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diagnosis differential causes bowel hematology ibs irritable syndrome thrombocytosis abdominal amylase classification elevated exocrine hyperamylasemia inflammatory insufficiency management pain pancreatic
Chronic Diarrhea Differential Diagnosis • Inflammatory, Infectious: Recurrent C. diff, Giardiasis • Inflammatory, Non-infectious: IBD, Ischemia,
Chronic Diarrhea ... Bacterial overgrowth, Celiac ... disease, Pancreatic ... • Dysmotility: IBS ... Diagnosis #causes #gastroenterology
Irritable Bowel Syndrome (IBS) - Diagnosis and Workup Summary Use a positive diagnostic strategy with minimal testing.
Bowel Syndrome (IBS ... IBS is NOT a diagnosis ... fewer polyps in IBS ... vs non-IBS! ... - Rule out celiac
Causes of Chronic Diarrhea - Differential Diagnosis Osmotic • Food/Drink: Lactose intolerance, Artificial sweeteners (e.g. sorbitol, high
Diarrhea - Differential ... Malabsorptive: • Celiac ... "celiac sprue") ... bowel syndrome (IBS ... #Diarrhea #Causes
Elevated Amylase (Hyperamylasemia)- Differential Diagnosis Algorithm Pancreatic causes: - Pancreatic cancer - Complications pancreatitis: eg pseudocyst -
gland radiation, trauma ... sulindac - Active IBID ... Renal failure / Chronic ... disease / HIV / ... disease, ulcerative
Chronic Abdominal Pain Causes - Differential Diagnosis Framework Many patients with chronic abdominal pain have had prior
• Vomiting, diarrhea ... bowel syndrome • Celiac ... Abdominal hernia • Rib ... poisoning • Celiac ... Differential #Diagnosis #gastroenterology
Causes of Thrombocytosis - Differential Diagnosis Algorithm Spurious: • Artifact (redo CBC) Autonomous: • Essential thrombocytosis • Polycythemia
: • Acute or Chronic ... Inflammatory: • IBD ... disorders • Celiac ... disease Tissue ... Post-op surgery • Trauma
Irritable Bowel Syndrome (IBS) - Pathophysiology, Diagnosis and Management Algorithm Risk factors: Previous acute enteric infection, Female
Bowel Syndrome (IBS ... fibromyalgia, chronic ... cognitions, Abuse Diarrhea ... Pregabalin #IBS ... #gastroenterology
Approach to Thrombocytosis - Elevated Platelet Count - Differential Diagnosis Algorithm Peripheral Smear concerning for malignancy?
hematology for workup ... Vasculitides, IBD ... , Celiac disease ... • Infections: Chronic ... infarction, Severe trauma
Celiac Disease - Diagnosis Algorithm IgA TTG has high sensitivity and specificity of ~ 98% and is
Celiac Disease - ... Diagnosis Algorithm ... in pts with IBS-D ... #Algorithm #gastroenterology ... #workup
Pancreatic Exocrine Insufficiency (PEI) - Diagnostic Algorithm PEI definite: • Total pancreatectomy • Severe chronic pancreatitis •
) - Diagnostic Algorithm ... pancreatectomy • Severe chronic ... Mild and moderate chronic ... PEI unlikely: • IBS ... • Coeliac disease
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