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Algorithm for the Evaluation of Chronic Diarrhea (< 7 days) Exclude: 1. Causes of acute diarrhea 2. Lactose intolerance 3.
Lactose intolerance ... Normal fecal fat: Lactose ... intolerance, Sorbitol, lactulose ... workup #diagnosis #differential
Causes of Chronic Diarrhea - Differential Diagnosis Osmotic • Food/Drink: Lactose intolerance, Artificial sweeteners (e.g. sorbitol, high
Chronic Diarrhea - Differential ... • Food/Drink: Lactose ... Mg hydroxide, Lactulose ... Diarrhea #Causes #Differential
Gram Negative Bacteria Overview Identification Algorithm #Diagnosis #Microbiology #GramNegative #Bacteria #Identification #Differential #Algorithm #Oxidase #Lactose #Urease
Identification #Differential ... Algorithm #Oxidase #Lactose
Algorithm demonstrating identification of aerobic gram negative bacteria #Diagnosis #Microbiology #GramNegative #Bacteria #Identification #Differential #Algorithm #Lactose
Identification #Differential ... #Algorithm #Lactose
Chronic Diarrhea Differential Diagnosis • Inflammatory, Infectious: Recurrent C. diff, Giardiasis • Inflammatory, Non-infectious: IBD, Ischemia,
Chronic Diarrhea Differential ... Radiation • Osmotic: Lactose ... Diarrhea #Chronic #Differential
IBD - Assessment of Lack of Response (sLOR) - Differential Diagnosis Non-inflammatory mechanisms: • IBS • Fibrostenotic
Response (sLOR) - Differential ... diarrhea, SIBO, lactose ... LossOfResponse #Differential
Acute Diarrhea - Differential Diagnosis Framework 1) Diagnostic studies only for dysentery, severe disease, >7 days 2)
Acute Diarrhea - Differential ... abdominal processes, Lactose ... Acute #Diarrhea #Differential
Chronic Diarrhea - Workup Osmotic: • Consider food diary and trial avoiding certain foods or meds, Consider
> 125mOsm/kg, Lactose ... breath test if lactose ... Workup #diagnosis #differential
Chronic Diarrhea - Differential Diagnosis Algorithm Steatorrhea - Maldigestive • Pancreatic Insufficiency - Primary
Chronic Diarrhea - Differential ... bsorption • Lactose ... Diarrhea #SmallBowel #Differential
Lactic Acidosis - Differential Diagnosis Framework Type A: Impaired O2 Delivery (DO2) • Decreased O2 Delivery: Hypotension
Lactic Acidosis - Differential ... Metformin), Linezolid, Lactulose ... Lactic #Acidosis #Differential
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