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Podcast #288: Diarrhea

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Manage episode 195354939 series 1397179
Content provided by medicalminute and Emergency Medical Minute. All podcast content including episodes, graphics, and podcast descriptions are uploaded and provided directly by medicalminute and Emergency Medical Minute or their podcast platform partner. If you believe someone is using your copyrighted work without your permission, you can follow the process outlined here https://player.fm/legal.

Author: Peter Bakes, M.D.

Educational Pearls

  • Chronic diarrhea is defined as 3 or more loose, watery stools lasting more than 2-3 weeks.
  • Look for clues in the history, including travel (could suggest infectious etiology), antibiotic use (could suggest C. Diff), and family history.
  • Irritable Bowel Disease (Crohn’s/Ulcerative Colitis) is an autoimmune disorder that affects 1.3 million Americans and is a leading cause of chronic diarrhea.
  • Crohn’s always involves the terminal ileum, but can present anywhere along the GI tract. It causes transmural inflammation of the bowel wall and can lead to adhesions, perforations, and fistulas. Ulcerative colitis usually involves the rectum and causes mucosal inflammation only.
  • Workup for IBD includes colonoscopy and tissue biopsy.
  • Treatment for IBD includes dietary changes, 5-ASA/Mesalamine, steroids, and infliximab (anti-TNF alpha).

References: https://www.aafp.org/afp/2011/1115/p1119.html

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1072 episodes

Artwork

Podcast #288: Diarrhea

Emergency Medical Minute

552 subscribers

published

iconShare
 
Manage episode 195354939 series 1397179
Content provided by medicalminute and Emergency Medical Minute. All podcast content including episodes, graphics, and podcast descriptions are uploaded and provided directly by medicalminute and Emergency Medical Minute or their podcast platform partner. If you believe someone is using your copyrighted work without your permission, you can follow the process outlined here https://player.fm/legal.

Author: Peter Bakes, M.D.

Educational Pearls

  • Chronic diarrhea is defined as 3 or more loose, watery stools lasting more than 2-3 weeks.
  • Look for clues in the history, including travel (could suggest infectious etiology), antibiotic use (could suggest C. Diff), and family history.
  • Irritable Bowel Disease (Crohn’s/Ulcerative Colitis) is an autoimmune disorder that affects 1.3 million Americans and is a leading cause of chronic diarrhea.
  • Crohn’s always involves the terminal ileum, but can present anywhere along the GI tract. It causes transmural inflammation of the bowel wall and can lead to adhesions, perforations, and fistulas. Ulcerative colitis usually involves the rectum and causes mucosal inflammation only.
  • Workup for IBD includes colonoscopy and tissue biopsy.
  • Treatment for IBD includes dietary changes, 5-ASA/Mesalamine, steroids, and infliximab (anti-TNF alpha).

References: https://www.aafp.org/afp/2011/1115/p1119.html

  continue reading

1072 episodes

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