Page 240 - 2021 IDMT Digital

DIARRHEA, ACUTE
Introduction:
• ZHHNV GXUDWLRQ
• $FXWH QRQ LQIODPPDWRU\ GLDUUKHD PLOG VHOI OLPLWHG
o &DXVHG E\ D YLUXV RU QRQ-LQYDVLYH EDFWHULD
o ([DPSOHV enterotoxigenic E coli, 9LEULR FKROHUDH
• $FXWH LQIODPPDWRU\ GLDUUKHD LQFUHDVHG VHYHULW\
o &DXVHG E\ DQ LQYDVLYH RU cytoWR[LQ SURGXFLQJ EDFWHULXP
o ([DPSOHV Campylobacter, 6DOPRQHOOD, enterohemorrhagic E coli, C difficile

Subjective:
• 6LJQV DQG 6\PSWRPV
o 1RQ LQIODPPDWRU\ ZDWHU\ QRQ EORRG\ GLDUUKHD ZLWK SRVVLEOH FUDPSV EORDWLQJ
QDXVHD YRPLWLQJ
o ,QIODPPDWRU\ EORRG\ GLDUUKHD G\VHQWHU\ GXH WR FRORQLF WLVVXH GDPDJH
DEGRPLQDO SDLQ
• )RFXVHG +LVWRU\
o &RPPXQLW\ FORVH FRQWDFW RXWEUHDNV VXJJHVWV YLUDO HWLRORJ\ RU IRRG VRXUFH
o 5HFHQW DQWLELRWLF XVH VXJJHVWV C difficile LQIHFWLRQ
o 7UDYHOLQJ KLVWRU\ ³WUDYHOHU¶V GLDUUKHD´
o ([SRVXUH WR LPSURSHUO\ SUHSDUHG RU VWRUHG RU XQSXULILHG ZDWHU
Objective:
• 9LWDO 6LJQV
o ,QIODPPDWRU\ IHYHU OLNHO\ SUHVHQW
• 3K\VLFDO ([DP
o (YDOXDWH PHQWDO VWDWXV
o (YDOXDWH K\GUDWLRQ VWDWXV DQG SRVVLEOH GHK\GUDWLRQ
o $EGRPLQDO H[DP PD\ KDYH WHQGHUQHVV WR SDOSDWLRQ
o ,QIODPPDWRU\ GLDUUKHD SRVVLEOH SHULWRQHDO ILQGLQJV
o '5( IRU VSKLQFWHU FRPSHWHQFH
• 7RROV
o 6WRRO VWXGLHV LI GLDUUKHD SHUVLVWV RYHU GD\V
Assessment:
• 'LIIHUHQWLDO UHODWHG WR HWLRORJ\
o 9LUDO JDVWURHQWHULWLV GLDUUKHD FRPPRQ EXW RQVHW RI YRPLWLQJ EHIRUH SDLQ PDNHV
DSSHQGLFLWLV OHVV OLNHO\ XVXDOO\ PLOG DQG VHOI OLPLWLQJ SDiQ LV XVXDOO\ ELODWHUDO
o %DFWHULDO JDVWURHQWHULWLV GLDUUKHD ZLWK PRUH VHYHUH V\PSWRPV PD\ KDYH D IHYHU
DQG EORRG\ GLDUUKHD
o 7UDYHOHU¶V GLDUUKHD EHQLJQ VHOI OLPLWHG GLVHDVH RFFXUULQJ DERXW ZHHN LQWR
WUDYHO
o ,%6 cKURQLF IXQFWLRQDO GLVRUGHU FKDUDFWHUL]HG E\ DEGRPLQDO SDLQ RU GLVFRPIRUW
ZLWK DOWHUQDWLRQV LQ ERZHO KDELWV QR DEQRUPDO ILQGLQJV XVXDOO\ QRWHG

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