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1. CHIEF COMPLAINT
•Intestinal lymphangiectasia
2. HPI
3. ROS
4. SYMPTOMS
•Edema
•Nonbloody diarrhea
•Steatorrhea
•Malabsorption
•Lymphocytopenia
•Hypogammaglobulinemia
•Ascites
•Chylous pleural effusions
•Growth retardation
5. HISTORY
•FAMILY HISTORY
o Heart diseases
o Diabetes
o Hypertension
o Endometriosis
•SOCIAL HISTORY
•SURGICAL HISTORY
•CHRONIC CONDITIONS
o Cardiac diseases
o Crohn disease
o Mesenteric tuberculosis
o Sarcoidosis
o Whipple disease
o Systemic lupus erythematosus (SLE)
6. ALLERGY
7. PHYSICAL EXAMINATION
•Peripheral edema
•Macular edema on funduscopic examination
•Clubbing of the fingers
•Periostosis
•Skin changes.
9. TEST TO BE ORDERED
•CBP
•Serum electrolytes
•Serum albumin
•Serum albumin globulin ration
•Immunological assay
•Stool Alpha1-antitrypsin study
•Double-contrast radiographs of the small bowel
•Ultrasound
•CT scans
•Endoscopy
•Small bowel enteroscopy
•Capsule endoscopy
Surgical Care
•Gastrectomy
•Correction of a lymphenteric fistula
•Pericardiectomy
•Surgical resection of intestinal lymphangiectasia
11. EDUCATION
o Encourage patients to maintain an active lifestyle as much
as their disease allows.
o Modify the patient's diet to reduce intake of long-chain fatty
acids, substituting short-chain and medium-chain fatty
acids.
12. MEDICATION
•Octreotide
•Tranexamic acid
13. FOLLOW-UP