What are the recommended exams for investigating diarrhea?

I - Hemogram, albumin, TSH, glycemia, ferritin, folate, PPF, B12, and Clostridium resea...

Question

What are the recommended exams for investigating diarrhea?

I - Hemogram, albumin, TSH, glycemia, ferritin, folate, PPF, B12, and Clostridium research.
II - Calprotectin, colonoscopy with biopsy, and consider small bowel imaging such as CT or MRI.
III - Fecal elastase if > 200, investigate celiac disease.
IV - Anti-transglutaminase antibody IgA and total IgA, anti-deaminated gliadin antibody IgG for celiac disease research.
V - Imaging exam or endoscopic ultrasound if elastase < 200.
VI - Fecal calprotectin research if watery diarrhea without alarm signs, colonoscopy with biopsy if calprotectin < 50.
a) I, II, and III are correct.
b) II, III, and IV are correct.
c) III, IV, and V are correct.
d) II, IV, and VI are correct.

Ed · Answer

A alternativa correta é a letra "d) II, IV, e VI estão corretas".

Os exames recomendados para investigar a diarreia são: 
- Calprotectina, colonoscopia com biópsia e considerar imagem do intestino delgado, como CT ou MRI.
- Anti-transglutaminase IgA e IgA total, anti-anticorpo gliadina desaminada IgG para pesquisa de doença celíaca.
- Fecal elastase se > 200, investigar doença celíaca.
- Pesquisa de calprotectina fecal se diarreia aquosa sem sinais de alarme, colonoscopia com biópsia se calprotectina

What are the recommended exams for investigating diarrhea? I - Hemogram, albumin, TSH, glycemia, ferritin, folate, PPF, B12, and Clostridium resea...

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