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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 ... Medications 7. ... Normal fecal fat: Lactose ... intolerance, Sorbitol, lactulose
Causes of Chronic Diarrhea - Differential Diagnosis Osmotic • Food/Drink: Lactose intolerance, Artificial sweeteners (e.g. sorbitol, high
• Food/Drink: Lactose ... corn syrup) • Medications ... Mg hydroxide, Lactulose ... Microscopic colitis • Medications ... Tropical sprue • Medications
Chronic Diarrhea Differential Diagnosis • Inflammatory, Infectious: Recurrent C. diff, Giardiasis • Inflammatory, Non-infectious: IBD, Ischemia,
Radiation • Osmotic: Lactose ... intolerance, Medication ... Dysmotility: IBS, Medications
Pharmacologic Management of Constipation Fiber Laxatives - Bran powder - Psyllium - Methylcellulose - Calcium polycarbophil
hydroxide - Lactulose ... #Pharmacology #Medications
Intern Pocket Cards - Inpatient Bowel Regimen Guide Osmotic agents (draws water into bowel, thereby loosening stool
, cramping • Lactulose ... Guide #Inpatient #medications
Acute Diarrhea - Differential Diagnosis Framework 1) Diagnostic studies only for dysentery, severe disease, >7 days 2)
Non-Infectious: Medications ... abdominal processes, Lactose
Causes of Chronic Diarrhea Osmotic Diarrhea 1. Medications: antacids, lactulose, sorbitol 2. Disaccharidase deficiency: lactose intolerance 3.
Medications: antacids ... , lactulose, sorbitol ... Disaccharidase deficiency: lactose ... Medications Inflammatory
Pharmacologic Management of Constipation Commonly used laxatives: • Bulk-forming laxatives - Psyllium, methylcellulose, polycarbophil • Osmotic laxatives
glycol, sorbitol, lactulose ... Management #treatment #medications
Primary and Secondary Causes of Osteoporosis Primary osteoporosis - idiopathic juvenile osteoporosis - postmenopausal
hypercortisolism (steroid medication ... cirrhosis - lactose
Lactulose: Mechanism of Action in Hepatic Encephalopathy Lactulose → ↑ Lactic Acid, Acetic Acid → ↓ pH
Lactulose: Mechanism ... Encephalopathy Lactulose ... EricsMedicalLectures/ #Lactulose
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