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SECTION ONE APPROACH TO COMMON GASTROINESTINAL COMPLAINTS MANIFESTATIONS OF DISEASES IN THE GASTROINTESTINAL TRACT MANIFESTATIONS DEFINITION DIFFERENTIAL DIAGNOSIS...

SECTION ONE APPROACH TO COMMON GASTROINESTINAL COMPLAINTS MANIFESTATIONS OF DISEASES IN THE GASTROINTESTINAL TRACT MANIFESTATIONS DEFINITION DIFFERENTIAL DIAGNOSIS Acute viral stomatitis Difficulty in swallowing Oral trauma Odynophagia: painful Nasal obstruction swallowing Achalasia Globus: sensation of something Tracheoesophageal fistula stuck in the throat Strictures Dysphagia Oropharyngeal dysphagia: Vascular rings transfer of food from mouth to Mediastinal tumors esophagus is impaired Vertebral anomalies Esophageal dysphagia: Esophageal web difficulty in transport of food Gastroesophageal reflux bolus down the esophagus disease (GERO) Effortless movement of stomach contents into the esophagus and mouth Gastroesophageal reflux I Regurgitation It may be a developmental (GER) process (physiologic) that GERO improves/resolves with maturity Systemic diseases (e.g., neoplastic and inflammatory diseases) Anorexia Prolonged lack of appetite Iatrogenic: drug, unpalatable diets Depression Gastroenteritis Highly coordinated reflex GERO process that may be preceded Overfeeding by increased salivation and Gl obstruction begins with involuntary Infections Vomiting retching Others: inborn errors of Bilious vomiting suggests metabolism, medications/ obstruction below the second toxins, increased intracranial part of the duodenum pressure (ICP), labyrinthitis, adrenal insufficiency, migraine Excessive loss of fluid and Lactose intolerance electrolytes in stool Malabsorption Loss is >10 mL/kg/day in Acute gastroenteritis Diarrhea infants and >200 g/24hr in Toxins older children that lasts