1 / 14

Case Presentation

Case Presentation. Mohammad Wazzan Ahmad Al Siari Supervised by : Dr. Hind Fallatah. History. 25 Years old not known to have any medical illness admitted to the hospital complaining of diarrhea, loss of weight and poor appetite for 2 months. + ve : flushing - ve : SOB, Fever, Jaundice.

kerem
Download Presentation

Case Presentation

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript


  1. Case Presentation Mohammad Wazzan Ahmad Al Siari Supervised by : Dr. Hind Fallatah

  2. History • 25 Years old not known to have any medical illness admitted to the hospital complaining of diarrhea, loss of weight and poor appetite for 2 months. • +ve : flushing • -ve : SOB, Fever, Jaundice

  3. Investigations • CBC : • Hg = 8 with low MCV and MCH • WBC = 4 • PLT = 200 • Creatinine = 220

  4. ASK MORE QUESTIONS ??

  5. Examination??

  6. Findings suggestive of IBD : • mouth ulcers, a skin rash, episcleritis, an anal fissure or fistula, the presence of visible or occult blood on digital examination, abdominal masses or abdominal pain • Evidence of malabsorption : • wasting, physical signs of anemia, scars indicating prior abdominal surgery • Lymphadenopathy • possibly suggesting HIV and TB infections • Abnormal anal sphincter pressure or reflexes • possibly suggesting fecal incontinence • Signs of hyperthyroidism: • Goiter, exophthalmos, lid retraction …etc.

  7. DDx ??

  8. Chronic Diarrhea Inflammatory Osmotic Gap • Infection • Bacterial • Parasitic • Viral Autoimmune High  Fecal Fat Normal • Secretory • Motility • +ve Malabsorption • Celiac • Wipple • Bacterial overgrowth • Tropical sprue • Pancreatic insufficiency • Others • -ve Osmotic • Lactose intolerance

  9. Osmotic Gap • Stool Osmotic Gap = 290 – [ 2 x (Na+K) ] • Less than 50 Normal

  10. IBS

  11. Thank YOU

More Related