General evaluation or chronic diarrhea

(JAMA 2016;315:2712; Gastro 2019;157:3)

詳見Persistent Diarrhea: A Clinical Review.

• Clinically can be classified as watery, fatty, inflammatory

• additional history of general evaluation or chronic diarrhea

• offending meds cause chronic diarrhea

• PEx: gen appearance (BMI), signs of systemic disease, surgical scars, rectal tone/DRE

• lab testing of general evaluation or chronic diarrhea: CBC, metabolic profile, alb, TSH, Fe, fecal calpro; see under each category

• Imaging/endoscopy: colonoscopy for chronic diarrhea of unknown cause. Abd CT/MRI usually warranted if systemic problem suspected.

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