Acute Diarrhea Evaluation in Primary Care Acute Diarrhea luation in ...

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Functional gastrointestinal disorders • May be induced by otherwise mild gastroenteritis. Most resolve eventually • Rome criterion • Most prevalent explanations: change in • Flora; mild E.coli; different foods; different daily routines, including different bathrooms • Most common cause of prolonged diarrhea after travel(&after a mission)
Foodrelated gastrointestinal infections • Gastroenteritis syndrome be a minor or • major manifestation of infection • Inoculum size (degree of infectivity) • variable: low for viral illness, shigella, • and E.coli • high for salmonella, probably high for • campylobacter • Many bacterial illnesses waterborn • Most parasitic illnesses waterborn
Page 1 and 2: Acute Diarrhea Evaluation in Primar
Page 3 and 4: Definition— —”Acute” • Pa
Page 5 and 6: Initial Evaluation • Evaluation p
Page 7 and 8: Initial evaluationdiagnostic poss
Page 9 and 10: Food Poisoning Syndromes • Prefor
Page 11 and 12: GI disease not related to food •
Page 13 and 14: Gastroenteritis syndromes • Emesi
Page 15 and 16: Calicivirus • 90% of epidemic gas
Page 17 and 18: Rotavirus • Major illness in very
Page 19: Traveller’s diarrhea • Usually
Page 23 and 24: salmonella • Most common foodbo
Page 25 and 26: Salmonella (continued) • Treatmen
Page 27 and 28: E.coli O157:H7 (Enterohemorrhargic
Page 29 and 30: Campylobacter jejuni • Common; ra
Page 31 and 32: Clostridium difficile • No longer

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