Pediatrics chronic diarrhea

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Pediatrics chronic diarrhea

  1. 1. Pediatrics Chronic diarrhoe in children Aymen fathi zemmal 10110068
  2. 2. Contents:  SOEPEL  Difinition, types, causes, investivations, management and treatment of diarrhea.
  3. 3. SOEPEL Present history: Azam almitairi 5 year old has projectile of vomiting of eaten food in large amounts, diarrhea and abdominal pain. Diarrhea Abdominal pain S O sudden sudden C diffuse R Not radiated A Dizzines and severe dehydration T Since 4 years Aggreviated after cold water drinking E S Since 4 years with diarhea severe severe
  4. 4.      Birth history: normal vaginal delivery neonatal period: is preterm 6 months associated with hydroamonia. Vaccination Feeding history: both artificial and maternal feeding now having normal family diet. Development history: delayed in walking and speaking. Past history:
  5. 5. birth history Normal vaginal delivery, preterm 7 months mother got ……water pregnancy……………… Vaccination history got all vaccinations according to saudi vaccination programme Nutritional history Mix of artificial and maternal breast feeding, now having family diet. Developmental history Delayed walking and speaking. Past history • Medical Eczema and sodium and pottasium deficiency. • surgical no • Medications Sodium chloride solution ,IV to prevent dehydration • allergies no • Tropical travel no Family history The biggest brother16 years old have same condion, rest of brothers are having well health, mother and father are relatives.
  6. 6. SOEPEL   General examination and abdominal examination. All patients with chronic diarrhea should go for sigmoidoscopy and rectal biopsy.
  7. 7. SOEPEL  Evaluation(DD):celiac disease, crohn’s disease. Plan: blood tests.  Stool test for pathogens such C.difficile toxin. Rigid sigmoidscopy with normal and abnormal biobsy. Colonscopy to see malignancy or colitis. 
  8. 8. SOEPEL
  9. 9. SOEPEL Elaboration: always treat causes and handle food. IV to prevent dehydration. Antibiotics for infective diarrhea. In congenital patient should try as possible as can to keep diet balance.
  10. 10. Diarrhea Increased stool water and this increases stool frequency and the passage of liquid stool.  Diarrhea types:  osmotic diarrhea. Ex: glucose-galactose malabsortion.  Secretory diarrhea. Ex: after ileac resection.  Inflammatory diarrhea(mucosal destruction). ex: infective causes and ulcerative colitis and Crohn’s disease.  Abnormal motility. ex: diabetic patients and hyperthyroid overactivity. 
  11. 11.   enodrine congenital
  12. 12.       SOEPEL Diarrhea difinition. Diarrhea causes. Investigations. Pharmacological and non-pharmacological treatment. Diarrhea treatment.

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