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Key examination findings for a child age >6 months with chronic diarrhea

Key examination findings for a child age >6 months with chronic diarrhea
Physical examination findings Implications
Aphthous stomatitis
  • IBD and celiac disease
Stomatitis/glossitis/angular cheilitis
  • B-complex vitamin deficiency secondary to malabsorption
Diaper/perianal rash
  • Acidic stools – Carbohydrate malabsorption
  • Acrodermatitis enteropathica – Zinc deficiency
Cutaneous rashes
  • Dermatitis herpetiformis – Celiac disease
  • Erythema nodosum – IBD
  • Pyoderma gangrenosum – IBD
Loss of subcutaneous fat and muscle loss
  • Chronic malnutrition
Perianal fistula
  • Crohn disease
Abdominal tenderness
  • Inflamed organs or peritoneum (IBD, vasculitis, and others)
Abdominal distension
  • Excessive gas – Carbohydrate fermentation, malabsorption, or SIBO
  • Ascites – Suggest liver or PLE
Peripheral edema
  • Suggests PLE
Koilonychia (spoon nails)
  • Iron deficiency secondary to malabsorption (also may be idiopathic)
Xeroderma, dry skin
  • Essential fatty acid deficiency secondary to malabsorption
IBD: inflammatory bowel disease; SIBO: small intestine bacterial overgrowth; PLE: protein-losing enteropathy.
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