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Digestive, metabolic, and endocrine conditions

1,164 articles

Benign neoplasm of endocrine glands

Benign neoplasm of endocrine glands: non-cancerous tumors of hormone-producing glands, ICD-11 code 2F37 (ICD-10-CM D35). Includes pituitary, parathyroid, and adrenal adenomas; excludes endocrine pancreas, ovary, testis, hypothalamus.

Benign neoplasm of stomach

Benign neoplasm of stomach (ICD-11 2E92.1): non-cancerous gastric growths, mainly gastric polyps (fundic gland, hyperplastic, adenoma) and subepithelial lesions (leiomyoma, lipoma, schwannoma, ectopic pancreas), diagnosed by endoscopy and EUS.

Benign neoplasm of tongue

Benign neoplasm of tongue (ICD-11 2E90.1): non-malignant tongue tumors including squamous papilloma, hemangioma, schwannoma, lipoma, and granular cell tumor; well-circumscribed submucosal masses, resected transorally, recurrence about 15% at tongue base.

Benign recurrent intrahepatic cholestasis

Benign recurrent intrahepatic cholestasis (BRIC, Summerskill-Walshe-Tygstrup syndrome) is a rare autosomal recessive liver disease with recurrent cholestatic jaundice and pruritus from ATP8B1 or ABCB11 mutations, resolving without cirrhosis.

Beta-mannosidosis

Beta-mannosidosis (beta-mannosidase deficiency, lysosomal beta A mannosidosis) is an ultra-rare autosomal recessive lysosomal storage disorder caused by MANBA variants, with intellectual disability, hearing loss, angiokeratomas, and about 46 reported human cases.

Bezoar

Bezoar: an indigestible mass (phytobezoar, trichobezoar, diospyrobezoar) in the gastrointestinal tract, once prized as an antidote; now treated by Coca-Cola dissolution, endoscopy, or surgery.

Bifunctional enzyme deficiency

Bifunctional enzyme deficiency (D-bifunctional protein deficiency, DBIF, pseudo-Zellweger syndrome) is a rare autosomal recessive peroxisomal beta-oxidation disorder caused by HSD17B4 mutations, causing neonatal hypotonia, seizures, and VLCFA accumulation.

Bile acid malabsorption

Bile acid malabsorption (BAM, bile acid diarrhea/BAD): chronic watery diarrhea from excess colonic bile acids due to ileal reabsorption failure or excess synthesis; types 1–3; diagnosed by SeHCAT, serum C4, FGF19; treated with bile acid sequestrants.

Biliary atresia

Biliary atresia is a neonatal disease in which intra- and extrahepatic bile ducts are scarred and blocked, causing cholestasis and cirrhosis; treated by Kasai portoenterostomy, ideally before 30–90 days of life, often followed by liver transplant.

Biliary atresia with splenic malformation syndrome

Biliary atresia with splenic malformation syndrome (BASM), also called biliary atresia splenic malformation, is a syndromic form of biliary atresia with polysplenia, asplenia, situs inversus, preduodenal portal vein, and cardiac defects, affecting about 10–15% of European and American BA infants.

Biliary colic

Biliary colic: pain from the gallbladder or bile duct contracting around a gallstone; epigastric, steady pain lasting 2 to 4 hours; treated with laparoscopic cholecystectomy.

Bilirubinuria

Bilirubinuria is the presence of water-soluble conjugated bilirubin in the urine, a sign of hepatocellular disease or biliary obstruction that often darkens the urine before jaundice is visible.

Biochemical variant galactosemia

Biochemical variant galactosemia, also called Duarte galactosemia, is a mild form of GALT deficiency, found in newborn screening, that causes no symptoms and needs no treatment or diet restriction.

Biotin deficiency

Biotin deficiency (vitamin B7 deficiency), including biotinidase deficiency, causes hair loss, rash, and neurologic symptoms; caused by raw egg whites, TPN, anticonvulsants, or inherited BTD defects.

Black hairy tongue

Hypertrophy of tongue papillae (ICD-11 DA03.4), also called hairy tongue or black hairy tongue (lingua villosa nigra): benign elongation of filiform papillae from delayed desquamation, linked to smoking, antibiotics, and poor oral hygiene.

Bloating

Bloating: uncomfortable abdominal fullness or pressure, distinct from visible distension. Common causes include gut gas from FODMAPs, constipation, IBS, SIBO, and visceral hypersensitivity; low FODMAP diet is the best-supported therapy.

Blood in stool

Blood in stool (rectal bleeding, hematochezia, melena): visible GI bleeding from hemorrhoids, fissures, diverticula, polyps, IBD, or colorectal cancer; color and pattern hint at the bleeding source.

Blue diaper syndrome

Blue diaper syndrome, also called Drummond syndrome, is a rare metabolic disorder present from birth in which poor tryptophan absorption causes diarrhea and blue-stained diapers.

Bowel obstruction

Bowel obstruction, also called intestinal obstruction, is a mechanical blockage of intestinal contents, usually from adhesions, hernias, or tumors; strangulation threatens bowel viability, and treatment combines resuscitation, decompression, and selective surgery.

Bristol stool scale

Bristol stool scale (Bristol Stool Form Scale, BSFS): seven-type medical tool classifying human feces from type 1 hard lumps to type 7 watery diarrhea; types 3-5 normal; developed at Bristol Royal Infirmary, validated for transit time by Lewis and Heaton in 1997.

C-peptide

C-peptide (connecting peptide), a 31-amino-acid cleavage product of proinsulin, is secreted equimolar with insulin and serves as the standard biomarker of endogenous insulin secretion, used to classify diabetes, evaluate hypoglycemia and insulinoma, and as a trial surrogate endpoint.

CA19-9

CA19-9 (carbohydrate antigen 19-9, sialyl Lewis a) is a blood tumor marker for pancreatic, gallbladder, bile duct, and gastric cancers, used mainly to monitor treatment; cutoff <37 U/mL; unreliable in Lewis-negative people and jaundice.

Cachexia

Cachexia, also called wasting syndrome, is an inflammation-driven loss of skeletal muscle and fat in cancer, heart failure, COPD, and kidney disease, not reversible by feeding alone; no FDA-approved drugs exist, anamorelin is Japan-only, and ponsegromab (anti-GDF-15) is the leading pipeline agent.

CADDS

CADDS (contiguous ABCD1 DXS1357E deletion syndrome) is a rare X-linked recessive neonatal disorder from deletion of ABCD1 and BCAP31 on Xq28, causing cholestasis, hypotonia, elevated VLCFA, and death before age one.

Calcific pancreatitis

Calcific pancreatitis (chronic calcific pancreatitis, ICD-11 DC32.0): chronic pancreatitis with calcium carbonate deposits in pancreatic ducts and tissue; alcohol and smoking double calcification risk; surgery relieves pain better than endoscopy.

Calcium deficiency

Calcium deficiency, also called hypocalcemia when blood calcium falls below 8.5 mg/dL, is low calcium intake or blood level causing neuromuscular irritability, tetany, and bone disease such as osteoporosis, rickets, and osteomalacia; ICD-11 code 5B5K.1.

Calcium metabolism

Calcium metabolism, also called calcium homeostasis, is how the body keeps blood calcium within a narrow range, regulated by PTH, vitamin D, and bone, kidney, and intestine.

Cannabinoid hyperemesis syndrome

Cannabinoid hyperemesis syndrome (CHS), cannabis hyperemesis: cyclic vomiting, abdominal pain, and compulsive hot bathing from chronic cannabis use, relieved by cessation; treated with haloperidol or capsaicin.

Cap polyposis

Cap polyposis is a rare, benign colorectal condition in which inflammatory polyps covered by a white cap arise mainly in the rectum, causing rectal bleeding and altered bowel habits.

Carcinogenesis

Carcinogenesis: the multistage process by which normal cells become malignant through accumulated genetic and epigenetic changes. Covers initiation-promotion-progression, driver mutation counts, mutational signatures, DNA repair defects, and carcinogens.