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Manual 1-400 - Comunidad de Madrid

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Gastroenteritis aguda. Diarrea 509<br />

Diarrea crónica > 4 semanas<br />

Sí<br />

Enfermedad<br />

inflamatoria<br />

intestinal,<br />

Intolerancia<br />

a PLV<br />

Sí<br />

Deposiciones con sangre<br />

No<br />

Síndrome intestino<br />

irritable, malabsorción,<br />

inmuno<strong>de</strong>ficiencias,<br />

enfermedad inflamatoria<br />

intestinal, intolerancia<br />

primaria a la lactosa.<br />

Sí<br />

No<br />

Defensa abdominal o historia<br />

<strong>de</strong> dolor abdominal<br />

Absceso<br />

apendicular<br />

No<br />

GEA<br />

bacterias/parásitos<br />

ALGORITMO 2. Algoritmo diagnóstico <strong>de</strong> la diarrea crónica.<br />

BIBLIOGRAFÍA<br />

1. Szajewska H, Dziechciarz P. Gastrointestinal infections in the pediatric population.<br />

Current Opinion in Gastroenterology. Nov 2009, 25: 000-000.<br />

2. King CK, Glass R, Bresee JS. Managing acute gastroenteritis among children.<br />

Oral rehydration, maintenance and nutritional therapy. MMWR. Recomm Rep.<br />

2003 Nov 21; 52 (RR-16): 1-16.<br />

3. Matson DO. Epi<strong>de</strong>miology, pathogenesis, clinical presentation and diagnosis of<br />

viral gastroenteritis in children. Revision in uptodate.<br />

4. Fleisher GR. Evaluation of diarrhea in children. Revision in uptodate.

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