Diarrhea
Cow’s milk protein allergy
Gastroenteritis
Hemolytic uremic syndrome
Inflammatory bowel disease
Toddler’s 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
Overview & Foundational Knowledge
| 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.
https://www.cag-acg.org/images/publications/EN_GAST_14B.pdf Textbook chapter. Review on acute diarrhea and dehydration |
| Penelope H & Dennehy MD. Acute Diarrheal Disease in Children: Epidemiology, Prevention, and Treatment. Infectious Disease Clinics of North America 2005; 19: 585–602.
Overview article on gastroenteritis. |
| Granado-Villar D, Cunill-De Sautu B & Granados A. Acute Gastroenteritis. Pediatrics in Review 2012; 33: 487.
Overview article on treatment of gastroenteritis and dehydration. |
| Zella GC & Isreal EJ. Chronic Diarrhea in Children. Pediatrics in Review 2012; 33: 207-218.
Overview on chronic diarrhea. Comprehensive differential diagnosis. |
| Corrigan Jr JJ & Boineau FG. Hemolytic-Uremic Syndrome. Pediatrics in Review 2001; 22: 365-369.
Brief review on hemolytic uremic syndrome. Not essential but good review. |
| Hyams JS. Inflammatory Bowel Disease. Pediatrics in Review Vol. 26 No. 9 September 1, 2005, pp. 314–320.
An overview of IBD with a focus on differential diagnosis, presenting features as well as an overview of medications for IBD. |
| Vandenplas Y et al. Guidelines for the diagnosis and management of cow’s milk protein allergy in infants. Archives of Disease in Childhood 2007; 92: 902-908.
Includes algorithms for formula and breast fed infants. |
Clinical Resources
| Dehydration and Diarrhea
http://www.caringforkids.cps.ca/handouts/dehydration_and_diarrhea http://www.soinsdenosenfants.cps.ca/handouts/dehydration_and_diarrhea Parental handout on gastroenteritis, available in English and French. |
| Oral rehydration therapy and early re-feeding in the management of childhood gastroenteritis |
Virtual Patients or Cases
| Dehydration. University of Alberta Pedscases.
http://pedscases.com/approach-acute-diarrhea http://pedscases.com/approach-chronic-diarrhea https://itunes.apple.com/ca/podcast/pedscases.com-pediatrics-for/id330446233 Audio podcast of an approach to assessment and management of dehydration (20min). |
Cards
| Diarrhea
Diarrhea
Canuc-Paeds physician authored, replayable cases |
