By Cyrus R. Kapadia
Going past mere analysis, An Atlas of Gastroenterology covers every thing from swallowing problems to therapy of jaundiced and immuno-compromised sufferers. Tables, illustrations, and case histories placed the knowledge at your fingertips. top specialists mix lucid textual content with broad illustrations to interpret the suggestions wanted for a company clutch of the subject. insurance contains swallowing problems, heartburn, dyspepsia, diarrhea, irritable bowel syndrome, colonic polyps and colon melanoma, pancreatitis, pancreatic melanoma, the jaundiced sufferer and the immuno-compromised sufferer. released largely for family members and first care physicians An Atlas of Gastroenterology describes all facets of the prognosis and therapy of gastrointestinal ailment.
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Extra resources for An Atlas of Gastroenterology: A Guide to Diagnosis and Differential Diagnosis
What is the likely diagnosis? To a seasoned clinician, this young man gives a history very suggestive of intestinal malabsorption. He is thin, he passes large pale and mushy stools and has both iron and folate 43 AN ATLAS OF GASTROENTEROLOGY deficiency. If one had a doubt, one could go through the process of asking oneself the nine questions mentioned above: (1) Is it predominantly a colonic diarrhea? Answer: no. There is no history of blood and mucus in the stool. (2) Is there an association with dietary factors?
Treatment is with long-term antibiotics (trimethoprim–sulfamethoxazole). 11. Case history 2 A 42-year-old man presented with watery diarrhea of 6 months’ duration. He would pass around six to eight fairly large bowel movements a day, on occasion having to awaken at night to pass a stool. Symptoms had been present constantly over this period. He did not experience abdominal pain. He had no major travel history, nobody in his family had diarrhea and he was not on any medications and even denied taking over-the-counter medications or herbal remedies.
However, the presence of a true bloody diarrhea does rule out the small bowel as the sole cause of the diarrhea. Ulcerative and Crohn’s colitis would be the leading contenders with chronic ischemic colitis a possibility in the elderly. Radiation proctitis may also present with the passage of blood with bowel movements. Was the patient on antibiotics and could Clostridium difficile be the cause? C. 1 Key questions that need to be answered with each patient with chronic diarrhea (1) (2) (3) (4) (5) (6) (7) (8) (9) Is it predominantly a colonic diarrhea?