By Udayakumar Navaneethan MD, Ralph A. Giannella MD (auth.), Stefano Guandalini, Haleh Vaziri (eds.)
This quantity presents in a comfortably obtainable package deal a finished choice of exact and well timed details at the administration of sufferers with diarrhea, either in pediatric age and within the grownup. As clinical wisdom has lately improved during this region, this quantity is stuffed with new sensible, clinically valuable fabric for the busy clinician. Illustrations are emphasised to allow quick acquisition of sensible details that isn't on hand within the significant texts. each one bankruptcy is concise, focusing on "clinical pearls," and new advances in diagnostic and healing know-how. each one bankruptcy discusses the relative bills of diagnostic and healing thoughts to allow monetary concerns to be taken under consideration within the selection making method. extra distinctive positive aspects comprise, summaries of key issues, strategies, and symptoms for soliciting for GI subspecialty session. offering a accomplished yet functional review of the problems surrounding the diarrheal ailments, this quantity will end up of significant price and application to gastroenterologists, surgeons, internists, basic care physicians.
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Additional info for Diarrhea: Diagnostic and Therapeutic Advances
Symptoms range from mild-to-severe watery diarrhea and can be chronic in patients with immunodeficiency. Patients may also have dyspepsia, weight loss, and anorexia. Diagnosis is by stool examination with acid-fast stains. In normal hosts, disease is self-limited to 2–4 weeks. While previously there was no effective antimicrobial therapy and treatment was supportive , recent controlled trials showed efficacy of nitazoxanide . It is now FDA approved for children and immunocompetent patients.
Conservation of sodium, chloride, and water by the human colon. Gastroenterology 1969;56:101–109. 89. Debongnie JC, Phillips SF. Capacity of the human colon to absorb fluid. Gastroenterology 1978;74:698–703. 90. Binder, HJ, Reuben A. Nutrient digestion and absorption. In: Boron WF, Boulpaep EI, eds. Medical physiology. Philadelphia, PA: Elsevier; 2005. pp. 947–974. 91. Binder, HJ. Intestinal fluid and electrolyte movement. In: Boron WF, Boulpaep EI, eds. Medical physiology. Philadelphia, PA: Elsevier; 2005.
Newton, MD and Christina M. Surawicz, MD, MACG CONTENTS I NTRODUCTION E TIOLOGY C LINICAL P RESENTATION S PECIFIC I NFECTIONS C LINICAL E VALUATION D IAGNOSTIC E VALUATION T REATMENT C ONCLUSION R EFERENCES Summary In this chapter, we discuss the epidemiology, etiology, presentation, diagnosis, and treatment of infectious diarrhea in immunocompetent persons. The features of small intestinal and ileocolonic disease as related to possible causative agents are presented. Additionally, there is an emphasis on specific pathogens, with a comprehensive review of viral, bacterial, and parasitic causes of diarrhea.