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__NOTOC__ | __NOTOC__ | ||
{{Ischemic colitis}} | {{Ischemic colitis}} | ||
{{CMG}}; {{AOEIC}} {{CZ}} | {{CMG}}; {{AOEIC}} {{CZ}} | ||
==Overview== | ==Overview== | ||
* Ischemic colitis must be differentiated from the many other causes of [[abdominal pain]] and [[lower gastrointestinal bleeding|rectal bleeding]] (for example, [[infection]], [[inflammatory bowel disease]], [[diverticulosis]], or [[colon cancer]]). | |||
* It is also important to differentiate ischemic colitis, which often resolves on its own, from the more immediately life-threatening condition of [[acute mesenteric ischemia]] of the [[small bowel]]. | |||
It is also important to differentiate ischemic colitis, which often resolves on its own, from the more immediately life-threatening condition of acute mesenteric ischemia of the [[small bowel]]. | |||
The symptoms of colitis such as diarrhea especially bloody diarrhea and abdominal pain are seen are seen in all forms of colitis. The table below lists the differential diagnosis of common causes of colitis:<ref name="pmid14702426">{{cite journal| author=Thielman NM, Guerrant RL| title=Clinical practice. Acute infectious diarrhea. | journal=N Engl J Med | year= 2004 | volume= 350 | issue= 1 | pages= 38-47 | pmid=14702426 | doi=10.1056/NEJMcp031534 | pmc= | url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=14702426 }} </ref><ref name="pmid15537721">{{cite journal| author=Khan AM, Faruque AS, Hossain MS, Sattar S, Fuchs GJ, Salam MA| title=Plesiomonas shigelloides-associated diarrhoea in Bangladeshi children: a hospital-based surveillance study. | journal=J Trop Pediatr | year= 2004 | volume= 50 | issue= 6 | pages= 354-6 | pmid=15537721 | doi=10.1093/tropej/50.6.354 | pmc= | url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=15537721 }} </ref> | * The symptoms of colitis such as [[diarrhea]], especially bloody diarrhea, and [[abdominal pain]] are seen are seen in all forms of colitis. The table below lists the differential diagnosis of common causes of colitis:<ref name="pmid14702426">{{cite journal| author=Thielman NM, Guerrant RL| title=Clinical practice. Acute infectious diarrhea. | journal=N Engl J Med | year= 2004 | volume= 350 | issue= 1 | pages= 38-47 | pmid=14702426 | doi=10.1056/NEJMcp031534 | pmc= | url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=14702426 }} </ref><ref name="pmid15537721">{{cite journal| author=Khan AM, Faruque AS, Hossain MS, Sattar S, Fuchs GJ, Salam MA| title=Plesiomonas shigelloides-associated diarrhoea in Bangladeshi children: a hospital-based surveillance study. | journal=J Trop Pediatr | year= 2004 | volume= 50 | issue= 6 | pages= 354-6 | pmid=15537721 | doi=10.1093/tropej/50.6.354 | pmc= | url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=15537721 }} </ref> | ||
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Revision as of 13:37, 22 March 2017
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-In-Chief: Cafer Zorkun, M.D., Ph.D. [2]
Overview
- Ischemic colitis must be differentiated from the many other causes of abdominal pain and rectal bleeding (for example, infection, inflammatory bowel disease, diverticulosis, or colon cancer).
- It is also important to differentiate ischemic colitis, which often resolves on its own, from the more immediately life-threatening condition of acute mesenteric ischemia of the small bowel.
- The symptoms of colitis such as diarrhea, especially bloody diarrhea, and abdominal pain are seen are seen in all forms of colitis. The table below lists the differential diagnosis of common causes of colitis:[1][2]
| Diseases | History and Symptoms | Physical Examination | Laboratory findings | |||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Diarrhea | Rectal bleeding | Abdominal pain | Atopy | Dehydration | Fever | Hypotension | Malnutrition | Blood in stool (frank or occult) | Microorganism in stool | Pseudomembranes on endoscopy | Lab Test 4 | |
| Allergic Colitis | + | ++ | + | ++ | ++ | |||||||
| Chemical colitis | + | ++ | ++ | + | + | ++ | + | |||||
| Infectious colitis | ++ | ++ | ++ | +++ | +++ | ++ | + | ++ | ++ | + | ||
| Radiation colitis | + | ++ | + | + | + | ++ | ||||||
| Ischemic colitis | + | + | ++ | + | + | + | + | ++ | ||||
| Drug-induced colitis | + | + | ++ | + | ++ | + | ||||||
References
- ↑ Thielman NM, Guerrant RL (2004). "Clinical practice. Acute infectious diarrhea". N Engl J Med. 350 (1): 38–47. doi:10.1056/NEJMcp031534. PMID 14702426.
- ↑ Khan AM, Faruque AS, Hossain MS, Sattar S, Fuchs GJ, Salam MA (2004). "Plesiomonas shigelloides-associated diarrhoea in Bangladeshi children: a hospital-based surveillance study". J Trop Pediatr. 50 (6): 354–6. doi:10.1093/tropej/50.6.354. PMID 15537721.