Chronic diarrhea. Dr.Nasser E.Daryani Professor of Tehran Medical University
|
|
|
- Maud Bell
- 5 years ago
- Views:
Transcription
1 1
2 Chronic diarrhea Dr.Nasser E.Daryani Professor of Tehran Medical University
3
4 Timing Acute diarrhea: <2 weeks Persistent diarrhea: 2-4 weeks Chronic diarrhea: > 4 weeks
5 Definitions Derived from Greek to flow through Increased stool water content / fluidity Increased stool weight > 200 gm/d 3 or more BMs daily is generally abnormal Rule out fecal incontinence
6
7
8 Normal stool fluids processing 8-9 L/d enter GI system Ingest 1-2 L/d Create approx 7 L/d saliva, gastric, biliary, pancreatic secretions Small bowel reabsorbs 6-7 L/d Large bowel absorbs 1-2 L/d gm/d stool created Reduction of water absorption, due to decrease in absorption or increase in secretion, by as little as 1% can lead to diarrhea
9
10
11
12
13
14
15
16 Differential Diagnosis: Watery (Secretory) Diarrhea Bacterial toxins Abnormal motility DM-related dysfunction IBS Post-vagotomy diarrhea Diverticulitis Ileal bile acid malabsorption Malignancy Colon CA Lymphoma Rectal villous ademoma Vasculitis Congenital chloridorrhea Inflammatory Microscopic colitis Endocrinopathies Hyperthyroidism Adrenal insufficiency Cardinoid syndrome Gastrinoma, VIPoma, Somatostatinoma Pheochromocytoma Idiopathic Epidemic (Brainerd) Sporadic Medications, stimulant laxative abuse, toxins
17
18
19
20
21
22
23
24
25
26
27
28
29
30 Causes of Diarrhea Osmotic Ingestion of poorly absorbed agent (eg, magnesium) Loss of nutrient transporter (eg, lactase deficiency) Secretory Exogenous secretagogues (eg, cholera toxin) Endogenous secretagogues (eg, NE tumor) Absence of ion transporter (eg, congenital chloridorrhea) Loss of intestinal surface area (eg, diffuse mucosal disease IBD, celiac; surgical resection) Intestinal ischemia Rapid intestinal transit (eg, dumping syndrome)
31
32 Differential Diagnosis: Fatty Diarrhea Maldigestion = inadequate breakdown of triglycerides Pancreatic exocrine insufficiency (eg, chronic pancreatitis) Inadequate luminal bile acid concentration (eg, advanced primary biliary cirrhosis) Malabsorption = inadequate mucosal transport of digestion products Mucosal diseases (eg, Celiac sprue, Whipple s disease) Mesenteric ischemia Structural disease (eg, short bowel syndrome) Small intestinal bacterial overgrowth (bile salt deconjugation)
33
34
35
36
37
38
39
40 Differential Diagnosis: Inflammatory Diarrhea IBD (Crohn s, UC) Ischemic colitis Malignancy Colon CA Lymphoma Diverticulitis Radiation colitis Infectious Invasive bacterial (Yersinia, TB) Invasive parasitic (Amebiasis, strongyloides) Pseudomembranous colitis (C diff infection) Ulcerating viral infections (CMV, HSV)
41
42
43
44
45 Initial Evaluation: History Duration, pattern, epidemiology Severity, dehydration Stool volume & frequency Stool characteristics (appearance, blood, mucus, oil droplets, undigested food particles) Nocturnal symptoms Fecal urgency, incontinence Associated sx (abd pain, cramps, bloating, fever, weight loss, etc) Extra-intestinal symptoms Relationship to meals, specific foods, fasting, & stress Medical, surgical, travel, water exposure hx Recent hospitalizations, antibiotics History of radiation Current/recent medications Diet (including excessive fructose, sugar alcohols, caffeine Sexual orientation Possibility of laxative abuse
46
47 Initial Evaluation: Physical Examination Most useful in determining severity of diarrhea Orthostatic changes Fever Bowel sounds (or lack thereof) Abdominal distention, tenderness, masses, evidence of prior surgeries Hepatomegaly DRE including FOBT Skin, joints, thyroid, peripheral neuropathy, murmur, edema
48
49
50
51 Initial Evaluation: Testing CBC w/ differential (Hct, MCV, WBC count) CMP (electrolytes, BUN /Cr, glucose, LFTs, Ca, albumin) TSH, B12, folate, INR/PTT, Vit D, iron, ESR, CRP, Amoeba Ab, anti-transglutaminase IgA Ab, anti-endomyseal IgA Ab, HIV Stool studies Culture (more useful only for acute), O&P, Giardia Ag, C diff, Coccidia, Microsporidia, Cryptosporidiosis
52
53
54
55
56
57
58
59
60
61
62
63
64
65
66
67
68
69
70
71
72
73
74
75
76
77
78
79
80
81 Thank you!!
Clinical Evaluation of CHRONIC DIARRHEA. By Dr. Mohamed El-Awady
Clinical Evaluation of CHRONIC DIARRHEA By Dr. Mohamed El-Awady Definition Stool weight of more than 300 gm / 24 h more than 4 weeks (Feldman et al 2002) CLINICAL CLASSIFICATION 1) Large-Volume Versus
Approach To The Patient with Chronic Diarrhea
Approach To The Patient with Chronic Diarrhea Objectives Identify the common sources of chronic diarrhea including irritable bowel syndrome, inflammatory bowel disease, microscopic colitis, pancreatic
Christina Tennyson, M.D. Division of Gastroenterology
Diarrhea Christina Tennyson, M.D. Assistant Professor of Medicine Division of Gastroenterology Columbia University DIARRHEA Symptom: stool frequency, liquidity Sign: > 200-250 g/day Acute Chronic Time
2/26/2009. Diarrhea. Christina Tennyson, M.D. Assistant Professor of Medicine Division of Gastroenterology Columbia University
Diarrhea Christina Tennyson, M.D. Assistant Professor of Medicine Division of Gastroenterology Columbia University 1 Symptom: Sign: DIARRHEA stool frequency, liquidity > 200-250 g/day Acute Chronic Time
Malabsorption: etiology, pathogenesis and evaluation
Malabsorption: etiology, pathogenesis and evaluation Peter HR Green NORMAL ABSORPTION Coordination of gastric, small intestinal, pancreatic and biliary function Multiple mechanisms Fat protein carbohydrate
CHRONIC DIARRHEA DR. PHILIP K. BLUSTEIN M.D. F.R.C.P.(C) DEFINITION: *LOOSE, WATERY STOOLS *MORE THAN 3 TIMES A DAY *FOR MORE THAN 4 WEEKS
DR. PHILIP K. BLUSTEIN M.D. F.R.C.P.(C) 415 14 TH ST. NW. CALGARY AB T2N2A1 PHONE (403) 270-9555 FAX (403) 270-7479 CHRONIC DIARRHEA DEFINITION: *LOOSE, WATERY STOOLS *MORE THAN 3 TIMES A DAY *FOR MORE
Esophageal Disorders. Gastrointestinal Diseases. Peptic Ulcer Disease. Wireless capsule endoscopy. Diseases of the Small Intestine 7/24/2010
Esophageal Disorders Gastrointestinal Diseases Fernando Vega, MD HIHIM 409 Dysphagia Difficulty Swallowing and passing food from mouth via the esophagus Diagnostic aids: Endoscopy, Barium x ray, Cineradiology,
Digestion and Absorption
Digestion and Absorption Digestion and Absorption Digestion is a process essential for the conversion of food into a small and simple form. Mechanical digestion by mastication and swallowing Chemical digestion
Saliva & Feces analysis
Saliva & Feces analysis Saliva analysis What is Saliva? Watery substance present in humans and animals and secreted by salivary glands and aids in digestion It is a filtrate of plasma Contains electrolytes,
Chronic Diarrhea. Barbara McElhanon, MD Subra Kugathasan, MD. Emory University School of Medicine. Resident Education Series
Chronic Diarrhea Barbara McElhanon, MD Subra Kugathasan, MD Emory University School of Medicine 2013 Resident Education Series Reviewed by Edward Hoffenberg, MD of the Professional Education Committee
Malabsorption is characterized by defective absorption of: Fats fat- and water-soluble vitamins Proteins Carbohydrates Electrolytes Minerals water
Malabsorption Malabsorption is characterized by defective absorption of: Fats fat- and water-soluble vitamins Proteins Carbohydrates Electrolytes Minerals water presents most commonly as chronic diarrhea
Chronic Diarrhea. Christina Surawicz, MD, MACG Professor of Medicine University of Washington. Annual ACG Postgraduate Course
Chronic Diarrhea Christina Surawicz, MD, MACG Professor of Medicine University of Washington Annual ACG Postgraduate Course Oct. 30, 2011 Diagnostic Approach to Chronic Diarrhea Bloody Fatty Watery 1 Diarrhea
Lower Gastrointestinal Tract KNH 406
Lower Gastrointestinal Tract KNH 406 Lower GI Tract A&P Small Intestine Anatomy Duodenum, jejunum, ileum Maximum surface area for digestion and absorption Specialized enterocytes from stem cells of crypts
What location in the gastrointestinal (GI) tract has tight, or impermeable, junctions between the epithelial cells?
CASE 32 A 17-year-old boy presents to his primary care physician with complaints of diarrhea for the last 2 days. The patient states that he just returned to the United States after visiting relatives
Pediatric Gastroenterology Referral Guidelines
Suggested Pre-Referral Workup This is a general suggestion of possible testing to confirm a suspected diagnosis. Although referrals will be accepted without the suggested work up being complete, to ensure
Chronic Diarrhea. Objectives: Team Members: Nada Alsomali, Lama AlTamimi, Muneerah alzayed, Basel Almeflh and Mohammed Nasr
Chronic Diarrhea Objectives: To have an overview regarding chronic diarrhea: Definition - Pathophysiology - Classification - Approach To discuss common causes of chronic diarrhea: Celiac Disease - Whipple
Ever wonder what s really happening on the inside?
For Practitioners Ever wonder what s really happening on the inside? Are your patients suffering from diarrhea, constipation, bloating, gas or indigestion? Rocky Mountain Analytical is now offering Gut-Well
SIBO
SIBO What is it? Small Intestinal Bowel Overgrowth A chronic bacterial infection of the small intestine Caused by bad bacteria such as E Coli and Clostridium migrating to the small intestine There is not
Biomarkers of GI tract diseases. By Dr. Gouse Mohiddin Shaik
By Dr. Gouse Mohiddin Shaik Introduction The gastrointestinal (GI) tract is a complex system performing multiple biological functions which are anatomically distributed Site for food processing and absorption
PERSISTENT DIARRHOEA. IAP UG Teaching slides
PERSISTENT DIARRHOEA 1 DEFINITION Prolongation of acute diarrhoea / dysentery for more than 14 days Generally associated with weight loss. 2 PROTRACTED DIARRHOEA Prolongation of acute diarrhoea or dysentery
Chronic Diarrhea in Dogs
Chronic Diarrhea in Dogs Basics OVERVIEW A change in the frequency, consistency, and volume of bowel movement (feces) for more than 3 weeks Can be either small bowel (small intestine) diarrhea, large bowel
Inflammatory Bowel Disease When is diarrhea not just diarrhea?
Inflammatory Bowel Disease When is diarrhea not just diarrhea? Jackie Kazik, MA, PA C CME Resources CAPA Annual Conference, 2011 Inflammatory Bowel Disease Objectives Discuss what is known about the pathophysiology
TEST PATIENT. Date of Birth : 12-Jan-1999 Sex : M Collected : 25-Oct TEST DRIVE. Lab id :
COMPLETE DIGESTIVE STOOL ANALYSIS - Level 2 MACROSCOPIC DESCRIPTION Stool Colour Brown Brown Colour - Brown is the colour of normal stool. Other colours may indicate abnormal GIT conditions. Stool Form
Hompes Method. Practitioner Training Level II. Lesson Seven Part A DRG Pathogen Plus Interpretation
Hompes Method Practitioner Training Level II Lesson Seven Part A DRG Pathogen Plus Interpretation Health for the People Ltd not for reuse without expressed permission Hompes Method is a trading name of
IBD 101. Ronen Stein, MD Assistant Professor of Clinical Pediatrics Division of Gastroenterology, Hepatology, and Nutrition
IBD 101 Ronen Stein, MD Assistant Professor of Clinical Pediatrics Division of Gastroenterology, Hepatology, and Nutrition Objectives Identify factors involved in the development of inflammatory bowel
Done By : shady soghayr
Done By : shady soghayr Malabsorption Malabsorption is characterized by defective absorption of: Fats fat- and water-soluble vitamins Proteins Carbohydrates Electrolytes Minerals Water presents most commonly
Gastroenterology. Certification Examination Blueprint. Purpose of the exam
Gastroenterology Certification Examination Blueprint Purpose of the exam The exam is designed to evaluate the knowledge, diagnostic reasoning, and clinical judgment skills expected of the certified gastroenterologist
Diarrhoea Mashiko Setshedi 01 Feb Practical Diagnostic Approach to Chronic
Diarrhoea Mashiko Setshedi 01 Feb 2019 Practical Diagnostic Approach to Chronic Overview Chronic diarrhoea is common (3-5% of population) Considerable diagnostic challenge Several hundred possible differential
Bloating, Flatulence, and
A 45-Year-Old Man With Recurrent Abdominal Pain, Bloating, Flatulence, and Intermittent Loose Stools Anthony J. Lembo, MD Associate Professor of Medicine Harvard Medical School Director, GI Motility Laboratory
Integrating Novel Diagnostic Strategies into Practice: Key Points. Stanley Cohen, MD Emory University Atlanta, Georgia
Integrating Novel Diagnostic Strategies into Practice: Key Points Stanley Cohen, MD Emory University Atlanta, Georgia Disclosure Research: Janssen, Covidien/Medtronics, AbbVie, AstraZeneca and QOL Speaker:
Introduction. 1ry causes. 2ry to intestinal causes. Causes. Drugs. Clinical manifestation
Introduction Malabsorption syndrome The main purpose of the GIT is to digest and absorb 1. Nutrients à fat, CHO, and protein 2. Micronutrients à Vitamin and trace minerals 3. Water and electrolyte Process
IBD 101. Ronen Stein, MD Assistant Professor of Clinical Pediatrics Division of Gastroenterology, Hepatology, and Nutrition
IBD 101 Ronen Stein, MD Assistant Professor of Clinical Pediatrics Division of Gastroenterology, Hepatology, and Nutrition Objectives Identify factors involved in the development of inflammatory bowel
Tips for Managing Celiac Disease. Robert Berger MD FRCPC Gastroenterology New Brunswick Internal Medicine Update April 22, 2016
Tips for Managing Celiac Disease Robert Berger MD FRCPC Gastroenterology New Brunswick Internal Medicine Update April 22, 2016 Disclosures None relevant to this presentation Objectives Briefly review the
Celiac Disease. M. Nedim Ince, MD University of Iowa Hospital
Celiac Disease M. Nedim Ince, MD University of Iowa Hospital Contents Cases Definition Etiopathogenesis Pathology Diagnosis Management of the disease Management of complications Case I Five year old boy
DISORDERS OF THE SMALL INTESTINE MALABSORPTION SYNDROMES I.
DISORDERS OF THE SMALL INTESTINE MALABSORPTION SYNDROMES I. Gyula Mózsik M. D., Sc. D.(med.) University of Pécs 2008 DEFINITIONS: These medical symptomes include all of the clinical pictures in patients
3/22/2011. Inflammatory Bowel Disease. Inflammatory Bowel Disease Objectives: Appendicitis. Lemone and Burke Chapter 26
Inflammatory Bowel Disease Lemone and Burke Chapter 26 Inflammatory Bowel Disease Objectives: Discuss etiology, patho and clinical manifestations of Appendicitis Peritonitis Ulcerative Colitis Crohn s
Digestion: Small and Large Intestines Pathology
Digestion: Small and Large Intestines Pathology Dr. Ritamarie Loscalzo Medical Disclaimer: The information in this presentation is not intended to replace a one onone relationship with a qualified health
Fecal incontinence causes 196 epidemiology 8 treatment 196
Subject Index Achalasia course 93 differential diagnosis 93 esophageal dysphagia 92 95 etiology 92, 93 treatment 93 95 work-up 93 Aminosalicylates, pharmacokinetics and aging effects 36 Antibiotics diarrhea
NOTES: The Digestive System (Ch 14, part 2)
NOTES: The Digestive System (Ch 14, part 2) PANCREAS Structure of the pancreas: The pancreas produces PANCREATIC JUICE that is then secreted into a pancreatic duct. The PANCREATIC DUCT leads to the The
COMPLETE DIGESTIVE STOOL ANALYSIS - Level 2
COMPLETE DIGESTIVE STOOL ANALYSIS - Level 2 MACROSCOPIC DESCRIPTION Stool Colour Brown Brown Colour - Brown is the colour of normal stool. Other colours may indicate abnormal GIT conditions. Stool Form
Gastroporesis or Leaky Gut
Dr Wendy Wells 8595 E Bell Rd D101 Scottsdale, AZ 85260 (480) 607-0299 Gastroporesis or Leaky Gut From the mouth to anus is an enfolding of our skin. As you know, our skin contains a layer of cells and
Series Editors: Daniel Kamin, MD and Christine Waasdorp Hurtado, MD
NASPGHAN Physiology Lecture Series GI Physiology Module: Absorption of Water and Ions Jason Soden, MD Reviewers: George Fuchs MD: UAMS College of Medicine / Arkansas Children s Hospital Wayne Lencer MD:
Objectives. Basic Mechanisms Responsible for Clinically Significant Diarrhea. Effects of NET and GI Consideration 11/2/2015
Objectives Leigh Anne Burns, MS, RD, LDN Oncology Nutritionist LSUHSC School of Medicine New Orleans Ochsner Kenner Neuroendocrine Tumor Clinic Provide a Brief overview of Neuroendocrine tumors and Symptoms
Diarrhoea in children.
Diarrhoea in children www.who.int http://learnpediatrics.sites.olt.ubc.ca Diarrhoea in children Diarrhoea is defined as the passage of three or more loose or liquid stools per day (or more frequent passage
University Medical Center at Brackenridge. Gastroenterology Clinic Worksheet
Gastroenterology Clinic Worksheet 1. GI Bleeding (occult or symptomatic) a. CBC b. Iron, Ferritin b. Medication history 2. Iron Deficiency Anemia and no evident source (if no iron deficiency consider hematological
Diagnosis of chronic Pancreatitis. Christoph Beglinger, University Hospital Basel, Switzerland
Diagnosis of chronic Pancreatitis Christoph Beglinger, University Hospital Basel, Switzerland Pancreatitis Pancreas Pancreas - an organ that makes bicarbonate to neutralize gastric acid, enzymes to digest
PEDIATRIC INFLAMMATORY BOWEL DISEASE
PEDIATRIC INFLAMMATORY BOWEL DISEASE Alexis Rodriguez, MD Pediatric Gastroenterology Advocate Children s Hospital Disclosers Abbott Nutrition - Speaker Inflammatory Bowel Disease Chronic inflammatory disease
Adams Memorial Hospital Decatur, Indiana EXPLANATION OF LABORATORY TESTS
Adams Memorial Hospital Decatur, Indiana EXPLANATION OF LABORATORY TESTS Your health is important to us! The test descriptions listed below are for educational purposes only. Laboratory test interpretation
Inflammatory Bowel Disease
+ Inflammatory Bowel Disease Christina Kalafsky, Dietetic Intern University of Maryland College Park Children s National Medical Center Case Study January 31, 2014 + Outline n Inflammatory Bowel Disease
Unintentional Weight Loss. Prof. G. Zuliani
Unintentional Weight Loss Prof. G. Zuliani Is weight loss clinically important? Definition Clinically important weight loss can be defined as loss of >5 kg, or >5% of usual weight over a period of 3 months,
Nutritional assessments and diagnosis of digestive disorders
Nutritional assessments and diagnosis of digestive disorders AASER ABDELAZIM Assistant professor of Medical Biochemistry Zagazig University, Egypt University of Bisha, KSA aaserabdelazim@yahoo.com 7 Mal
The Primary Functional Diagnosis of the G.I. & Biliary System
Functional Physiology, Dysfunctions, and Assessments of the G.I. and Gallbladder a 3-part Webinar Series The Functional Diagnosis Webinars With DR. DICKEN WEATHERBY Creator of the Blood Chemistry Software
Diarrhea. Donald P. Kotler, MD
Diarrhea Donald P. Kotler, MD 1 1 2 2 3 3 Intestinal mucosa Large surface area Stable ionic microenvironment Epithelial cell turnover Epithelial cell maturation Structural and functional adaptations Epithelial
Diarrhea. Donald P. Kotler, MD
Diarrhea Donald P. Kotler, MD 1 1 Intestinal mucosa Large surface area Stable ionic microenvironment Epithelial cell turnover Epithelial cell maturation Structural and functional adaptations Epithelial
Treatment of Inflammatory Bowel Disease. Michael Weiss MD, FACG
Treatment of Inflammatory Bowel Disease Michael Weiss MD, FACG What is IBD? IBD is an immune-mediated chronic intestinal disorder, characterized by chronic or relapsing inflammation within the GI tract.
Dr Alasdair Patrick Gastroenterologist
Dr Alasdair Patrick Gastroenterologist Brand new facility in Remuera 5 Gastroenterologists Upper GI surgeons Lower GI surgeons Dietician Psychologist Clinical nurse specialists Comprehensive digestive
GASTROENTEROLOGY Maintenance of Certification (MOC) Examination Blueprint
GASTROENTEROLOGY Maintenance of Certification (MOC) Examination Blueprint ABIM invites diplomates to help develop the Gastroenterology MOC exam blueprint Based on feedback from physicians that MOC assessments
Gastroenterology. 3. Which of the following clotting factors is dependent on Vitamin K? a) II b) VII c) IX d) X e) All of the above
Gastroenterology 1. Which one of the following is not a symptom of Vitamin A deficiency? a) Keratomalacia b) Poor wound healing c) Osteomalacia d) Night blindness 2. Which one of the following is not a
Malabsorption Syndromes in Children
Malabsorption Syndromes in Children Oxana Turcu, PhD, assistant professor Department of Pediatrics Malabsorption syndromes include a number of different clinical manifestations, that result in chronic
Digestive System. Why do we need to eat? Growth Maintenance (repair tissue) Energy
Digestive System Why do we need to eat? Growth Maintenance (repair tissue) Energy Nutrients Nutrient = chemical that must be obtained by an organism from it s environment in order to survive; nutrients
Chapter 32 Gastroenterology General Pathophysiology General Risk Factors for GI emergencies: Excessive Consumption Excessive Smoking Increased
1 2 3 4 5 6 7 Chapter 32 Gastroenterology General Pathophysiology General Risk Factors for GI emergencies: Excessive Consumption Excessive Smoking Increased Ingestion of Caustic Substances Poor Bowel Habits
COMPLETE DIGESTIVE STOOL ANALYSIS - Level 5
COMPLETE DIGESTIVE STOOL ANALYSIS - Level 5 MACROSCOPIC DESCRIPTION Stool Colour Brown Result Range Brown Markers Colour - Brown is the colour of normal stool. Other colours may indicate abnormal GIT conditions.
1. 2.
Enteropathies (EP) 1. 2. Enzymopathies (2): - Genetic factors Parasitic invasion Radiation Toxic substances incl. medicines Primary diseases of other organs and/or systems Diet and nutritional quality
Chapter 34. Nursing Care of Patients with Lower Gastrointestinal Disorders
Chapter 34 Nursing Care of Patients with Lower Gastrointestinal Disorders Lower Gastrointestinal System Small Intestines Large Intestines Rectum Anus Constipation Fecal Mass Held In Rectum Feces Become
ROLE OF THE GUT BACTERIA
ROLE OF THE GUT BACTERIA Our Good Bacteria In a perfect world, we would all have a proper ratio of good bacteria And what could this proper ratio do for us? The knowledge of the connections between our
Digestion. Intake and assimilation of nutrients Elimination of waste Eating Required physically Pleasurable Social Emotional
Digestive System 1 Digestion Intake and assimilation of nutrients Elimination of waste Eating Required physically Pleasurable Social Emotional Food behaviors can become just as addictive as any other pleasurable
Functional Blood Chemistry & CBC Analysis
Functional Blood Chemistry & CBC Analysis Session 11 Immune Markers Immune Dysfunctions Immune Deficiency, Allergies, Immune Over Activity Causes of Immune Dysregulation External Influences Pharmaceutical
Digestive System. How your body obtains nutrients. Wednesday, March 2, 16
Digestive System How your body obtains nutrients Vocabulary Ingestion: food enters the system Physical and enzymatic breakdown begins Digestion: Further breakdown Chemical/enzymatic Vocabulary Absorption:
Laboratory assessment of nutritional status in children
Laboratory assessment of nutritional status in children Dr O Kiabilua Block 10 Chemical Pathology department University of Pretoria Malnutrition CHO, proteins, lipids,vitamins, mineral and trace elements
Good Morning! Thursday, February 5, 2015
Good Morning! Thursday, February 5, 2015 Prep! A 12-year-old boy is brought to the emergency department by emergency medical services after sustaining a lower leg injury sliding into home plate during
Is one of the most common chronic disorders. causing patients to seek medical treatment.
ILOs After this lecture you should be able to : Define IBS Identify causes and risk factors of IBS Determine the appropriate therapeutic options for IBS Is one of the most common chronic disorders causing
Level 2. Non Responsive Celiac Disease KEY POINTS:
Level 2 Non Responsive Celiac Disease KEY POINTS: Celiac Disease (CD) is an autoimmune condition triggered by ingestion of gluten leading to intestinal damage and a variety of clinical manifestations.
Victor Tambunan Department of Nutrition Faculty of Medicine Universitas Indonesia
Victor Tambunan Department of Nutrition Faculty of Medicine Universitas Indonesia 1 References Krause s Food & Nutrition Therapy 12th ed., 2008 ---- L.K. Mahan & S. Escott-Stump Modern Nutrition in Health
Domain 1b Appendix Example Stephen Hines
Domain 1b Appendix Example Stephen Hines The Characterization / Sorting Exercise INSTRUCTIONS: 1. If it s not already done for you, cut along the dotted lines to create 3 sets of colored cards Clinical
Chronic Abdominal Pain. Dr. Robert B. Smith Tupelo Digestive Health Specialists August 26, 2016
Chronic Abdominal Pain Dr. Robert B. Smith Tupelo Digestive Health Specialists August 26, 2016 Disclosures Speaker Bureau for Allergan Pharmaceuticals Abdominal Pain - Definitions Acute occurring for several
Irritable Bowel Syndrome Now. George M. Logan, MD Friday, May 5, :35 4:05 PM
Irritable Bowel Syndrome Now George M. Logan, MD Friday, May 5, 2017 3:35 4:05 PM Dr. Logan indicated no potential conflict of interest to this presentation. He does not intend to discuss any unapproved/investigative
Yao Rong, MD, PhD. Emergency Department of West China Hospital
Yao Rong, MD, PhD Emergency Department of West China Hospital Diarrhea Normal : Stool weight : 100 ~ 200 g bowel frequency : 3 times a week ~ 3 times a day 2 Diarrhea An increase in the volume of stool
Protectives and Adsorbents. Inorganic chemistry Course 1 Third year Assist. Lecturer Ahlam A. Shafeeq MSc. Pharmaceutical chemistry
Protectives and Adsorbents Inorganic chemistry Course 1 Third year 2016-2017 Assist. Lecturer Ahlam A. Shafeeq MSc. Pharmaceutical chemistry Protectives and Adsorbents This group of gastrointestinal agents
Acute and chronic diarrhea. Zdeněk Fryšák 3. Internal clinic, NRE University Hospital Olomouc
Acute and chronic diarrhea Zdeněk Fryšák 3. Internal clinic, NRE University Hospital Olomouc Learning Objectives Define acute vs. chronic diarrhea etiologies Create a differential diagnosis for each type
Lower GI bleeding. Aliu Sanni, MD Long Island College Hospital 17 th June, 2010
Lower GI bleeding Aliu Sanni, MD Long Island College Hospital 17 th June, 2010 Case Presentation CC: Hematochezia HPI: 28yr old male presents with 1 day episode of bloody stools. Denies any abdominal pain.
IBS - Definition. Chronic functional disorder of GI generally characterized by:
IBS - Definition Chronic functional disorder of GI generally characterized by: 3500 3000 No. of Publications 2500 2000 1500 1000 Irritable Bowel syndrome Irritable Bowel Syndrome 500 0 1968-1977 1978-1987
Bacteriology. Mycology. Patient: SAMPLE PATIENT DOB: Sex: MRN: Rare. Rare. Positive. Brown. Negative *NG. Negative
Patient: SAMPLE PATIENT DOB: Sex: MRN: 3.2 0.9-26.8 U/g 1.2 0.2-3.3 mg/g 2.2 1.3-8.6 micromol/g 1.1 1.3-23.7 mg/g 1.1 0.2-3.5 mg/g Rare 1.0 0.2-8.8 mg/g Rare 4.4 2.6-32.4 mg/g 64.6 >= 13.6 micromol/g Bacteriology
Diarrhoea. What actually happens The physiology of diarrhoea. What is diarrhoea?
Diarrhoea What is diarrhoea? People say they have diarrhoea when their bowel movements are more frequent or looser, sloppier or more watery than usual. There is a considerable range in frequency and consistency
PMH: DM HTN Colon cancer s/p left hemicolectomy, chemo Now with mets to liver and peritoneum. Restarted on chemo 2/4/13 oxaliplatin, cepecitabine
3.5.2013 75 y.o M with PMH of HTN, DM II with nephropathy, CKD stage III(b/l cr 1.5), colon cancer s/p hemicolectomy (8/2011) now with recurrence and mets to liver and peritoneum undergoing chemo at woodhull,
Diarrhoea on the AMU. Dr Chris Roseveare
Diarrhoea on the AMU Dr Chris Roseveare The Society for Acute Medicine, Spring Meeting, Radisson Blu Hotel, Dublin 3-4 May 2012 Acute diarrhoea in developed countries adult populations Mainly a primary
Objectives. Pain Types Brief Review. Referred Pain. Chronic/Recurrent Abdominal Pain 1/12/2017. I have no conflicts of interest to disclose
Joshua D Noe, MD Associate Professor of Pediatric Gastroenterology Hepatology and Nutrition Medical College of Wisconsin I have no conflicts of interest to disclose Objectives Differentiate functional
GASTROENTEROLOGY ESSENTIALS
GASTROENTEROLOGY ESSENTIALS Practical Gastroenterology 8/25/2018 Jahnavi Koppala, MBBS Abdullah Abdussalam, MD A 48-year-old male was evaluated for noncardiac chest pain. Treatment with PPI twice daily
Coeliac Disease Bible Class Questions and Answers
Coeliac Disease Bible Class Questions and Answers Jan Hendrik Niess What is the definition of coeliac disease? Coeliac disease is an immune reaction to gluten (wheat, barely, rye) in an genetic predisposed
Nutritional assessment in clinical practice. What to measure?
Nutritional assessment in clinical practice. What to measure? Nicolette Wierdsma PhD RD Dietitian VU University medical center, specialized in gastroenterology diseases and nutritional diagnostics and
-2002: Rectal blood loss, UC? (no definite diagnosis) rectal mesalazine. -June 2008: Recurrence of rectal blood loss and urgency
SD, male 40 yrs. old. (680718M467.) -2002: Rectal blood loss, UC? (no definite diagnosis) rectal mesalazine -June 2008: Recurrence of rectal blood loss and urgency Total colonoscopy: ulcerative rectitis,
Drugs Affecting the Gastrointestinal System. Antidiarrheal and Laxatives
Drugs Affecting the Gastrointestinal System Antidiarrheal and Laxatives Diarrhea Abnormal frequent passage of loose stools or Abnormal passage of stools with increased frequency, fluidity, and weight,
Irritable Bowel Syndrome
Irritable Bowel Syndrome Irritable Bowel Syndrome Jeffrey Jump, MD CHI Memorial Integrative Medicine Associates Jeffrey_jump@memorial.org Chronic abdominal pain and altered bowel function in the absence
OST575 Course Schedule US2017
OST575 Course Schedule US2017 Updated 6/14/17 SG EXAM 1 LIVE & ONLINE LECTURE CONTENT 5/15/17 1:00-1:50PM ONLINE 28:27 1. Anatomy: Esophagus/Stomach Pratt 5/17/17 9:00-9:50AM EL E105 2. Introduction to
F A M N O P R S ! D !
A B C D E F A M N O P Q G H I J R S T U V 595 W http://www.encognitive.com/images/digestive-system-2.jpg K L M A N B C O P D E F G D Q R H S I J K http://apbrwww5.apsu.edu/thompsonj/anatomy%20&%20physiology/2020/2020%20exam%20reviews/exam%203/colon%20diagram.jpgd
New Directions in Lactose Intolerance: Moving from Science to Solutions
New Directions in Lactose Intolerance: Moving from Science to Solutions PAPANDREOU DIMITRIOS, PhD, MS., RD. Ass. Professor of Nutrition, University of Nicosia A Barrier to Dairy Consumption Lactose intolerance
Understanding & Alleviating Constipation. Living (Well!) with Gastroparesis Program Warm-Up Class
Understanding & Alleviating Constipation Living (Well!) with Gastroparesis Program Warm-Up Class Please Remember The information presented is for educational purposes only and is in no way intended as
TEST PATIENT. Date of Birth : 04-Jan-2002 Sex : M Collected : 26-Oct TEST STREET. TEST SUBURB VIC 3000 Lab id :
COMPLETE DIGESTIVE STOOL ANALYSIS - Level 4+ MACROSCOPIC DESCRIPTION Stool Colour Brown Brown Colour - Brown is the colour of normal stool. Other colours may indicate abnormal GIT conditions. Stool Form
ANATOMY & PHYSIOLOGY ONLINE COURSE - SESSION 13 THE DIGESTIVE SYSTEM
ANATOMY & PHYSIOLOGY ONLINE COURSE - SESSION 13 THE DIGESTIVE SYSTEM The digestive system also known as the alimentary canal or gastrointestinal tract consists of a series of hollow organs joined in a
ASPEN MOUNTAIN MEDICAL CENTER. Lab Health Fair
ASPEN MOUNTAIN MEDICAL CENTER Lab Health Fair GENERAL HEALTH PANEL: CMP CMP The Comprehensive Metabolic Panel is used as a broad screening tool to evaluate organ function and check for conditions such
DIGESTIVE SYSTEM. Unit 2: Cells & Systems
DIGESTIVE SYSTEM Unit 2: Cells & Systems CRACKER DIGESTION OBSERVATION Write down your observations: 1) What does it feel like initially (at the beginning)? 2) What does it feel like after 1 minutes in