Acute Diarrhea Evaluation in Primary Care Acute Diarrhea luation in ...
Acute Diarrhea Evaluation in Primary Care Acute Diarrhea luation in ... Acute Diarrhea Evaluation in Primary Care Acute Diarrhea luation in ...
Salmonella (continued) • Distinct clinical syndromes: • gastroenteritis: incubation ½1 day • duration 34 days; N&V; RLQ pain • colitis: bloody diarrhea; fever. May • have sepsis or toxic megacolon. • 1 week – 3 mo illness • bacteremia (esp in AIDS pts) • (typhoid fever) S. typhimurium • focal infection/abscess • carrier state (0.20.6%) 0.6%)
Salmonella (continued) • Treatment: • for acute gastroenteritis syndrome • (antibiotics debated) • for colitisantibiotics usually suggested • for sepsis—ampicillin if sensitive • for focal infection—ampicillin or TMS • for AIDS, sickle, etc—ampicillin, etc • for carrier?cholecystectomy; ?nothing • if schistosomaisis?praziquantl
- 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 and 20: Traveller’s diarrhea • Usually
- Page 21 and 22: Foodrelated gastrointestinal infe
- Page 23: salmonella • Most common foodbo
- 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
Salmonella (cont<strong>in</strong>ued)<br />
• Dist<strong>in</strong>ct cl<strong>in</strong>ical syndromes:<br />
• gastroenteritis: <strong>in</strong>cubation ½1 day<br />
• duration 34 days; N&V; RLQ pa<strong>in</strong><br />
• colitis: bloody diarrhea; fever. May<br />
• have sepsis or toxic megacolon.<br />
• 1 week – 3 mo illness<br />
• bacteremia (esp <strong>in</strong> AIDS pts)<br />
• (typhoid fever) S. typhimurium<br />
• focal <strong>in</strong>fection/abscess<br />
• carrier state (0.20.6%) 0.6%)
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