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

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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

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

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