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diagnosis differential causes pathophysiology chronic management signs symptoms algorithm nephrology pediatrics peds psychiatry syndrome gastroenterology hypokalemia physical screening workup acidosis
Algorithm for the Evaluation of Chronic Diarrhea (< 7 days) Exclude: 1. Causes of acute diarrhea 2. Lactose intolerance 3.
Evaluation of Chronic Diarrhea ... Causes of acute diarrhea ... gastric surgery or ileal ... lactulose, Laxative abuse ... Secretory laxative abuse
Elder Abuse Caregiver • Substance abuse • Mental illness • Financial dependence on elder • Unemployed •
Elder Abuse Caregiver ... • Substance abuse ... ratios #Elder #Abuse ... #Geriatrics #RiskFactors
Child Presenting with Injury: Indicators of Abuse, Physical Examination, Screening and Management #Diagnosis #Management #Peds #Pediatrics #Physical
Indicators of Abuse ... Pediatrics #Physical #Abuse ... #RiskFactors #Screening
Causes of Pediatric Diarrhea - Differential Diagnosis Algorithm Infectious: • Viral • Bacterial • Parasitic Malabsorption: • Lactase
Causes of Pediatric Diarrhea ... • Toddler's Diarrhea ... Constipation/Overflow Diarrhea ... Drugs • Laxative Abuse ... Bowel Syndrome #Diarrhea
Historical Indicators of Pediatric Physical Abuse: - No/vague explanation for a significant injury - Important detail of the
Pediatric Physical Abuse ... History #Physical #Abuse ... #RiskFactors #Screening
Electrolyte Composition of Body Fluid Losses • Vomiting and nasogastric tube loss • Biliary drain loss
drain loss • Diarrhea ... • High volume ileal ... • Lower volume ileal
Chronic Diarrhea - Differential Diagnosis Algorithm Steatorrhea - Maldigestive • Pancreatic Insufficiency - Primary
Chronic Diarrhea ... Disease • Ileal ... Lymphoma #Chronic #Diarrhea
Burns that are highly concerning for abuse #Diagnosis #Peds #Pediatrics #Burns #Physical #Abuse #RiskFactors #Screening
concerning for abuse ... Burns #Physical #Abuse ... #RiskFactors #Screening
Hypokalemia - Differential Diagnosis Poor Intake - Starvation - Anorexia GI Losses - Vomiting / NG
NG drainage - Diarrhea ... - Laxative abuse
Chronic Diarrhea - Workup Osmotic: • Consider food diary and trial avoiding certain foods or meds, Consider
Chronic Diarrhea ... coli in laxative abuse ... / #Chronic #Diarrhea
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