Morning Report
Morning Report
Morning Report
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Chronic Diarrhea - Differential<br />
Inflammatory (fever, hematochezia,<br />
abd pain)<br />
• Infectious<br />
• IBD<br />
• Radiation enteritis<br />
• Ischemic colitis<br />
• GVHD<br />
Osmotic (decrease w fasting)<br />
• stool osm gap > 50<br />
• Medications (antacids, lactulose,<br />
sorbitol + many more)<br />
• Antibiotic associated (decrease<br />
fermentation of CHO to organic<br />
acids by normal flora, net decrease<br />
H20 absorption)<br />
• Lactose intolerance<br />
Secretory (no change with fasting, normal<br />
stool osm gap)<br />
• Hormonal (neuroendocrine tumors,<br />
thyroid dx, Addison's, hyperPTH, DM)<br />
• Laxative abuse/stimulants<br />
• Colitis (diverticulitis, collagenous, IBD)<br />
Malassimalation (inc. fecal fat, gap>50)<br />
• celiac, tropical sprue<br />
• whipple's dz<br />
• panc insufficiency<br />
• Bacterial overgrowth<br />
• Short bowel syndrome<br />
Motility/Functional<br />
• IBS<br />
• Rheumatologic (scleraderma)
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