{"id":164,"date":"2014-03-17T02:49:17","date_gmt":"2014-03-17T02:49:17","guid":{"rendered":"https:\/\/www.pupdoc.ca\/?page_id=164"},"modified":"2020-10-07T22:31:41","modified_gmt":"2020-10-07T22:31:41","slug":"diarrhea","status":"publish","type":"page","link":"https:\/\/www.pupdoc.ca\/en\/diarrhea\/","title":{"rendered":"Diarrhea"},"content":{"rendered":"<p>[et_pb_section fb_built=&#8221;1&#8243; inner_shadow=&#8221;on&#8221; fullwidth=&#8221;on&#8221; _builder_version=&#8221;3.22&#8243; background_color=&#8221;#961622&#8243;][et_pb_fullwidth_header title=&#8221;Diarrhea&#8221; text_orientation=&#8221;center&#8221; _builder_version=&#8221;3.19.9&#8243; background_color=&#8221;rgba(255, 255, 255, 0)&#8221; button_one_text_size__hover_enabled=&#8221;off&#8221; button_one_text_size__hover=&#8221;null&#8221; button_two_text_size__hover_enabled=&#8221;off&#8221; button_two_text_size__hover=&#8221;null&#8221; button_one_text_color__hover_enabled=&#8221;off&#8221; button_one_text_color__hover=&#8221;null&#8221; button_two_text_color__hover_enabled=&#8221;off&#8221; button_two_text_color__hover=&#8221;null&#8221; button_one_border_width__hover_enabled=&#8221;off&#8221; button_one_border_width__hover=&#8221;null&#8221; button_two_border_width__hover_enabled=&#8221;off&#8221; button_two_border_width__hover=&#8221;null&#8221; button_one_border_color__hover_enabled=&#8221;off&#8221; button_one_border_color__hover=&#8221;null&#8221; button_two_border_color__hover_enabled=&#8221;off&#8221; button_two_border_color__hover=&#8221;null&#8221; button_one_border_radius__hover_enabled=&#8221;off&#8221; button_one_border_radius__hover=&#8221;null&#8221; button_two_border_radius__hover_enabled=&#8221;off&#8221; button_two_border_radius__hover=&#8221;null&#8221; button_one_letter_spacing__hover_enabled=&#8221;off&#8221; button_one_letter_spacing__hover=&#8221;null&#8221; button_two_letter_spacing__hover_enabled=&#8221;off&#8221; button_two_letter_spacing__hover=&#8221;null&#8221; button_one_bg_color__hover_enabled=&#8221;off&#8221; button_one_bg_color__hover=&#8221;null&#8221; button_two_bg_color__hover_enabled=&#8221;off&#8221; button_two_bg_color__hover=&#8221;null&#8221;][\/et_pb_fullwidth_header][\/et_pb_section][et_pb_section fb_built=&#8221;1&#8243; inner_shadow=&#8221;on&#8221; _builder_version=&#8221;3.22&#8243; background_color=&#8221;#ffffff&#8221;][et_pb_row _builder_version=&#8221;3.25&#8243; background_size=&#8221;initial&#8221; background_position=&#8221;top_left&#8221; background_repeat=&#8221;repeat&#8221;][et_pb_column type=&#8221;4_4&#8243; _builder_version=&#8221;3.25&#8243; custom_padding=&#8221;|||&#8221; custom_padding__hover=&#8221;|||&#8221;][et_pb_tabs module_class=&#8221;key-conditions&#8221; _builder_version=&#8221;4.0.3&#8243; background_size=&#8221;initial&#8221; background_position=&#8221;top_left&#8221; background_repeat=&#8221;repeat&#8221; z_index_tablet=&#8221;500&#8243; hover_enabled=&#8221;0&#8243;][et_pb_tab title=&#8221;Key Conditions&#8221; _builder_version=&#8221;3.21.4&#8243; body_font=&#8221;||||&#8221; tab_font=&#8221;||||&#8221;]Celiac disease<br \/>\nCow\u2019s milk protein allergy<br \/>\nGastroenteritis<br \/>\nHemolytic uremic syndrome<br \/>\nInflammatory bowel disease<br \/>\nToddler\u2019s diarrhea<br \/>\n[\/et_pb_tab][et_pb_tab title=&#8221;Foundational Knowledge&#8221; _builder_version=&#8221;3.21.4&#8243; body_font=&#8221;||||&#8221; tab_font=&#8221;||||&#8221;]<\/p>\n<ul>\n<li>Describe the pathophysiology of osmotic and secretory diarrhea<\/li>\n<li>Classify diarrhea based on the underlying pathophysiological mechanisms<\/li>\n<li>Recognize that some forms of diarrhea are manifestations of systemic illness<\/li>\n<\/ul>\n<p>[\/et_pb_tab][et_pb_tab title=&#8221;Resources&#8221; _builder_version=&#8221;4.0.3&#8243; body_font=&#8221;||||&#8221; tab_font=&#8221;||||&#8221; hover_enabled=&#8221;0&#8243;]<div class='et-learn-more clearfix'>\n\t\t\t\t\t<h3 class='heading-more'>Overview &amp; Foundational Knowledge<span class='et_learnmore_arrow'><span><\/span><\/span><\/h3>\n\t\t\t\t\t<div class='learn-more-content'><table>\n<tbody>\n<tr>\n<td><strong>First Principles of Gastroenterology. The basis of disease and an approach to management. Fifth edition. Chapter 14. Manifestations of Gastrointestinal Disease in the child. Page 710-719.<\/strong><\/p>\n<p><a href=\"https:\/\/www.cag-acg.org\/images\/publications\/EN_GAST_14B.pdf\" target=\"_blank\" rel=\"noopener noreferrer\">https:\/\/www.cag-acg.org\/images\/publications\/EN_GAST_14B.pdf<\/a><\/p>\n<p><em>Textbook chapter. Review on acute diarrhea and dehydration<\/em><\/td>\n<\/tr>\n<tr>\n<td><strong>Penelope H &amp; Dennehy MD. Acute Diarrheal Disease in Children: Epidemiology, Prevention, and Treatment.&nbsp;<em>Infectious Disease Clinics of North America<\/em>&nbsp;2005; 19: 585\u2013602.<\/strong><\/p>\n<p><em>Overview article on gastroenteritis.<\/em><\/td>\n<\/tr>\n<tr>\n<td><strong>Granado-Villar D, Cunill-De Sautu B &amp; Granados A. Acute Gastroenteritis.&nbsp;Pediatrics in Review 2012; 33: 487.<\/strong><\/p>\n<p><em>Overview article on treatment of gastroenteritis and dehydration.<\/em><\/td>\n<\/tr>\n<tr>\n<td><strong>Zella GC &amp; Isreal EJ. Chronic Diarrhea in Children.&nbsp;<em>Pediatrics in Review<\/em>&nbsp;2012; 33: 207-218.<\/strong><\/p>\n<p><em>Overview on chronic diarrhea. Comprehensive differential diagnosis.<\/em><\/td>\n<\/tr>\n<tr>\n<td><strong>Corrigan Jr JJ &amp; Boineau FG. Hemolytic-Uremic Syndrome.&nbsp;<em>Pediatrics in Review<\/em>&nbsp;2001; 22: 365-369.<\/strong><\/p>\n<p><em>Brief review on hemolytic uremic syndrome. Not essential but good review.<\/em><\/td>\n<\/tr>\n<tr>\n<td><strong>Hyams JS. Inflammatory Bowel Disease. Pediatrics in Review Vol. 26 No. 9 September 1, 2005, pp. 314\u2013320.<\/strong><\/p>\n<p><em>An overview of IBD with a focus on differential diagnosis, presenting features as well as an overview of medications for IBD.<\/em><\/td>\n<\/tr>\n<tr>\n<td><strong>Vandenplas Y et al. Guidelines for the diagnosis and management of cow\u2019s milk protein allergy in infants.&nbsp;&nbsp;<em>Archives of Disease in Childhood<\/em>&nbsp;2007; 92: 902-908.<\/strong><\/p>\n<p><em>Includes algorithms for formula and breast fed infants.<\/em><\/td>\n<\/tr>\n<\/tbody>\n<\/table><\/div>\n\t\t\t\t<\/div><\/p>\n<div class='et-learn-more clearfix'>\n\t\t\t\t\t<h3 class='heading-more'>Clinical Resources<span class='et_learnmore_arrow'><span><\/span><\/span><\/h3>\n\t\t\t\t\t<div class='learn-more-content'><table>\n<tbody>\n<tr>\n<td><strong>Dehydration and Diarrhea<\/strong><\/p>\n<p><a href=\"http:\/\/www.caringforkids.cps.ca\/handouts\/dehydration_and_diarrhea\" target=\"_blank\" rel=\"noopener noreferrer\">http:\/\/www.caringforkids.cps.ca\/handouts\/dehydration_and_diarrhea<\/a><\/p>\n<p><a href=\"http:\/\/www.soinsdenosenfants.cps.ca\/handouts\/dehydration_and_diarrhea\" target=\"_blank\" rel=\"noopener noreferrer\">http:\/\/www.soinsdenosenfants.cps.ca\/handouts\/dehydration_and_diarrhea<\/a><\/p>\n<p><em>Parental handout on gastroenteritis, available in English and French.<\/em><\/td>\n<\/tr>\n<tr>\n<td><strong>Oral rehydration therapy and early re-feeding in the management of childhood gastroenteritis<\/strong><\/p>\n<p><a href=\"https:\/\/academic.oup.com\/pch\/article\/11\/8\/527\/4560375\" target=\"_blank\" rel=\"noopener noreferrer\">https:\/\/academic.oup.com\/pch\/article\/11\/8\/527\/4560375<\/a>\n<\/tr>\n<\/tbody>\n<\/table><\/div>\n\t\t\t\t<\/div>\n<div class='et-learn-more clearfix'>\n\t\t\t\t\t<h3 class='heading-more'>Virtual Patients or Cases<span class='et_learnmore_arrow'><span><\/span><\/span><\/h3>\n\t\t\t\t\t<div class='learn-more-content'><table>\n<tbody>\n<tr>\n<td><strong>Dehydration. University of Alberta Pedscases.<\/strong><\/p>\n<p><a href=\"http:\/\/pedscases.com\/approach-acute-diarrhea\" target=\"_blank\" rel=\"noopener noreferrer\">http:\/\/pedscases.com\/approach-acute-diarrhea<\/a><\/p>\n<p><a href=\"http:\/\/pedscases.com\/approach-chronic-diarrhea\" target=\"_blank\" rel=\"noopener noreferrer\">http:\/\/pedscases.com\/approach-chronic-diarrhea<\/a><\/p>\n<p><a href=\"https:\/\/itunes.apple.com\/ca\/podcast\/pedscases.com-pediatrics-for\/id330446233\" target=\"_blank\" rel=\"noopener noreferrer\">https:\/\/itunes.apple.com\/ca\/podcast\/pedscases.com-pediatrics-for\/id330446233<\/a><\/p>\n<p><em>Audio podcast of an approach to assessment and management of dehydration (20min).<\/em><\/td>\n<\/tr>\n<\/tbody>\n<\/table><\/div>\n\t\t\t\t<\/div>\n<div class='et-learn-more clearfix'>\n\t\t\t\t\t<h3 class='heading-more'>Cards<span class='et_learnmore_arrow'><span><\/span><\/span><\/h3>\n\t\t\t\t\t<div class='learn-more-content'><table>\n<tbody>\n<tr>\n<td><strong>Diarrhea<\/strong>\n<a href=\"https:\/\/cards.ucalgary.ca\/deck\/277\" target=\"_blank\" rel=\"noopener noreferrer\">Diarrhea<\/a><\/p>\n<p><em>Canuc-Paeds physician authored, replayable cases<\/em><\/td>\n<\/tr>\n<tr>\n<\/tr>\n<\/tbody>\n<\/table><\/div>\n\t\t\t\t<\/div>[\/et_pb_tab][\/et_pb_tabs][\/et_pb_column][\/et_pb_row][\/et_pb_section][et_pb_section fb_built=&#8221;1&#8243; 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button_one_border_color__hover_enabled=&#8221;off&#8221; button_two_border_color__hover_enabled=&#8221;off&#8221; button_one_border_radius__hover_enabled=&#8221;off&#8221; button_two_border_radius__hover_enabled=&#8221;off&#8221; button_one_letter_spacing__hover_enabled=&#8221;off&#8221; button_two_letter_spacing__hover_enabled=&#8221;off&#8221; button_one_bg_color__hover_enabled=&#8221;off&#8221; button_two_bg_color__hover_enabled=&#8221;off&#8221;][\/et_pb_fullwidth_header][\/et_pb_section][et_pb_section fb_built=&#8221;1&#8243; _builder_version=&#8221;3.22&#8243; background_color=&#8221;#ffffff&#8221;][et_pb_row column_structure=&#8221;1_3,1_3,1_3&#8243; _builder_version=&#8221;3.25&#8243; background_size=&#8221;initial&#8221; background_position=&#8221;top_left&#8221; background_repeat=&#8221;repeat&#8221; custom_margin=&#8221;||0px|&#8221; custom_margin_tablet=&#8221;&#8221; custom_margin_phone=&#8221;&#8221; custom_margin_last_edited=&#8221;on|tablet&#8221; custom_padding=&#8221;||0px|&#8221;][et_pb_column type=&#8221;1_3&#8243; _builder_version=&#8221;3.25&#8243; background_position=&#8221;top_left&#8221; custom_padding=&#8221;||0px|&#8221; custom_padding_tablet=&#8221;&#8221; custom_padding_phone=&#8221;&#8221; custom_padding_last_edited=&#8221;on|desktop&#8221; custom_padding__hover=&#8221;|||&#8221;][et_pb_text module_class=&#8221;menu-clinical-line-height&#8221; _builder_version=&#8221;3.27.4&#8243; text_line_height=&#8221;1.4em&#8221; custom_margin=&#8221;||0px|&#8221; custom_margin_tablet=&#8221;&#8221; custom_margin_phone=&#8221;&#8221; custom_margin_last_edited=&#8221;on|desktop&#8221; custom_padding=&#8221;||0px|&#8221; custom_padding_tablet=&#8221;&#8221; custom_padding_phone=&#8221;&#8221; custom_padding_last_edited=&#8221;on|phone&#8221; border_style=&#8221;solid&#8221;]<\/p>\n<p><a href=\"https:\/\/www.pupdoc.ca\/abdominal-pain-abdominal-mass\/\">Abdominal Pain &amp; Abdominal Mass<\/a><br \/><a href=\"https:\/\/www.pupdoc.ca\/acutely-ill-child\/\">Acutely Ill Child<\/a><br \/><a href=\"https:\/\/www.pupdoc.ca\/adolescent-health-issues\/\">Adolescent Health Issues<\/a><br \/><a href=\"https:\/\/www.pupdoc.ca\/altered-loc\/\">Altered Level of Consciousness<\/a><br \/><a href=\"https:\/\/www.pupdoc.ca\/bruising-bleeding\/\">Bruising \/ Bleeding<\/a><br \/><a href=\"https:\/\/www.pupdoc.ca\/dehydration\/\">Dehydration<\/a><br \/><a href=\"https:\/\/www.pupdoc.ca\/development-behavioural-learning-problems\/\">Development \/ Behavioural \/ Learning Problems<\/a><br \/><a href=\"https:\/\/www.pupdoc.ca\/diarrhea\/\"><strong>Diarrhea<\/strong><\/a><br \/><a href=\"https:\/\/www.pupdoc.ca\/edema\/\">Edema<\/a><br \/><a href=\"https:\/\/www.pupdoc.ca\/eye-issues\/\">Eye Issues<\/a><\/p>\n<p>[\/et_pb_text][\/et_pb_column][et_pb_column type=&#8221;1_3&#8243; _builder_version=&#8221;3.25&#8243; background_position=&#8221;top_left&#8221; custom_padding=&#8221;||0px|&#8221; custom_padding__hover=&#8221;|||&#8221;][et_pb_text module_class=&#8221;menu-clinical-line-height&#8221; _builder_version=&#8221;3.27.4&#8243; text_line_height=&#8221;1.4em&#8221; custom_margin=&#8221;||0px|&#8221; custom_padding=&#8221;||0px|&#8221; custom_css_main_element=&#8221;margin-bottom: 0px !important;&#8221; border_style=&#8221;solid&#8221;]<\/p>\n<p><a href=\"https:\/\/www.pupdoc.ca\/fever\/\">Fever<\/a><br \/><a href=\"https:\/\/www.pupdoc.ca\/genitourinary-complaints\/\">Genitourinary Complaints<\/a><br \/><a href=\"https:\/\/www.pupdoc.ca\/growth-problems\/\">Growth Problems<\/a><br \/><a href=\"https:\/\/www.pupdoc.ca\/headache\/\">Headache<\/a><br \/><a href=\"https:\/\/www.pupdoc.ca\/inadequately-explained-injury\/\">Inadequately explained injury<\/a><br \/><a href=\"https:\/\/www.pupdoc.ca\/limp-extremity-pain\/\">Limp \/ Extremity Pain<\/a><br \/><a href=\"https:\/\/www.pupdoc.ca\/lymphadenopathy\/\">Lymphadenopathy<\/a><br \/><a href=\"https:\/\/www.pupdoc.ca\/mental-health-concerns\/\">Mental Health Concerns<\/a><br \/><a href=\"https:\/\/www.pupdoc.ca\/murmur\/\">Murmur<\/a><br \/><a href=\"https:\/\/www.pupdoc.ca\/neonatal-jaundice\/\">Neonatal Jaundice<\/a><\/p>\n<p>[\/et_pb_text][\/et_pb_column][et_pb_column type=&#8221;1_3&#8243; _builder_version=&#8221;3.25&#8243; background_position=&#8221;top_left&#8221; custom_padding=&#8221;|||&#8221; custom_padding__hover=&#8221;|||&#8221;][et_pb_text module_class=&#8221;menu-clinical-line-height&#8221; _builder_version=&#8221;3.27.4&#8243; text_line_height=&#8221;1.4em&#8221; hover_enabled=&#8221;0&#8243; border_style=&#8221;solid&#8221;]<\/p>\n<p><a href=\"https:\/\/www.pupdoc.ca\/newborn\/\">Newborn<\/a><br \/><a href=\"https:\/\/www.pupdoc.ca\/pallor-anemia\/\">Pallor \/ Anemia<\/a><br \/><a href=\"https:\/\/www.pupdoc.ca\/rash\/\">Rash<\/a><br \/><a href=\"https:\/\/www.pupdoc.ca\/respiratory-distress-cough\/\">Respiratory distress \/ Cough<\/a><br \/><a href=\"https:\/\/www.pupdoc.ca\/seizure-paroxysmal-event\/\">Seizure \/ Paroxysmal event<\/a><br \/><a href=\"https:\/\/www.pupdoc.ca\/sore-ear\/\">Sore Ear<\/a><br \/><a href=\"https:\/\/www.pupdoc.ca\/sore-throat-sore-mouth\/\">Sore Throat \/ Sore Mouth<\/a><br \/><a href=\"https:\/\/www.pupdoc.ca\/vomiting\/\">Vomiting<\/a><br \/><a href=\"https:\/\/www.pupdoc.ca\/well-child-care\/\">Well Child Care<\/a><\/p>\n<p>[\/et_pb_text][\/et_pb_column][\/et_pb_row][\/et_pb_section]<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Celiac disease Cow\u2019s milk protein allergy Gastroenteritis Hemolytic uremic syndrome Inflammatory bowel disease Toddler\u2019s diarrhea Describe the pathophysiology of osmotic and secretory diarrhea Classify diarrhea based on the underlying pathophysiological mechanisms Recognize that some forms of diarrhea are manifestations of systemic illness <div class='et-learn-more clearfix'>\n\t\t\t\t\t<h3 class='heading-more'>Overview &amp; Foundational Knowledge<span class='et_learnmore_arrow'><span><\/span><\/span><\/h3>\n\t\t\t\t\t<div class='learn-more-content'><\/div>\n\t\t\t\t<\/div> First Principles of Gastroenterology. The basis of disease [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"open","ping_status":"open","template":"","meta":{"_et_pb_use_builder":"on","_et_pb_old_content":"","_et_gb_content_width":"","footnotes":""},"class_list":["post-164","page","type-page","status-publish","hentry"],"_links":{"self":[{"href":"https:\/\/www.pupdoc.ca\/en\/wp-json\/wp\/v2\/pages\/164","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.pupdoc.ca\/en\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/www.pupdoc.ca\/en\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/www.pupdoc.ca\/en\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.pupdoc.ca\/en\/wp-json\/wp\/v2\/comments?post=164"}],"version-history":[{"count":5,"href":"https:\/\/www.pupdoc.ca\/en\/wp-json\/wp\/v2\/pages\/164\/revisions"}],"predecessor-version":[{"id":2908,"href":"https:\/\/www.pupdoc.ca\/en\/wp-json\/wp\/v2\/pages\/164\/revisions\/2908"}],"wp:attachment":[{"href":"https:\/\/www.pupdoc.ca\/en\/wp-json\/wp\/v2\/media?parent=164"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}