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]] | ||
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** [[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]]) | ||
Revision as of 20:18, 5 June 2013
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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 tumours (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, coeliac disease, and laxative abuse should be excluded as possibilities