Professional Documents
Culture Documents
Diare Akut Dan Kronik
Diare Akut Dan Kronik
DIARRHEA
KHOI TRAN, M.D.
ASSOCIATE PROFESSOR
GASTROENTEROLOGY DIVISION
DEPARTMENT OF MEDICINE
NON-INFLAMMATORY INFLAMMATORY
USUALLY VIRAL OR TOXINS INVASIVE BACTERIA
PROMOTE INTESTINAL DISRUPT MUCOSA.
SECRETION FEVER, PAIN, LOW VOL, BLOODY.
LARGE VOLUME, NONBLOODY FECAL LEUKOCYTES.
NO FECAL LEUKOCYTES SALMONELLA, CAMPYLOBACTER,
E. COLI, STAPH, GIARDIA, SHIGELLA, E. COLI, C. DIFF.
VIBRIO,
BACILLUS CEREUS, C.
PERFRINGENS,
CLUES TO DX OF ACUTE
DIARRHEA
FUNCTIONAL—IBS
SECRETORY—MICROSCOPIC, BILE ACID, POSTOP DUMPING
INFLAMMATORY—IBD
PARASITE—GIARDIA
MALABSORPTION—PANCREATIC INSUFF, CELIAC, SIBO.
MEDICATIONS—OSMOTIC/SECRETORY.
**HISTORY ACCURACY IS CRITICAL.
**MOST PRACTICAL TO CHARACTERIZE TYPE BEFORE TESTING AND
TREATING.
KEY ELEMENTS IN THE HISTORY:
FUNCTIONAL—IBS
SECRETORY—MICROSCOPIC, BILE ACID, POSTOP DUMPING
INFLAMMATORY—IBD
PARASITE—GIARDIA
MALABSORPTION—PANCREATIC INSUFF, CELIAC, SIBO.
MEDICATIONS—OSMOTIC/SECRETORY.
**HISTORY ACCURACY IS CRITICAL.
**MOST PRACTICAL TO CHARACTERIZE TYPE BEFORE TESTING AND
TREATING.