Angiodysplasia differential diagnosis: Difference between revisions

Jump to navigation Jump to search
← Older editNewer edit →
VisualWikitext
Line 78: Line 78:
| style="background: #DCDCDC; padding: 5px; text-align: center;" |<small>Colon cancer</small>
| style="background: #DCDCDC; padding: 5px; text-align: center;" |<small>Colon cancer</small>
| style="background: #F5F5F5; padding: 5px; text-align: center;" | +/-
| style="background: #F5F5F5; padding: 5px; text-align: center;" | +/-
| style="background: #F5F5F5; padding: 5px;" | +/-
| style="background: #F5F5F5; padding: 5px;" text-align: center; | +/-
| style="background: #F5F5F5; padding: 5px;" |<small>Weight loss</small>
| style="background: #F5F5F5; padding: 5px;" text-align: center; |<small>Weight loss</small>
| style="background: #F5F5F5; padding: 5px;" |<small>Lmyphadenopathies</small>
| style="background: #F5F5F5; padding: 5px;" text-align: center; |<small>Lmyphadenopathies</small>
| style="background: #F5F5F5; padding: 5px;" |<small>Abdominal mass</small>
| style="background: #F5F5F5; padding: 5px;" text-align: center; |<small>Abdominal mass</small>
| style="background: #F5F5F5; padding: 5px;" |<small>Hepatomegaly (metastasis)</small>
| style="background: #F5F5F5; padding: 5px;" text-align: center; |<small>Hepatomegaly (metastasis)</small>
| style="background: #F5F5F5; padding: 5px;" |<small>Tumor marker - CEA</small>
| style="background: #F5F5F5; padding: 5px;" text-align: center; |<small>Tumor marker - CEA</small>
| style="background: #F5F5F5; padding: 5px;" |
| style="background: #F5F5F5; padding: 5px;" text-align: center; |
| style="background: #F5F5F5; padding: 5px;" |
| style="background: #F5F5F5; padding: 5px;" text-align: center; |
| style="background: #F5F5F5; padding: 5px;" |<small>CT with contrast chest, abdomen and pelvis</small>
| style="background: #F5F5F5; padding: 5px;" text-align: center; |<small>CT with contrast chest, abdomen and pelvis</small>
| style="background: #F5F5F5; padding: 5px;" |
| style="background: #F5F5F5; padding: 5px;" text-align: center; |
| style="background: #F5F5F5; padding: 5px;" |
| style="background: #F5F5F5; padding: 5px;" text-align: center; |
| style="background: #F5F5F5; padding: 5px;" |<small>Majority of colorectal cancers are carcinomas.</small>
| style="background: #F5F5F5; padding: 5px;" text-align: center; |<small>Majority of colorectal cancers are carcinomas.</small>
| style="background: #F5F5F5; padding: 5px;" |<small>Colonoscopy</small>
| style="background: #F5F5F5; padding: 5px;" text-align: center; |<small>Colonoscopy</small>
|-
|-
| style="background: #DCDCDC; padding: 5px; text-align: center;" |<small>Massive upper GI bleed</small>
| style="background: #DCDCDC; padding: 5px; text-align: center;" |<small>Massive upper GI bleed</small>
| style="background: #F5F5F5; padding: 5px; text-align: center;" | +
| style="background: #F5F5F5; padding: 5px; text-align: center;" | +
| style="background: #F5F5F5; padding: 5px;" | +
| style="background: #F5F5F5; padding: 5px;" text-align: center; | +
| style="background: #F5F5F5; padding: 5px;" |<small>Melena</small>
| style="background: #F5F5F5; padding: 5px;" text-align: center; |<small>Melena</small>
| style="background: #F5F5F5; padding: 5px;" |<small>Hemodynamic instability</small>
| style="background: #F5F5F5; padding: 5px;" text-align: center; |<small>Hemodynamic instability</small>
| style="background: #F5F5F5; padding: 5px;" |<small>Upper abdominal tenderness</small>
| style="background: #F5F5F5; padding: 5px;" text-align: center; |<small>Upper abdominal tenderness</small>
| style="background: #F5F5F5; padding: 5px;" |<small>Pale skin</small>
| style="background: #F5F5F5; padding: 5px;" text-align: center; |<small>Pale skin</small>
| style="background: #F5F5F5; padding: 5px;" |<small>Acute bleeding - normocytic anemia</small>
| style="background: #F5F5F5; padding: 5px;" text-align: center; |<small>Acute bleeding - normocytic anemia</small>
| style="background: #F5F5F5; padding: 5px;" |<small>Elevated BUN-to-Creatinine ratio >30:1</small>
| style="background: #F5F5F5; padding: 5px;" text-align: center; |<small>Elevated BUN-to-Creatinine ratio >30:1</small>
| style="background: #F5F5F5; padding: 5px;" |
| style="background: #F5F5F5; padding: 5px;" text-align: center; |
| style="background: #F5F5F5; padding: 5px;" |<small>CT angiography</small>
| style="background: #F5F5F5; padding: 5px;" text-align: center; |<small>CT angiography</small>
| style="background: #F5F5F5; padding: 5px;" |
| style="background: #F5F5F5; padding: 5px;" text-align: center; |
| style="background: #F5F5F5; padding: 5px;" |
| style="background: #F5F5F5; padding: 5px;" text-align: center; |
| style="background: #F5F5F5; padding: 5px;" |
| style="background: #F5F5F5; padding: 5px;" text-align: center; |
| style="background: #F5F5F5; padding: 5px;" |<small>Endoscopy</small>
| style="background: #F5F5F5; padding: 5px;" text-align: center; |<small>Endoscopy</small>
|-
|-
| style="background: #DCDCDC; padding: 5px; text-align: center;" |<small>Inflammatory bowel disease</small>
| style="background: #DCDCDC; padding: 5px; text-align: center;" |<small>Inflammatory bowel disease</small>
| style="background: #F5F5F5; padding: 5px; text-align: center;" | +
| style="background: #F5F5F5; padding: 5px; text-align: center;" | +
| style="background: #F5F5F5; padding: 5px;" |<small>+/-</small>
| style="background: #F5F5F5; padding: 5px;" text-align: center; |<small>+/-</small>
| style="background: #F5F5F5; padding: 5px;" |<small>Abdominal pain</small>
| style="background: #F5F5F5; padding: 5px;" text-align: center; |<small>Abdominal pain</small>
| style="background: #F5F5F5; padding: 5px;" |<small>Tachycardia, fever,</small>
| style="background: #F5F5F5; padding: 5px;" text-align: center; |<small>Tachycardia, fever,</small>
| style="background: #F5F5F5; padding: 5px;" |<small>Occult blood on digital rectal exam</small>
| style="background: #F5F5F5; padding: 5px;" text-align: center; |<small>Occult blood on digital rectal exam</small>
| style="background: #F5F5F5; padding: 5px;" |<small>Anal fistulas, abscesses</small>
| style="background: #F5F5F5; padding: 5px;" text-align: center; |<small>Anal fistulas, abscesses</small>
| style="background: #F5F5F5; padding: 5px;" |<small>Microcytic anemia</small>
| style="background: #F5F5F5; padding: 5px;" text-align: center; |<small>Microcytic anemia</small>
| style="background: #F5F5F5; padding: 5px;" |<small>Leukocytosis</small>
| style="background: #F5F5F5; padding: 5px;" text-align: center; |<small>Leukocytosis</small>
| style="background: #F5F5F5; padding: 5px;" |<small>Elevated ESR, CRP</small>
| style="background: #F5F5F5; padding: 5px;" text-align: center; |<small>Elevated ESR, CRP</small>
| style="background: #F5F5F5; padding: 5px;" |<small>Abdominal X ray - free air, bowel obstruction, toxic megacolon</small>
| style="background: #F5F5F5; padding: 5px;" text-align: center; |<small>Abdominal X ray - free air, bowel obstruction, toxic megacolon</small>
| style="background: #F5F5F5; padding: 5px;" |<small>Barium studies</small>
| style="background: #F5F5F5; padding: 5px;" text-align: center; |<small>Barium studies</small>
| style="background: #F5F5F5; padding: 5px;" |<small>Ultrasound/CT/MRI</small>
| style="background: #F5F5F5; padding: 5px;" text-align: center; |<small>Ultrasound/CT/MRI</small>
| style="background: #F5F5F5; padding: 5px;" |<small>UC- crypt abscess</small>
| style="background: #F5F5F5; padding: 5px;" text-align: center; |<small>UC- crypt abscess</small>
<small>Crohn's- transmural involvement, granulomas</small>
<small>Crohn's- transmural involvement, granulomas</small>
| style="background: #F5F5F5; padding: 5px;" |<small>Endoscopy</small>
| style="background: #F5F5F5; padding: 5px;" |<small>Endoscopy</small>

Revision as of 15:10, 11 September 2021

Angiodysplasia Microchapters

Home

Patient Information

Overview

Historical Perspective

Classification

Pathophysiology

Causes

Differentiating Angiodysplasia from other Diseases

Epidemiology and Demographics

Risk Factors

Screening

Natural History, Complications and Prognosis

Diagnosis

History and Symptoms

Physical Examination

Laboratory Findings

CT

MRI

Other Imaging Findings

Other Diagnostic Studies

Treatment

Medical Therapy

Surgery

Primary Prevention

Secondary Prevention

Cost-Effectiveness of Therapy

Future or Investigational Therapies

Case Studies

Case #1

Angiodysplasia differential diagnosis On the Web

Most recent articles

Most cited articles

Review articles

CME Programs

Powerpoint slides

Images

American Roentgen Ray Society Images of Angiodysplasia differential diagnosis

All Images
X-rays
Echo & Ultrasound
CT Images
MRI

Ongoing Trials at Clinical Trials.gov

US National Guidelines Clearinghouse

NICE Guidance

FDA on Angiodysplasia differential diagnosis

CDC on Angiodysplasia differential diagnosis

Angiodysplasia differential diagnosis in the news

Blogs on Angiodysplasia differential diagnosis

Directions to Hospitals Treating Angiodysplasia

Risk calculators and risk factors for Angiodysplasia differential diagnosis

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

Overview

Angiodysplasia must be differentiated from other diseases that cause hematochezia, melena, and iron deficiency anemia, such as hemorrhoids, diverticular disease, and colon cancer.

Differentiating Angiodysplasia from other Diseases

Angiodysplasia must be differentiated from from other diseases that cause hematochezia, melena, and iron deficiency anemia such as:

Diseases Clinical manifestations Para-clinical findings Gold standard
Symptoms Physical examination
Lab Findings Imaging Histopathology
Abdominal pain Lower GI Bleed Symptom 3 Physical exam 1 Physical exam 2 Physical exam 3 Lab 1 Lab 2 Lab 3 Imaging 1 Imaging 2 Imaging 3
Diverticulitis + + Diarrhoea Left lower quadrant abdominal tenderness Bowel sounds hypoactive/normoactive Fever Leukocytosis Elevated ESR and CRP Radiological test of choice - CT of abdomen and pelvis with contrast Abdominal Ultrasound MRI abdomen Colonoscopy after resolution of inflammation
Hemorrhoids - (anal pain) + Anal protrusion Skin tags Fistulas or fissures Prolapsed hemorrhoid External hemorrhoids - distal to dentate line.

Internal hemorrhoids - proximal to dentate line.

Anoscopy
Colon cancer +/- +/- Weight loss Lmyphadenopathies Abdominal mass Hepatomegaly (metastasis) Tumor marker - CEA CT with contrast chest, abdomen and pelvis Majority of colorectal cancers are carcinomas. Colonoscopy
Massive upper GI bleed + + Melena Hemodynamic instability Upper abdominal tenderness Pale skin Acute bleeding - normocytic anemia Elevated BUN-to-Creatinine ratio >30:1 CT angiography Endoscopy
Inflammatory bowel disease + +/- Abdominal pain Tachycardia, fever, Occult blood on digital rectal exam Anal fistulas, abscesses Microcytic anemia Leukocytosis Elevated ESR, CRP Abdominal X ray - free air, bowel obstruction, toxic megacolon Barium studies Ultrasound/CT/MRI UC- crypt abscess

Crohn's- transmural involvement, granulomas

Endoscopy
Angiodysplasia - + (occult) No abdominal pain Signs of anemia Systolic ejection murmur (if aortic stenosis) Rarely, orthostasis or hypotension Microcytic anemia Renal and liver function tests Coagulation studies Radionuclide scanning CTA/MRA Upper GI endoscopy and colonoscopy Tortuous, dilated veins, venules and capillaries in the colonic mucosa and submucosa Endoscopy

References

Template:WH Template:WS

Retrieved from "https://www.wikidoc.org/index.php?title=Angiodysplasia_differential_diagnosis&oldid=1713596"