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	<title>Advances in medicine</title>
	<link>http://www.advances-in-medicine.com</link>
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	<lastBuildDate>Sat, 06 Sep 2008 20:10:20 +0000</lastBuildDate>
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		<title>Crohn’s Disease - PSYCHOSOCIAL CONSIDERATIONS</title>
		<description><![CDATA[Although there is no evidence to support the concept that psychologic factors are etiologic in Crohn&#8217;s disease, there is no question that psychosocial pressures can influence the course of the patient&#8217;s illness and have to be addressed. The caring physician who is willing to answer questions and be available at all times is often all [...]]]></description>
		<link>http://www.advances-in-medicine.com/2008/09/crohns-disease-psychosocial-considerations.html</link>
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		<title>Crohn’s Disease - NUTRITIONAL SUPPORT</title>
		<description><![CDATA[
General Dietary Instructions and Nutritional Supplements
Food is the best source of nutrition, and the emphasis for most patients should be on normalization of the diet and adequate caloric intake. Patients with intestinal strictures and partial obstruction may benefit from a low-residue diet. Those patients with calcium oxalate stones associated with steatorrhea and hyperoxaluria should be [...]]]></description>
		<link>http://www.advances-in-medicine.com/2008/09/crohns-disease-nutritional-support.html</link>
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		<title>Crohn’s Disease - DRUG THERAPY</title>
		<description><![CDATA[Aminosalicylates
Sulfasalazine
Introduced into clinical medicine in the early 1940s, sulfasalazine (Azulfidine)* has since become a mainstay in the therapy for inflammatory bowel disease. Controlled trials have shown its efficacy for active Crohn&#8217;s disease involving the colon, and although the studies have not uniformly demonstrated the drug&#8217;s benefit in isolated ileitis, there appears to be a subset [...]]]></description>
		<link>http://www.advances-in-medicine.com/2008/09/crohns-disease-drug-therapy.html</link>
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		<title>Crohn’s Disease - DIFFERENTIAL DIAGNOSIS</title>
		<description><![CDATA[Patients with irritable bowel syndrome rarely present with &#8220;inflammatory&#8221; features. Persistent symptoms despite therapy for presumed irritable bowel syndrome (especially in the presence of weight loss), bleeding attributed to &#8220;hemorrhoids,&#8221; or a family history of IBD deserve a more comprehensive evaluation to exclude IBD. Most enteric infections are self-limited. Viral gastroenteritis typically lasts 1 to [...]]]></description>
		<link>http://www.advances-in-medicine.com/2008/08/crohns-disease-differential-diagnosis.html</link>
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		<title>Crohn’s Disease - RADIOGRAPHY</title>
		<description><![CDATA[
Radiographic examination should begin with a supine and upright view of the abdomen. Associated findings of nephrolithiasis, cholelithiasis, or arthritis of the spine or sacroiliac joints may be identified. Intestinal dilatation or air-fluid levels suggesting obstruction preclude aggressive barium studies until the patient&#8217;s clinical condition is stabilized. In colitis, a plain view of the abdomen [...]]]></description>
		<link>http://www.advances-in-medicine.com/2008/08/crohns-disease-radiography.html</link>
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		<title>Crohn’s Disease - ENDOSCOPY</title>
		<description><![CDATA[Patients presenting with colitic symptoms of rectal bleeding, cramping, tenesmus, mucopus, or watery diarrhea in conjunction with fecal leukocytes warrant a colonic examination. A proctoscopic examination or flexible sigmoidoscopy reveals the presence and pattern of distal colonic inflammation. In the absence of perianal disease, diffuse, continuous mucosal changes with a distinct upper boundary to adjacent [...]]]></description>
		<link>http://www.advances-in-medicine.com/2008/08/crohns-disease-endoscopy.html</link>
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		<title>Crohn’s Disease - DIAGNOSIS</title>
		<description><![CDATA[There are no pathognomonic clinical, endoscopic, or histologic features of the idiopathic IBD&#8217;s. The physician must therefore consider the entire clinical picture and the evolution of the illness. It is particularly important to exclude other disorders that may mimic the broad range of IBD symptoms and findings. First it is important to establish the presence [...]]]></description>
		<link>http://www.advances-in-medicine.com/2008/08/crohns-disease-diagnosis.html</link>
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