By Cyrus R. Kapadia
Going past mere analysis, An Atlas of Gastroenterology covers every little thing from swallowing problems to remedy of jaundiced and immuno-compromised sufferers. Tables, illustrations, and case histories positioned the data at your fingertips. major specialists mix lucid textual content with vast illustrations to interpret the thoughts wanted for an organization take hold of of the subject. insurance contains swallowing problems, heartburn, dyspepsia, diarrhea, irritable bowel syndrome, colonic polyps and colon melanoma, pancreatitis, pancreatic melanoma, the jaundiced sufferer and the immuno-compromised sufferer. released largely for kinfolk and first care physicians An Atlas of Gastroenterology describes all facets of the prognosis and remedy of gastrointestinal illness.
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Extra resources for An Atlas of Gastroenterology: A Guide to Diagnosis and Differential Diagnosis
He never developed an ulcer again, but several months after surgery developed a non-bloody diarrhea. For 2–3 years he and his physician wrestled with his alleged ‘post-vagotomy diarrhea’, the patient requiring opiates to control his frequent bowel movements. He then began losing weight and lost over 25 lb (11 kg). 2 g/dl. He was referred to a gastroenterologist for further investigation. It was apparent that the young man had intestinal malabsorption that had begun after gastric surgery. The gastroenterologist documented malabsorption of fat (steatorrhea) and of cobalamin (vitamin B12).
Is the patient immunocompromised? Patients with AIDS for instance may have diarrhea related to various protozoa such as Cryptosporidium, Isospora belli and Microsporidium or a helminth such a Strongyloides stercoralis. Key question 5: Is there a history of travel to or of residence in the tropics? The question is asked for two reasons. First, as mentioned above (under Question 4), one needs to consider parasites that can cause diarrhea or intestinal malabsorption. One of course does not have to go to the tropics to acquire giardiasis, but both giardiasis and amebiasis are certainly in the differential diagnosis for someone who might have developed a chronic diarrhea after returning from the tropics.
A succussion splash is usually not elicited because the emptying of liquids is generally normal. A radionuclide solid food emptying study may be done and would show delayed emptying, but with such a classic history this would not be necessary. Diabetic gastroparesis is the result of diabetic autonomic neuropathy. g. opiates or anticholinergic agents; idiopathic. Nonulcer dyspepsia must be considered in the differential diagnosis but symptoms are seldom as striking and clear cut as in true gastroparesis.