...
Is there bleeding? The presence of bleeding with pain suggests an anal fissure, hemorrhoids, carcinoma, rectal prolapse, and intussusception.
Is there a mass? ... DIAGNOSTIC WORKUP
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Is there blood in the stool? From the algorithm, blood in the stool should indicate that there is
Salmonella
,
Shigella
,
Campylobacter jejuni
, ulcerative ... DIAGNOSTIC WORKUP
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...
Is there a positive drug or alcohol history? It is well known that alcohol can cause diarrhea, as do drugs in common use, such as digitalis, diuretics, beta-blockers, aspirin, colchicine, and other ... DIAGNOSTIC WORKUP
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Rectal complaints are common and distressing for patients. Although most causes of rectal pain and bleeding are benign and treatable, carcinoma must be considered and ruled out in older patients (>40 years)... Differential Diagnosis ... Workup and Diagnosis ... Treatment
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Diarrhea is defined as an increase in the volume of bowel movements. Acute diarrhea is designated as being of less than 4 weeks’ duration. Many patients describe increased frequency or decreased consistency of bowel... Differential Diagnosis ... Workup and Diagnosis ... Treatment
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Chronic diarrhea is defined as increased volume bowel movements persisting for more than 4 weeks. Mechanisms of diarrhea are categorized as increased secretion, decreased absorption, osmotic diarrhea, or abnormal... Differential Diagnosis ... Workup and Diagnosis ... Treatment
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Chronic diarrhea (nonbloody, without weight loss) is defined as increased total daily stool output (greater than 10 g/kg/day), associated with increased stool water content; diarrhea is classified as chronic when it lasts longer... Differential Diagnosis ... Workup and Diagnosis ... Treatment
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Diarrhea is considered chronic when it last longer than 14 days. Weight loss with diarrhea should always be concerning and deserves thorough investigation. Collectively the malabsorption syndromes are the most common etiologic... Differential Diagnosis ... Workup and Diagnosis ... Treatment
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Acute diarrhea is an abrupt onset of increased fluid content of stool above about 10 mL/kg/day and increased frequency from 4–5 to more than 20 times daily. It is a major problem worldwide because of... Differential Diagnosis ... Workup and Diagnosis ... Treatment
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... The differential diagnosis of diarrhea may be approached from either an anatomic or a physiologic basis. The anatomic approach is used in Table 22. In the stomach and duodenum,
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... Practically the whole specialty of proctology is devoted to taking care of patients with rectal pain. To develop the differential diagnosis it is useful first to divide the conditions into extrinsic and
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... Usually a chief sign of an intestinal disorder, diarrhea is an increase in the volume of stools compared with the patient's normal bowel habits. It varies in severity and may be... History and physical examination ... Medical causes ... Other causes ... Special considerations ... Pictures
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... A common symptom of anorectal disorders, rectal pain is discomfort that arises in the anorectal area. Although the anal canal is separated from the rest of the rectum by the internal sphincter, the patient may... History and physical examination ... Medical causes ... Special considerations ... Pediatric pointers ... Geriatric pointers
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... Acute Diarrhea
Infections
Viral gastroenteritis (adenovirus, Norwalk agent, rotavirus, etc.)
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Diarrhea
(Professional Guide to Signs & Symptoms (Fifth Edition))
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... Usually a chief sign of an intestinal disorder, diarrhea is an increase in the volume of stools compared with the patient’s normal bowel elimination habits. It varies in severity and may be acute or chronic.... Emergency interventions ... History and physical examination ... Medical causes ... Other causes ... Special considerations ... Pediatric pointers ... Geriatric pointers ... Patient counseling ... Pictures
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... A common symptom of anorectal disorders, rectal pain is discomfort that arises in the anorectal area. Although the anal canal is separated from the rest of the rectum by the internal sphincter, the patient may refer... History and physical examination ... Medical causes ... Other causes ... Special considerations ... Pediatric pointers ... Geriatric pointers ... Patient counseling
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Diarrhea
(The 10-Minute Diagnosis Manual: Symptoms and Signs in the Time-Limited Encounter)
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... Francis G. O’Connor
Diarrhea is one of the most common clinical complaints encountered by primary care providers. Although diarrhea infrequently requires a... Approach ... History ... Physical examination ... Testing (5) ... Diagnostic assessment ... Pictures
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... Differential Overview
❑ Hemorrhoid
❑ Rectal fissure
❑ Prostatitis
❑ Anal fistula ... Diagnostic Approach ... Clinical Findings
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... Differential Overview
❑ Viral gastroenteritis
❑ Staphylococcal enterotoxin
❑ E. coli
❑ Salmonella ... Diagnostic Approach ... Clinical Findings ... Pictures
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... Differential Overview
Altered Intestinal Motility
❑ Irritable bowel syndrome
❑ Diabetic enteropathy ... Diagnostic Approach ... Clinical Findings
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Diarrhea
(Alarming Signs and Symptoms: Lippincott Manual of Nursing Practice Series)
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... Usually a chief sign of an intestinal disorder, diarrhea is an increase in the volume of stools compared with the patient’s normal bowel habits. It varies in severity and may be acute or chronic. Acute diarrhea may result from acute... Assessment ... History ... Physical examination ... Pediatric pointers ... Geriatric pointers ... Medical causes ... Other causes ... Nursing considerations ... Patient teaching ... Pictures
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... Usually a chief sign of an intestinal disorder, diarrhea is an increase in the volume of stools compared with the patient’s normal bowel habits. It varies in severity and may be acute or chronic. Acute diarrhea may... Emergency Actions ... History ... Physical assessment ... Medical causes ... Other causes ... Special considerations ... Pediatric pointers ... Geriatric pointers ... Patient counseling ... Pictures
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... A common symptom of anorectal disorders, rectal pain is discomfort that arises in the anorectal area. Although the anal canal is separated from the rest of the rectum by the internal sphincter, the... History ... Physical assessment ... Medical causes ... Other causes ... Special considerations ... Pediatric pointers ... Geriatric pointers ... Patient counseling ... Pictures
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Diarrhea
(The Diagnostic Approach to Symptoms and Signs in Pediatrics)
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... Definedas stools that are more fluid and frequent than normal. Can be acute or chronic (>2–3wks in duration). Acute diarrhea is discussed in first section ofthis chapter, and... Principle Causes of Acute Diarrhea ... Clinical Features and Diagnosis: Acute Diarrhea ... Diagnostic Approach: Acute Diarrhea ... Principle Causes of Chronic Diarrhea ... Clinical Features and Diagnosis: Chronic Diarrhea ... Diagnostic Approach: Chronic Diarrhea ... References
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... Usually a chief sign of an intestinal disorder, diarrhea is an increase in the volume of stools compared with the patient's normal bowel habits. It varies in severity and may be acute or chronic. Acute... History and physical examination ... Medical causes ... Other causes ... Nursing considerations ... Patient teaching ... Pictures
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... A common symptom of anorectal disorders, rectal pain is discomfort that arises in the anorectal area. Although the anal canal is separated from the rest of the rectum by the... History and physical examination ... Medical causes ... Nursing considerations ... Patient teaching
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...
Practically the whole specialty of proctology is devoted to taking care
of patients with rectal pain. To develop the differential diagnosis it is
useful first to... Pictures
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