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"Approach to patient with chronic diarrhea"


Approach to patient with chronic diarrhea

Approach to patient with chronic diarrhea Presented By Ali Alghamdi Medical Student Definition A decrease in fecal consistency for >4 weeks American Gastroenterological Association Types and risk fa..
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pages: 16   size: 87KB    md5: d776c9258fff461cb93b4c25203ac049    
Diarrhea Part II: The Immunosuppressed Patient
Diarrhea Part II: The Immunosuppressed Patient FOR SOME WEIRD REASON Review The Bug Parade Usual pathogens Opportunistic pathogens Weird pathogens Organ Transplants Bottom line: call attending and/o..
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pages: 56   size: 5.2MB    md5: d60d964b910e42830a9fd500c5754a66    
Metabolic Acidosis and Congenital Diarrhea
.. urine implies RTA-1 provision serum HCO will be increased but not to the normal range and Ur-pH will increase gradually Hypokalemia: all filtered K is fully reabsorbed in PT >> urine K is complet..
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pages: 45   size: 1.6MB    md5: 73ab81727f24887920ec04247a3bb3c7    
GASTROENTEROLOGY OBJECTIVES Upon completion, the student ..
.. yearly Mortality of 10%, reasons: Increasing age of population with associated medical problems Over-the-counter treatments, until problem becomes severe Six major identifiable causes of upper GI..
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pages: 111   size: 2.5MB    md5: 1446cd1b02e7b446b9db911929ad76a7    
Diarrhea and constipation Phil Ukrainetz, MD, PGY5
.. of a needle at 25 feet Doc! 25 yr o/w healthy recently returned from Mexico. In his colon he smuggled a friend called shigella back into Canada. Well hydrated, no blood in stool - just having to ..
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pages: 45   size: 351KB    md5: 8d2d96baf6a481ec03ddee916d769a10    
Pathogens causing diarrhoea Diarrhoea
.. Mechanisms and causes Mechanism Examples Preformed Toxin B. cereus, S. aureus ETEC, V. cholerae C. difficile, E. coli O157:H7, Shigella dysenteriae Enteroadherence Cryptosporidium EPEC, EAEC, Gia..
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pages: 29   size: 397KB    md5: e2010e924b13249c8dd8a610f1c4a5e6    
The Poisoned Patient Core Clerkship in Emergency Medicine
.. with altered mental status) Get the best history possible Often unreliable or unobtainable from patient Rely on EMS, bystanders, family members and other physicians Psychiatric files Obtain bottl..
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pages: 47   size: 767KB    md5: baa763179fbc1ce2981e955ed2b42ebb    
 Patient Who Smokes: What to Do?
.. process likely involving CYP2A6 and aldehyde oxidase. Cotinine is further metabolized to 3 -hydroxycotinine, which undergoes renal elimination. However, nicotine, cotinine, and 3 -hydroxycotinine..
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pages: n/a   size: 1.5MB    md5: 2e255f5df60162727ab496bf5985ed11    
David J Leehey, M.D. Professor of Medicine
.. of stones vs. calcium excretion 24h calcium (mg/day) Risk 1.00 150-199 1.52 200-249 1.84 250-299 1.93 300-349 2.68 >350 4.94 Urinary risk factors for calcium stones Hypercalciuria 61 percent, inc..
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pages: 34   size: 150KB    md5: 300bef48e32c01e7d5ba3105879a0260    
.. of respiratory failure requiring intubation and mechanical ventilation Warning Signs of Severe Asthma Hypoxemia (pO2 < 60) Hypercarbia (pCO2 > 45) and acidosis (pH < 7.35) Change in mental status..
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pages: 117   size: 544KB    md5: 0f1f5d462587dff6cb2494dfb3772955    
.. Mental Status Alteration of mental status is the hallmark of CNS injury or illness. Can vary from minor to unconsciousness. This is a state in which the patient cannot be aroused, even by powerfu..
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pages: 134   size: 3.1MB    md5: edfe409a6a15186eea315d3bf8e1a02e    
Peeing is a wonderful thing Acute Hemodialysis
.. requirements Access Bleeding Vomiting, diarrhea, constipation Cramping Ongoing assessments are the integral data How do the bedside assessments affect the management of the patient? The dialysis ..
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pages: 54   size: 2.2MB    md5: 2da3bb12f904af8dba5691072d9bf2f2    
Chronic Visceral Ischemia
.. multiple complications UCSF, 1991 (Cunningham) Usually works because lesions represent overflow disease Distal disease (SMA) Antegrade Bypass Lower morbidity (less extensive surgery) 95.8% 1 year..
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pages: 38   size: 463KB    md5: d68c7df0343d372e53d85ca241158d3d    
.. second RN to get the drug, not even including the time it takes the drug to kick in), Most nursing homes are NOT staffed to be able to give any prn drugs. Low-dose, short-acting opioids Tylenol #..
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pages: 24   size: 99KB    md5: dfab9eb72090ac96963548e967c2a2d6    
Should patients in chronic pain be allowed whatever pain ..
.. plant may have a synergistic effect with THC. Marijuana is the most commonly abused illicit drug in the United States. A dry, shredded green/brown mix of flowers, stems, seeds, and leaves of the ..
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pages: 44   size: 703KB    md5: 516bc58401c73ed8d29c9c78ac0491fc    
Family Violence: Intimate Partner Violence (IPV)
.. you ever been hurt or threatened by your partner? Do you ever feel afraid of (controlled or isolated by) your partner? (sample follow-up questions) Has the violence gotten worse or scarier? Is it..
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pages: 41   size: 1.7MB    md5: bc7960271d5103e3a8eb6019f94042e8    
Practical Approaches Towards Improving Patient Outcomes for ..
.. laxatives according to response prior to changing to an alternative laxative When laxative therapy is inadequate, consider methylnaltrexone A Role for Peripheral opioid Receptor Antagonists? Meth..
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pages: 65   size: 1.7MB    md5: 3252db4dc18a8d9dd280f1719c339038    
A 10 y/o patient was admitted because of high fever ..
.. the United States. Vaccination is indicated for travelers to endemic areas, persons with intimate exposure The following 3 typhoid vaccines are used: Vi capsular polysaccharide (ViCPS) antigen va..
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pages: 52   size: 190KB    md5: ede1a366198b804bac59ad52dbc42538    
General Approach to the Poisoned Patient
.. Acute vs chronic toxicity Acute: more GI symptoms, serum levels may be higher Chronic: fewer GI effects, more serious presentation, even if levels lower than acute LI DX Be suspicious in any pati..
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pages: 49   size: 4.2MB    md5: 0910e43a564bc065f3a05f37da661402    
TB and the Elderly Patient Beth Gadkowski MD MPH MS
.. 2008;50: 263-267. Korzeniewska-Kosela M et al. Tuberculosis in Young Adults and the Elderly. Chest 1994;106:28-32. Lee JH et al. Diagnostic and Therapeutic Problems of Pulmonary Tuberculosis in E..
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pages: 40   size: 2.7MB    md5: 3e9ad6edd9dcd8f0e198f739d65a1e6c    
Nur 4206 The Patient with Digestive Disorders
.. once stabilized Wound healing by secondary intention w/packing and irrigation Upon discharge, teach patient Proper handwashing Wound care may require home health nurse Reporting fever, unusual dr..
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pages: 81   size: 131KB    md5: edbbf24a38c21226ca8d18613a393d6a