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

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Other infectious diarrheas • Vibrio – usually secretory darrhea • cholera • biotype 01: classic & El Tor • toxins: activate CAMP; ZOT • parahaemolyticus”Kanagawa +” • cholera Non01 – (esp V. vulnificus) • vaccines only partially and briefly • effective • Yersinia enterocolitica
Clostridium difficile • No longer “just” a nosocomal infection • Inflammatory diarrhea • A small but significant number have no • antibiotic exposure • Humantohuman spread (hand washing) • One of he causes of traveller’s diarrhea • Usually requires treatment (metronidazole • if mild disease)
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 and 26: Salmonella (continued) • Treatmen
Page 27 and 28: E.coli O157:H7 (Enterohemorrhargic
Page 29: Campylobacter jejuni • Common; ra

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