approach to patient with chronic diarrhea

its a pressntation about how to approach a patient with diarrhaea

1. Approach to patient with chronic diarrhea Dr Amber Mushtaq Family Medicine

2. Drug induced diarhhea Antibiotics(Clindamycin,Ampicillin,cephalosporins) Antacids + Mg++ Anti-HTN Agents (Propranolol,Methyldopa,Hydralazine) Diuretics,Digitalis

3. Case 1 A 26-year-old woman presents with a 1-year history of intermittent abdominal pain and changes in bowel habits. She reports alternating episodes of diarrhea and constipation. Her symptoms worsen during periods of stress, but she feels better after a bowel movement. She denies any weight loss, fever, or blood in her stools. Physical examination is unremarkable.

4. case 1..... Question: What is the most likely diagnosis? A) Inflammatory Bowel Disease B) Irritable Bowel Syndrome (IBS) C) Celiac Disease D) Small Intestinal Bacterial Overgrowth (SIBO)

5. Case 2 A 30-year-old woman presents with a 2-month history of chronic diarrhea, abdominal bloating, and gas. Symptoms typically occur 1-2 hours after eating meals that include dairy products. She reports no weight loss or blood in stools. Physical examination is normal, and there is no abdominal tenderness

6. Case 2..... What is the most likely cause of her symptoms? A) Irritable Bowel Syndrome (IBS) B) Celiac Disease C) Lactose Intolerance D) Inflammatory Bowel Disease

7. Case 3 A 42-year-old man presents with watery diarrhea for the past 3 weeks. He has a history of traveling to a rural area in Southeast Asia recently. He denies any blood in his stools but reports significant fatigue. Stool examination reveals no white blood cells, but stool culture is pending.

8. Case 3...... What is the most likely cause of this patient’s diarrhea? A) Traveler’s Diarrhea (Enterotoxigenic E. coli) B) Irritable Bowel Syndrome (IBS) C) Microscopic Colitis D) Ulcerative Colitis

9. Case 4 A 35-year-old woman complains of chronic diarrhea, fatigue, and unintentional weight loss over the past year. She also reports bloating and a rash on her elbows. Physical examination reveals a thin woman with a papulovesicular rash on her elbows and knees. Blood tests show iron deficiency anemia

10. Case 4.... What is the most likely diagnosis? A) Lactose Intolerance B) Celiac Disease C) Irritable Bowel Syndrome (IBS) D) Ulcerative Colitis

11. Case 5 A 28-year-old man presents with a 6-month history of watery diarrhea, abdominal cramping, and weight loss. He also reports intermittent episodes of bloody stools. He denies any recent travel history. On examination, he has mild tenderness in the lower abdomen. Laboratory results show mild anemia and elevated C-reactive protein (CRP).

12. Case 5..... What is the most likely diagnosis? A) Irritable Bowel Syndrome (IBS) B) Crohn's Disease C) Celiac Disease D) Infectious Colitis