相关实验视频
Updated: Jul 17, 2025

05:07
Multimodality Diagnosis of Mesenteric Ischemia
Published on: July 21, 2023
641
一个功能性肠病病例被误诊为癌症综合征
1Internal Medicine Resident, University of Miami Program, Holy Cross Hospital, Fort Lauderdale, FL.
ACG case reports journal
|September 4, 2023
概括
在没有神经内分泌瘤的情况下,尿中5-氨酸酸 (U5-HIAA) 的高度升高也可能发生. 详细的药物历史对于准确的诊断和防止不必要的测试至关重要.
科学领域:
- 生物化学 生物化学
- 临床医学 临床医学
- 胃肠病学 胃肠病学
背景情况:
- 尿液中5-氨酸酸 (U5-HIAA) 的升高是癌症综合征的常见生物标志物.
- 虽然其他条件可以提高U5-HIAA,但显著的升高通常与神经内分泌瘤有关.
研究的目的:
- 呈现出与神经内分泌瘤无关的明显升高U5-HIAA的独特病例.
- 强调在差异诊断中考虑非瘤病因的重要性.
- 为了指导胃肠科医生在管理这样的病例.
主要方法:
- 案例报告的呈现方式.
- 审查患者的病史,重点是药物使用.
- 对U5-HIAA.升高的诊断结果的分析.
主要成果:
- 一名患者呈现出显著高的U5-HIAA水平.
- 升高的U5-HIAA最终归因于药物使用,而不是神经内分泌瘤.
- 这突出了一个罕见但重要的差异诊断.
结论:
- 胃肠道科医生应保持对药物诱导的U5-HIAA升高的高度怀疑指数.
- 在评估患有不明原因高U5-HIAA的患者时,全面的药物 anamnesis是至关重要的.
- 这种方法可以防止错误诊断和不必要的癌症综合征调查.
相关概念视频
Chronic Bowel Disorders: Introduction
485
Chronic bowel diseases are a group of long-term conditions affecting the digestive tract, characterized by inflammation and damage to the gut lining. These conditions primarily include irritable bowel syndrome and inflammatory bowel disease.
Irritable Bowel Syndrome (IBS) is a common disorder affecting the gastrointestinal tract. The distinctive feature is recurrent abdominal pain associated with altered bowel movements, manifesting as constipation, diarrhea, or fluctuating between both. The...
Irritable Bowel Syndrome (IBS) is a common disorder affecting the gastrointestinal tract. The distinctive feature is recurrent abdominal pain associated with altered bowel movements, manifesting as constipation, diarrhea, or fluctuating between both. The...
485
Irritable Bowel Syndrome II: Clinical Features and Diagnostic Evaluation
188
Irritable Bowel Syndrome II: Clinical Features and Diagnostic Evaluation
Irritable Bowel Syndrome (IBS) is classified into subtypes based on the predominant bowel habits as determined by the Bristol Stool Form Scale (BSFS). The subtypes are:
Irritable Bowel Syndrome (IBS) is classified into subtypes based on the predominant bowel habits as determined by the Bristol Stool Form Scale (BSFS). The subtypes are:
188
Assessment of the Rectum and Anus
268
Evaluating the rectum and anus plays a crucial role in conducting a thorough physical examination of the gastrointestinal system. Although it may be uncomfortable and often embarrassing for the patient, it holds immense diagnostic value, particularly in detecting gastrointestinal diseases and abnormalities. This guide will explain how to perform this assessment using inspection and palpation methods.
Rectal Inspection
Begin by inspecting the perianal and anal areas for color, texture, rashes,...
Rectal Inspection
Begin by inspecting the perianal and anal areas for color, texture, rashes,...
268
Inflammatory Bowel Disease II: Crohn's Disease
285
Introduction
Inflammatory bowel disease, commonly known as IBD, refers to a collection of disorders that lead to persistent inflammation of the gastrointestinal tract. The two types of IBD are ulcerative colitis, which impacts the colon, and Crohn's disease, which can involve any part of the gastrointestinal segment.
Crohn's disease
Crohn's disease is a chronic, systemic inflammatory bowel disease (IBD) that predominantly affects the gastrointestinal tract. It is marked by...
Inflammatory bowel disease, commonly known as IBD, refers to a collection of disorders that lead to persistent inflammation of the gastrointestinal tract. The two types of IBD are ulcerative colitis, which impacts the colon, and Crohn's disease, which can involve any part of the gastrointestinal segment.
Crohn's disease
Crohn's disease is a chronic, systemic inflammatory bowel disease (IBD) that predominantly affects the gastrointestinal tract. It is marked by...
285
Inflammatory Bowel Disease III: Diagnostic Studies and Management I-Nutritional Therapy
354
Various diagnostic tests are employed in the diagnostic process for Inflammatory Bowel Disease (IBD), particularly to differentiate between Crohn's disease and ulcerative colitis.
Diagnostic studies
A colonoscopy is the definitive screening test, distinguishing ulcerative colitis from other colon diseases with similar symptoms. During a colonoscopy test, inflamed mucosa with exudate ulcerations can be observed, and biopsies are taken to determine the histologic characteristics of the...
Diagnostic studies
A colonoscopy is the definitive screening test, distinguishing ulcerative colitis from other colon diseases with similar symptoms. During a colonoscopy test, inflamed mucosa with exudate ulcerations can be observed, and biopsies are taken to determine the histologic characteristics of the...
354
Imaging Studies III: Gastrointestinal Motility Studies and Virtual Colonoscopy
108
This lesson explores three gastrointestinal imaging techniques: radionuclide testing, colonic transit studies, and virtual colonoscopy.
Radionuclide Testing
Radionuclide testing is a sophisticated medical technique for assessing gastrointestinal motility. It focuses on gastric emptying and colonic transit time. Radioactive markers track the movement of food through the digestive system, providing insights into gastrointestinal disorders.
In gastric emptying studies, a meal's liquid and...
Radionuclide Testing
Radionuclide testing is a sophisticated medical technique for assessing gastrointestinal motility. It focuses on gastric emptying and colonic transit time. Radioactive markers track the movement of food through the digestive system, providing insights into gastrointestinal disorders.
In gastric emptying studies, a meal's liquid and...
108

