center" | +
-| style="padding: 5px 5px; background: #F5F5F5;" align="center" | Nl
-| style="padding: 5px 5px; background: #F5F5F5;" align="left" |
-*Positive stool microscopy
-| style="padding: 5px 5px; background: #F5F5F5;" align="center" |Nl
-| style="padding: 5px 5px; background: #F5F5F5;" align="center" |Nl
-| style="padding: 5px 5px; background: #F5F5F5;" align="center" |Nl
-| style="padding: 5px 5px; background: #F5F5F5;" align="left" |
-*Decreased [[CD4]] count
-| style="padding: 5px 5px; background: #F5F5F5;" align="left" |
-*[[Malabsorption]]
-*[[Keratitis]]
-*[[Seizure]]
-*[[Myositis]]
-| style="padding: 5px 5px; background: #F5F5F5;" align="left" |
-*[[Microsporidia]]
-| style="padding: 5px 5px; background: #F5F5F5;" align="left" |
-*Antigen detection assays
 |-
 ! colspan="2" style="background:#DCDCDC;" align="center" |[[Isospora]]
@@ Line 1,202: / Line 219: @@
 | style="padding: 5px 5px; background: #F5F5F5;" align="left" |
 *Clinical evaluation after discontinuation of the drugs
-|-
-! colspan="2" style="background:#DCDCDC;" align="center" |Factitious diarrhea
-| style="padding: 5px 5px; background: #F5F5F5;" align="center" | +
-| style="padding: 5px 5px; background: #F5F5F5;" align="center" | +
-| style="padding: 5px 5px; background: #F5F5F5;" align="center" | +
-| style="padding: 5px 5px; background: #F5F5F5;" align="center" | –
-| style="padding: 5px 5px; background: #F5F5F5;" align="center" | –
-| style="padding: 5px 5px; background: #F5F5F5;" align="center" | –
-| style="padding: 5px 5px; background: #F5F5F5;" align="center" | +
-| style="padding: 5px 5px; background: #F5F5F5;" align="center" | +
-| style="padding: 5px 5px; background: #F5F5F5;" align="Left" |
-*[[Abdominal distention]]
-| style="padding: 5px 5px; background: #F5F5F5;" align="center" | –
-| style="padding: 5px 5px; background: #F5F5F5;" align="center" | –
-| style="padding: 5px 5px; background: #F5F5F5;" align="center" | –
-| style="padding: 5px 5px; background: #F5F5F5;" align="center" |↑/↓
-| style="padding: 5px 5px; background: #F5F5F5;" align="left" |–
-| style="padding: 5px 5px; background: #F5F5F5;" align="center" | Nl
-| style="padding: 5px 5px; background: #F5F5F5;" align="center" | Nl
-| style="padding: 5px 5px; background: #F5F5F5;" align="center" | Nl
-| style="padding: 5px 5px; background: #F5F5F5;" align="left" |
-*[[Hypokalemia]]
-*[[Metabolic alkalosis]]
-*[[Hypermagnesemia]]
-| style="padding: 5px 5px; background: #F5F5F5;" align="left" |
-*[[Malabsorption]]
-*[[Lethargy]]
-*[[Generalized weakness]]
-*[[Acute kidney injury|Acute renal failure]]
-| style="padding: 5px 5px; background: #F5F5F5;" align="left" |
-*[[Medication|Medications]]
-| style="padding: 5px 5px; background: #F5F5F5;" align="left" |
-*Clinical evaluation after discontinuation of the drugs
-|-
-! colspan="2" rowspan="2" style="background:#4479BA; color: #FFFFFF;" align="center" |Cause
-! colspan="2" style="background:#4479BA; color: #FFFFFF;" align="center" |Duration
-! colspan="3" style="background:#4479BA; color: #FFFFFF;" align="center" |Diarrhea
-! rowspan="2" style="background:#4479BA; color: #FFFFFF;" align="center" |Fever
-! rowspan="2" style="background:#4479BA; color: #FFFFFF;" align="center" |Abdominal pain
-! rowspan="2" style="background:#4479BA; color: #FFFFFF;" align="center" |Weight loss
-! rowspan="2" style="background:#4479BA; color: #FFFFFF;" align="center" |GI signs
-! colspan="5" style="background:#4479BA; color: #FFFFFF;" align="center" |Stool exam
-! colspan="3" style="background:#4479BA; color: #FFFFFF;" align="center" |CBC
-! rowspan="2" style="background:#4479BA; color: #FFFFFF;" align="center" |Other lab findings
-! rowspan="2" style="background:#4479BA; color: #FFFFFF;" align="center" |Extra intestinal findings
-! rowspan="2" style="background:#4479BA; color: #FFFFFF;" align="center" |Cause/Pathogenesis
-! rowspan="2" style="background:#4479BA; color: #FFFFFF;" align="center" |Gold standard diagnosis
-|-
-! style="background:#4479BA; color: #FFFFFF;" align="center" |Acute
-! style="background:#4479BA; color: #FFFFFF;" align="center" |Chronic
-! style="background:#4479BA; color: #FFFFFF;" align="center" |Watery
-! style="background:#4479BA; color: #FFFFFF;" align="center" |Bloody
-! style="background:#4479BA; color: #FFFFFF;" align="center" |Fatty
-! style="background:#4479BA; color: #FFFFFF;" align="center" |WBC
-! style="background:#4479BA; color: #FFFFFF;" align="center" |RBC
-! style="background:#4479BA; color: #FFFFFF;" align="center" |Ova/Parasite
-! style="background:#4479BA; color: #FFFFFF;" align="center" |Osmotic gap
-! style="background:#4479BA; color: #FFFFFF;" align="center" |Other
-! style="background:#4479BA; color: #FFFFFF;" align="center" |WBC
-! style="background:#4479BA; color: #FFFFFF;" align="center" |Hgb
-! style="background:#4479BA; color: #FFFFFF;" align="center" |Plt
-|-
-! colspan="2" style="background:#DCDCDC;" align="center" |[[Organophosphate poisoning]]
-| style="padding: 5px 5px; background: #F5F5F5;" align="center" | +
-| style="padding: 5px 5px; background: #F5F5F5;" align="center" | +
-| style="padding: 5px 5px; background: #F5F5F5;" align="center" | +
-| style="padding: 5px 5px; background: #F5F5F5;" align="center" | –
-| style="padding: 5px 5px; background: #F5F5F5;" align="center" | –
-| style="padding: 5px 5px; background: #F5F5F5;" align="center" | –
-| style="padding: 5px 5px; background: #F5F5F5;" align="center" | +
-| style="padding: 5px 5px; background: #F5F5F5;" align="center" | –
-| style="padding: 5px 5px; background: #F5F5F5;" align="Left" |
-*[[Saliva|Salivation]]
-*[[Nausea and vomiting|Vomiting]]
-| style="padding: 5px 5px; background: #F5F5F5;" align="center" | –
-| style="padding: 5px 5px; background: #F5F5F5;" align="center" | –
-| style="padding: 5px 5px; background: #F5F5F5;" align="center" | –
-| style="padding: 5px 5px; background: #F5F5F5;" align="center" | Nl
-| style="padding: 5px 5px; background: #F5F5F5;" align="left" |–
-| style="padding: 5px 5px; background: #F5F5F5;" align="center" | Nl
-| style="padding: 5px 5px; background: #F5F5F5;" align="center" | Nl
-| style="padding: 5px 5px; background: #F5F5F5;" align="center" | Nl
-| style="padding: 5px 5px; background: #F5F5F5;" align="left" |
-*Reduced RBC acetylcholinesterase
-*Plasma [[cholinesterase]] activity
-| style="padding: 5px 5px; background: #F5F5F5;" align="left" |
-*[[Dysautonomia|Autonomic dysfunction]]
-*Motor deficit
-*Sensory deficit
-*[[Bronchospasm]]
-*[[Urination]]
-*[[Miosis]]
-*[[Bradycardia]]
-*[[Lacrimation]]
-*[[Sweating]]
-*[[Cardiac arrhythmia|Cardiac arrhythmias]]
-*[[Acute kidney injury|Acute renal injury]]
-| style="padding: 5px 5px; background: #F5F5F5;" align="left" |
-*[[Neurotoxin|Neurotoxins]] bind to [[ACHE|acetylcholinesterase]] (AChE)
-| style="padding: 5px 5px; background: #F5F5F5;" align="left" |
-*Clinical diagnosis
-|-
-! colspan="2" style="background:#DCDCDC;" align="center" |[[Opium withdrawal]]
-| style="padding: 5px 5px; background: #F5F5F5;" align="center" | +
-| style="padding: 5px 5px; background: #F5F5F5;" align="center" | +
-| style="padding: 5px 5px; background: #F5F5F5;" align="center" | +
-| style="padding: 5px 5px; background: #F5F5F5;" align="center" | –
-| style="padding: 5px 5px; background: #F5F5F5;" align="center" | –
-| style="padding: 5px 5px; background: #F5F5F5;" align="center" | –
-| style="padding: 5px 5px; background: #F5F5F5;" align="center" | +
-| style="padding: 5px 5px; background: #F5F5F5;" align="center" | –
-| style="padding: 5px 5px; background: #F5F5F5;" align="Left" |
-*Hyperactive [[Stomach rumble|bowel sounds]]
-| style="padding: 5px 5px; background: #F5F5F5;" align="center" | –
-| style="padding: 5px 5px; background: #F5F5F5;" align="center" | –
-| style="padding: 5px 5px; background: #F5F5F5;" align="center" | –
-| style="padding: 5px 5px; background: #F5F5F5;" align="center" | Nl
-| style="padding: 5px 5px; background: #F5F5F5;" align="left" |–
-| style="padding: 5px 5px; background: #F5F5F5;" align="center" | Nl
-| style="padding: 5px 5px; background: #F5F5F5;" align="center" | Nl
-| style="padding: 5px 5px; background: #F5F5F5;" align="center" | Nl
-| style="padding: 5px 5px; background: #F5F5F5;" align="left" |
-*[[Azotemia]]
-*[[Hypokalemia]]
-*[[Metabolic alkalosis]]
-| style="padding: 5px 5px; background: #F5F5F5;" align="left" |
-*[[Dysphoria]]
-*[[Agitation (emotion)|Restlessness]]
-*[[Perspiration|Sweating]]
-*[[Rhinorrhea]]
-*[[Tears|Lacrimation]]
-*[[Myalgia]]
-*[[Arthralgia]]
-| style="padding: 5px 5px; background: #F5F5F5;" align="left" |
-*[[Opium|Opium withdrawal]]
-| style="padding: 5px 5px; background: #F5F5F5;" align="left" |
-*Clinical diagnosis following [[opium withdrawal]]
 |-
 ! colspan="2" style="background:#DCDCDC;" align="center" |[[Short bowel syndrome]]
@@ Line 1,408: / Line 288: @@
 | style="padding: 5px 5px; background: #F5F5F5;" align="left" |
 *Segmental bowel [[inflammation]] on [[endoscopy]] or [[colonoscopy]]
-|-
-! colspan="2" rowspan="2" style="background:#4479BA; color: #FFFFFF;" align="center" |Cause
-! colspan="2" style="background:#4479BA; color: #FFFFFF;" align="center" |Duration
-! colspan="3" style="background:#4479BA; color: #FFFFFF;" align="center" |Diarrhea
-! rowspan="2" style="background:#4479BA; color: #FFFFFF;" align="center" |Fever
-! rowspan="2" style="background:#4479BA; color: #FFFFFF;" align="center" |Abdominal pain
-! rowspan="2" style="background:#4479BA; color: #FFFFFF;" align="center" |Weight loss
-! rowspan="2" style="background:#4479BA; color: #FFFFFF;" align="center" |GI signs
-! colspan="5" style="background:#4479BA; color: #FFFFFF;" align="center" |Stool exam
-! colspan="3" style="background:#4479BA; color: #FFFFFF;" align="center" |CBC
-! rowspan="2" style="background:#4479BA; color: #FFFFFF;" align="center" |Other lab findings
-! rowspan="2" style="background:#4479BA; color: #FFFFFF;" align="center" |Extra intestinal findings
-! rowspan="2" style="background:#4479BA; color: #FFFFFF;" align="center" |Cause/Pathogenesis
-! rowspan="2" style="background:#4479BA; color: #FFFFFF;" align="center" |Gold standard diagnosis
-|-
-! style="background:#4479BA; color: #FFFFFF;" align="center" |Acute
-! style="background:#4479BA; color: #FFFFFF;" align="center" |Chronic
-! style="background:#4479BA; color: #FFFFFF;" align="center" |Watery
-! style="background:#4479BA; color: #FFFFFF;" align="center" |Bloody
-! style="background:#4479BA; color: #FFFFFF;" align="center" |Fatty
-! style="background:#4479BA; color: #FFFFFF;" align="center" |WBC
-! style="background:#4479BA; color: #FFFFFF;" align="center" |RBC
-! style="background:#4479BA; color: #FFFFFF;" align="center" |Ova/Parasite
-! style="background:#4479BA; color: #FFFFFF;" align="center" |Osmotic gap
-! style="background:#4479BA; color: #FFFFFF;" align="center" |Other
-! style="background:#4479BA; color: #FFFFFF;" align="center" |WBC
-! style="background:#4479BA; color: #FFFFFF;" align="center" |Hgb
-! style="background:#4479BA; color: #FFFFFF;" align="center" |Plt
 |- }
 |}

Acute fatty diarrhea differential diagnosis: Difference between revisions

Revision as of 20:11, 21 December 2017

Differential Diagnosis of Acute Fatty Diarrhea from other diseases

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