Gastroenteritis differential diagnosis: Difference between revisions
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It is important to consider infectious gastroenteritis as a [[Diagnosis of exclusion|diagnosis per exclusionem]]. | It is important to consider infectious gastroenteritis as a [[Diagnosis of exclusion|diagnosis per exclusionem]]. | ||
* A few loose stools and vomiting may be the result of systemic [[infection]] such as | * A few loose stools and vomiting may be the result of systemic [[infection]] such as: | ||
** [[Pneumonia]] | ** [[Pneumonia]] | ||
** [[Septicemia]] | ** [[Septicemia]] | ||
** [[Urinary tract infection]] | ** [[Urinary tract infection]] | ||
** [[Meningitis]] | ** [[Meningitis]] | ||
* Surgical conditions such as | * Surgical conditions such as: | ||
** [[Appendicitis]] | ** [[Appendicitis]] | ||
** [[Intussusception]] | ** [[Intussusception]] | ||
** [[Hirschsprung's disease]] may mislead the clinician. | ** [[Hirschsprung's disease]] may mislead the clinician. | ||
* Non-infectious causes to consider are | * Non-infectious causes to consider are: | ||
** Poisoning with heavy metals i.e. ([[Arsenic]],[[cadmium]]) | ** Poisoning with heavy metals i.e. ([[Arsenic]],[[cadmium]]) | ||
** Seafood (i.e. [[ciguatera]], [[scombroid]], toxic encephalopathic shellfish poisoning) or mushrooms (i.e. [[Amanita phalloides]]) | ** Seafood (i.e. [[ciguatera]], [[scombroid]], toxic encephalopathic shellfish poisoning) or mushrooms (i.e. [[Amanita phalloides]]) | ||
** Secretory | ** Secretory tumors (i.e. [[carcinoid]], medullary tumour of the thyroid, [[Vipoma|vasoactive intestinal peptide-secreting adenomas]]) | ||
** Endocrine disorders (i.e. [[thyrotoxicosis]] and [[Addison's disease]]) are disorders that can cause diarrhea. | ** Endocrine disorders (i.e. [[thyrotoxicosis]] and [[Addison's disease]]) are disorders that can cause diarrhea. | ||
** Pancreatic insufficiency, [[short bowel syndrome]], [[Whipple's disease]], [[ | ** Pancreatic insufficiency, [[short bowel syndrome]], [[Whipple's disease]], [[celiac disease]], and laxative abuse should be excluded as possibilities | ||
==References== | ==References== | ||
{{Reflist|2}} | {{Reflist|2}} | ||
{{WH}} | |||
{{WS}} | |||
[[Category:Pediatrics]] | [[Category:Pediatrics]] | ||
[[Category:Gastroenterology]] | [[Category:Gastroenterology]] | ||
[[Category:Foodborne illnesses]] | [[Category:Foodborne illnesses]] | ||
[[Category:Inflammations]] | [[Category:Inflammations]] | ||
[[Category:Abdominal pain]] | [[Category:Abdominal pain]] | ||
[[Category:Conditions diagnosed by stool test]] | [[Category:Conditions diagnosed by stool test]] | ||
[[Category:Disease]] | [[Category:Disease]] | ||
[[Category:Needs overview]] | [[Category:Needs overview]] | ||
Latest revision as of 21:49, 29 July 2020
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Gastroenteritis Microchapters |
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]
Differentiating Gastroenteritis from other Diseases
It is important to consider infectious gastroenteritis as a diagnosis per exclusionem.
- A few loose stools and vomiting may be the result of systemic infection such as:
- Surgical conditions such as:
- Appendicitis
- Intussusception
- Hirschsprung's disease may mislead the clinician.
- Non-infectious causes to consider are:
- Poisoning with heavy metals i.e. (Arsenic,cadmium)
- Seafood (i.e. ciguatera, scombroid, toxic encephalopathic shellfish poisoning) or mushrooms (i.e. Amanita phalloides)
- Secretory tumors (i.e. carcinoid, medullary tumour of the thyroid, vasoactive intestinal peptide-secreting adenomas)
- Endocrine disorders (i.e. thyrotoxicosis and Addison's disease) are disorders that can cause diarrhea.
- Pancreatic insufficiency, short bowel syndrome, Whipple's disease, celiac disease, and laxative abuse should be excluded as possibilities