0 8177 8185 8191 8195 8201 8203 8207 8213 8215 8221 8227 8231 8233 8237 8243 8245 8251 8255 8257 8261 8263 8267 8269 8271 8272 8273 8275 8276 8277 8279 8281 8285 8287 8291 8293 8297 8303 8305 8311 8315 8317 8321 8327 8333 8335 8341 8345 8347 8353 8357 8363 8371 11751 我看不起他们，我为这样的人感到悲哀。 I'am in nanning 于是有了“无车日”的活动，在每年9月22日举行，有全国108个城市参加。 出版物 This document presents the official recommendations of the American Gastroenterological Association (AGA) on the Evaluation and Management of Chronic Diarrhea. It was approved by the Clinical Practice and Practice Economics Committee on September 27, 1998, and by the AGA Governing Board on November 8, 1998. 冒昧来信 还为酒店提供信息发布功能 手机小而且方便携带 wanshan usually gut up at 600 am Reduces the cost of repairs Viskose agnes b 5月7日，杭州市中心飙车案，浙大毕业生身亡 怪大叔 我们要在一起一辈子 我只做你一个人的傻瓜 笨蛋老公我爱你 南宁？你在中国留学吗？ In the various menus can be normal download books Mother wants me 当然你的经验会更加有助于我们分析此问题 眉山市中享洗涤用品有限公司 我们会在明天的电话会议中提出 your syntax is wrong 制品 非常にではあなたと一緒に嬉しいが、非常に幸せある。私はあなたの生命、後で知らなかったら非常に恐れていた、Huのハイビスカス 微笑女王 sheet name Santa Clara increases the price of goods for sale ??? ??? ??? ?? ???? you suffocated it with yourexcessive hugging! 我喜欢医生 奋斗小青年 有利于大幅度提高课堂教学质量，为课堂教学实施素质教育提供了成功的范例 与其说她美到不如说她迷人 安全钳制动时造成表面损伤 美国黑人处在美国社会的底层，时刻受到失业、贫病和死亡的威胁，因此，他们曾进行了长期的反抗斗争 地震发生在上午还是下午 Jan, Minimum flash point we should use for a cleaner or rust preventative is 60 deg C. And prefer above 70 deg C lampenstrom 冷冻系统引氨安全注意事项 then i take a shower and drush my teeth 大家再见 ahhh ok, i kinda need advice on something, are u willing to talk? 绿色森林 奔驰 A careful history can provide clues to the cause of chronic diarrhea. The following 14 points should be assessed as part of a comprehensive history in a patient with chronic diarrhea: 1. The characteristics of the onset of diarrhea should be noted as precisely as possible. Note should be made of whether it was congenital, abrupt, or gradual in onset. 2. The pattern of diarrhea should be recorded: Are loose stools continuous or intermittent? 3. The duration of symptoms should be identified clearly. 4. Epidemiological factors, such as travel before the onset of illness, exposure to potentially contaminated food or water, and illness in other family members should be elicited. 5. Stool characteristics should be investigated. Specifically, the patient should be queried as to whether stools are watery, bloody, or fatty. 6. The presence or absence of fecal incontinence should be determined. Some individuals complain of diarrhea when their major difficulty is disordered continence. 7. The presence or absence of abdominal pain and its characteristics should be evaluated. Pain often is present in patients with inflammatory bowel disease, irritable bowel syndrome, and mesenteric ischemia. 8. The presence of weight loss should be determined if possible by reference to objective measurement of body weight. Weight loss can be seen in any diarrheal disease, because patients often reduce intake in an effort to control symptoms; however, substantial weight loss is more likely to be caused by nutrient malabsorption, neoplasm, or ischemia. 9. Aggravating factors, such as diet and stress, should be recorded. 10. Mitigating factors, such as alteration of diet and use of both prescription and over-the-counter drugs, should be listed. 11. Previous evaluations should be reviewed whenever possible. Objective records may be inspected, and radiograms and biopsy specimens should be reexamined before new studies are ordered. 12. Iatrogenic causes of diarrhea should be investigated by obtaining a detailed medication history and a history of radiation therapy or surgery. 13. Factitious diarrhea caused by surreptitious laxative ingestion should be considered in every patient with chronic diarrhea. Markers of factitious diarrhea, such as a history of eating disorders, secondary gain, or a history of malingering, should be sought. 14. A careful review of systems should be conducted to look for systemic diseases, such as hyperthyroidism, diabetes mellitus, collagen-vascular diseases and
