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

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E.Coli alphabet • Enteropathogenic (EPEC) • newbornsàAsians; • localized adherence(eaeA gene cluster) • Enterotoxigenic(ETEC) • traveller’s diarrhea; heatlabile &stable • toxin • Enteroinvasive(EIEC)— —colitis (Asia) • Enterohemorrhagic(EHEC)O157:H7 • Enteroaggregative(EAggEC)?any dz from it? • Diffusely adhering E. coli(DAEC) (France)
E.coli O157:H7 (Enterohemorrhargic E.coli) • 35 days incubation; diarrhea>blood in • 1à2 days. Pain in 1/3, usually after • blood appears. Diarrhea lasts 38 days • Multiple food can carry organism; food works, wild • animal also (water may be a source) • Low infective doseà10% secondary • spread; ?isolation; identify others exposed • HUS usually if
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 and 24: salmonella • Most common foodbo
Page 25: Salmonella (continued) • Treatmen
Page 29 and 30: Campylobacter jejuni • Common; ra
Page 31 and 32: Clostridium difficile • No longer

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