Evaluating the Patient With Diarrhea: A Case-Based Approach

Abstract The evaluation of the patient with diarrhea can be complex and the treatment challenging. In this article, the definition of diarrhea and the pathophysiologic mechanisms that lead to diarrhea are reviewed. A simplified 5-step approach to the patient with diarrhea is provided and applied in...

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Veröffentlicht in:	Mayo Clinic proceedings 2012-06, Vol.87 (6), p.596-602
1. Verfasser:	Sweetser, Seth, MD
Format:	Artikel
Sprache:	eng
Schlagworte:	Acute Disease Adult Aged, 80 and over Beverages - adverse effects Biological and medical sciences Chronic Disease Concise Review for Clinicians Diagnosis, Differential Diarrhea Diarrhea - chemically induced Diarrhea - diagnosis Diarrhea - physiopathology Diarrhea - therapy Fecal Impaction - diagnosis Fecal Incontinence - diagnosis Feces - chemistry Female Gastroenterology. Liver. Pancreas. Abdomen General aspects Humans Internal Medicine Intestinal Absorption - physiology Male Medical sciences Middle Aged Other diseases. Semiology Stomach. Duodenum. Small intestine. Colon. Rectum. Anus
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Zusammenfassung:	Abstract The evaluation of the patient with diarrhea can be complex and the treatment challenging. In this article, the definition of diarrhea and the pathophysiologic mechanisms that lead to diarrhea are reviewed. A simplified 5-step approach to the patient with diarrhea is provided and applied in a case-oriented manner applicable to everyday clinical practice. On completion of this article, you should be able to (1) define diarrhea, (2) outline various pathophysiologic mechanisms of diarrhea, and (3) describe a simplified 5-step approach to facilitate the evaluation of diarrhea.
ISSN:	0025-6196 1942-5546
DOI:	10.1016/j.mayocp.2012.02.015