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To resid2007/ENURESIS D/D - jovana
#1
Heer we go
D/D
1. Primary Enuresis
2. Secondary Enuresis due to:
¢ Excessive amount of Fluid Intake
¢ Stress/birth of sibling
¢ Divorce of parents
¢ Recent move from another city, state , continent
¢ Recent death of a pet(s)
¢ Friends dispute
¢ Exam related ( for older kid )
sexual abuse , mental abuse ..

3. UTI
4. DM
5. CDI

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#2
Chronic diarrhea D/D

1. Secretary vs Osmotic Diarrhea
2. IBD,IBS
3. Malabsorption-pancreatic insufficiency, Iliac bowel resection
4. Celiac Disease
5. Laxative abuse
6. hyperthyroidism
7. AIDS related DUE TO Cryptosporidium, Izospora,Camphylobacter,
8. Parasites related “Giardia

Diagnostic Evaluation
1. Rectal Exam/FOBT
2. CBC with differentials
3. CMA7 (Na, K, Cl, Co2,BUN, Cr, glucose )
4. Stool analysis
5. Stool for fecal leukocytes (ov a, parasites ), stool culture
6. ELISA screen for AIDS

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