Sandbox: malabsorption: Difference between revisions
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* [[Abdominal distension|Abdominal distention]] | * [[Abdominal distension|Abdominal distention]] | ||
* [[Tenderness (medicine)|Abdominal tenderness]] | * [[Tenderness (medicine)|Abdominal tenderness]] | ||
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* | * | ||
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* [[Hypoalbuminemia]] | * [[Hypoalbuminemia]] | ||
* High level of [[Acute phase protein|acute phase reactant]] | * High level of [[Acute phase protein|acute phase reactant]] | ||
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* Low vitamin A, B12, C,[[Vitamin D|D]], E, and K level | * Low vitamin A, B12, C,[[Vitamin D|D]], E, and K level | ||
* High [[fecal fat]] | * High [[fecal fat]] | ||
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* Prior intestinal surgery | * Prior intestinal surgery | ||
* [[Crohn's disease]] | * [[Crohn's disease]] | ||
* [[Cancer|Malignancy]] | * [[Cancer|Malignancy]] | ||
* [[Radiation enteropathy|Radiation enteritis]] | * [[Radiation enteropathy|Radiation enteritis]] | ||
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* Surgical intestinal resection | * Surgical intestinal resection | ||
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Revision as of 18:27, 13 December 2017
Diarrhea
Abbreviations: GI: Gastrointestinal, WBC: White blood cells, Plt: Platelets, Hgb: Hemoglobin, 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, ESR: Erythrocyte sedimentation rate, CRP: C-reactive protein,
Categories | Cause | Clinical manifestation | Lab findings | Extra intestinal findings | Cause/Pathogenesis | Gold standard diagnosis | ||||||||||||||||||
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Symptoms | GI signs | |||||||||||||||||||||||
Duration | Diarrhea | Fever | Abdominal pain | Weight loss | ||||||||||||||||||||
Stool exam | CBC | Other lab findings | ||||||||||||||||||||||
Acute | Chronic | Watery | Bloody | Fatty | WBC | RBC | Ova/Parasite | Osmotic gap | Other | WBC | Hgb | Plt | ||||||||||||
Gastrointestinal | Crohns disease | - | + | + | + | + | ± | + | + | + | + | - | - | - | ↑ | ↓ | ↑ |
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Ulcerative colitis | - | + | + | + | + | + | + | + |
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+ | + | - | - | - | ↑ | ↓ | ↑ |
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Celiac disease | - | + | ± | - | ± | - | + | + |
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- | - | - | - |
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- | ↓ | - |
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Cystic fibrosis | - | + | - | - | + | ± | + | + |
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- | - |
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- | ↓ | - |
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Chronic pancreatitis | - | + | + | - | + | - | + | + | - | - |
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- | - | - |
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Bile acid malabsorption | - | + |
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- | - |
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Microscopic colitis | - | + | + | + | - | - | + | + | - | - |
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- | ↓ | - |
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Infective colitis | - |
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- | - |
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Ischemic colitis | - |
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- | - |
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Mesenteric ischemia | - |
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- | - |
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Lactose intolerance | + | + | + | - | - | - | + | - | - | ↑ |
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- | - | - |
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Irritable bowel syndrome | - | + | ± | - | ± | - | ± | - |
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- | - |
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- | - | - |
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Infection | Bacterial | Whipple's disease | - | + | + | - | + | ± | + | + | - | - | - | - | ↓ | ↓ | ↓/↑ |
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Tropical sprue | + | + | + | - | + | + | + | + |
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- | - |
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- | ↓ | - |
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Small bowel bacterial overgrowth | - | + | + | - | + | - | + | + | - | - |
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- | ↓ | - |
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Food poisoning | - |
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- | - |
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Pseudomembranous colitis | + | - | + | +/- | - | + | + | +/- |
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- | - |
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↑ | ↓ | ↓ |
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Shigella | - |
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- | - |
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Salmonella | - |
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- | - |
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Campylobacter jejuni | - |
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- | - |
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E-coli | ETEC | + | - | + | - | - | + | - | - |
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- | - |
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EPEC | - |
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- | - |
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EIEC | - |
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- | - |
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EHEC | - |
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- | - |
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EAEC | - |
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- | - |
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Yersinia enterocolitica | - |
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- | - |
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Vibrio cholera | - |
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- | - |
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Aeromonas | - |
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- | - |
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Plesiomonas | - |
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- | - |
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Mycobacterium avium complex | + | + | +/- | + | - |
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+/- | + | - | - |
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↓ | - | - |
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Other infections
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+ | + | - | + | +/- |
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+ | + | - | - |
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↑ | - | - |
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Virus | Rotavirus | - |
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- | - |
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Echovirus | - |
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- | - |
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Adenovirus | - |
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- | - |
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Norovirus | - |
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- | - |
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CMV colitis | + | + | +/- | + | - |
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+/- | + | - | - |
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↓ | - | - |
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HIV | - |
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- | - |
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Hepatitis | Hepatitis A | - |
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- | - |
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Hepatitis E | - |
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- | - |
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Parasite | Entamoeba histolytica | - |
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+ | - |
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Giardia | - |
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+ | - |
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Cryptosporidium | - |
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+ | - |
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Microsporidia | - |
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+ | - |
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Isospora | + | + | + | - |
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+ | + | + | - |
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↑ | - |
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Other Parasitic diarrhea
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+ | + | + | - | + | +/- |
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+ | + | + | - |
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↑ | - | - |
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Tumors | Carcinoid tumor | - |
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- | ↓ |
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VIPoma | + | + | + | - | + | - | + | + |
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- | ↓ |
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- | - | - |
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Zollinger-Ellison syndrome | - | + | + | - | + | - | + | + | - | ↓ |
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- | ↓ | - |
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Somatostatinoma | - |
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- | ↓ |
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Lymphoma | - |
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- | - |
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Colorectal cancer | + | + | + | + |
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- | + | - | - |
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- | ↑/↓ | - |
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Medication/Toxicity | Drug induced enteritis | - |
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- | - |
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Laxative abuse | - |
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- | ↑ |
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Heavy metal ingestion | - |
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- | - |
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Organophosphate poisoning | - |
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- | - |
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Opium withdrawal | - |
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- | - |
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Iatrogenic | Short bowel syndrome | + | + | + | - | + | - | - | + |
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- | - |
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- | ↓ | ↑ |
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Radiation enteritis | - |
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- | - |
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Dumping syndrome | - |
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- | - |
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Others | Abetalipoproteinemia | - | + | + | - | + | - | + | + | - | - |
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- | - | - |
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Hyperthyroidism | - | + | + | - | - | ± | + | + | - | - |
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- | - | - |
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Diabetic neuropathy | - |
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- | - |
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Systemic sclerosis | - |
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- | - |
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