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DIAREEA CRONICA

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DIAREE CRONIC~

DEFINI|IE: > 3 scaune/zi, peste 4 s`pt. > 300 g/zi > 10 ml/kcorp/zi, > 3 s`pt

CONSISTEN|A: hidric` gr`sos alimente nedigerateNOCTURN PATOLOGIC: - mucus

- puroi - [email protected]

DIFEREN|IAT~ DE:I. INCONTINEN|~: SCAUN LICHID SCAUN SOLID = ANOMALIE SFINCTERIAN~: LEZIUNE PROPRIE NEURO MUSCULAR~

II. DISKEZIE

DIAREE FUNC|IONAL~1. ISTORIE LUNG~ 2. ABSEN|A LEUCOCITELOR, S^NGELUI 3. ABSEN|A PIERDERII PONDERALE 4. APARI|IA EXCLUSIV DIURN~

FALSE DIAREILA CONSTIPA| IE SCAUN DUR +AP~ TU}EU RECTAL ANAMNEZ~, TU}EU MANOMETRIE

INCONTINEN| ~

TUMORI RECTALE MUCUS, HEMATOCHEZIE RECTOSCOPIE

VALOARE SEMIOLOGIC~CANCER, IBD ALTERAREA ST~RII GENERALE TUMORI, ADENOPATII CANCER, LIMFOM IBD, WHIPPLE ARTRITE S. ZOLLINGER ULCER G-D S. MALABSORB|IE EDEME S. CARCINOID FLUSH ADDISON HIPERPIGMENTARE IBD ERITEM NODOS HIPERTIROIDIE, GU}E CANCER NEUROPATIE DIABET, AMILOID

DIAREE + DURERETIP ULCER S. KOENIG S. ZOLLINGER STENOZ~: - INFLAMATORIE - TUMORAL~ PERIOMBILICAL~ LOCALIZAT~ INFRAOMBILICAL ANGOR S.I.I.

FIZIOPATOLOGIE DIAREE MOTORIE CAUZ~ SAU EFECT TRANSPORT ANORMAL DE FLUIDE SC~DEREA ABSORB|IEI - OSMOTIC~ CRE}TEREA SECRE|IEI - SECRETORIE

RELA|IE INVERS~ T.T. - VOLUM SCAUN ([n absen\a leziunilor organice)

DIAREI MOTORII

CARACTERE 1. SCAUN LICHID 14g

< 6g

ABUNDENT~ ECHO ABD

FIZIOLOGIC

DA

NU ENDOSCOPIE, BIO JEJUN

PANCREAS BILAN|

BILAN| DIAREE SECRETORIE OSMOTIC~

NU

BILAN| PATOLOGIE

D-XYLOZ~ ENTEROSCOPIE

N

PANCREAS

hemoragie

Modific`r i piele

Protrombin` Acizi gra]i

Dezhidrata re

1

Fracturi

edem

Vit. A Pierdere acizi gra]i

Vit. K

Ca2+ Vit. D osteomalaci e

1

Atrofie vilozitar ` Deficit proteic

Osteoporoz `

Hiposerinemi e

Diare e

Denutri\i e

Pierder e calorii

Pierdere a.a. glucide, minerale, vitamine Vit. B12 anemie Vit. B6 anemie

Electroli\i

1Ac. folic Insuficien\ ` pancreatic ` Hipopituitaris m Amenore e anemi e Vit. B2 Glosit` Polinevrit` Vit. B1 Fe

anemie

CLINICA1. SIMPTOME SPECIFICE DEFICITELOR SAU MALABSORB|IEI GENERALE 2. SCAUN 3. DISTENSIE ABDOMINAL~ 4. CRAMPE 5. GREA|~ 6. ANOREXIE

DIAGNOSTICI. STABILIREA MALABSORB|IEI A) DOZAREA LIPIDELOR B) CA = (GD-GF)/GD X 100 N>94% C) IZOTOPI IBI D) PROTEINE MARCATE N

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DIAREE DIAREE CRONIC~ CRONIC~
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