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Ace the 2026 Chronic Small Intestinal Disease Exam – Digest Your Way to Success! Flash Cards

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What is the correct order of the stepwise approach to chronic diarrhea?

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Detailed clinical history; Baseline lab work (CBC and chemistry, including cholesterol; UA); Fecal analysis followed by a fenbendazole trial; Abdominal imaging to rule out GI obstruction/intussusception; Texas GI panel (cobalamin, folate, PLI, TLI) - rule out EPI; Baseline cortisol or ACTH stimulation test - rule out Addison's!; Dietary trial - x2 if no response; +/- probiotics or FMT?; +/- tylosin trial?; Abdominal ultrasound +/- FNA of abnormal structures; Intestinal biopsies and histopathology.

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