Page 242 - 2021 IDMT Digital
P. 242

TRAVELER’S DIARRHEA
          Introduction:
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            •  6XVFHSWLEOH GXH WR PDUNHG FKDQJH LQ FOLPDWH  VRFLDO FRQGLWLRQV  VDQLWDWLRQ VWDQGDUGV DQG
               IDFLOLWLHV
            •  'LDUUKHD XVXDOO\ GHYHORSV LQ      GD\V
            •  %DFWHULD FDXVH
                 o  0RVW FRPPRQ SDWKRJHQV  HQWHURWR[LJHQLF E. coli  Shigella VSHFLHV
                    Campylobacter jejuni (Southeast Asia)
            •  3URSK\OD[LV LV QRW FRQVLGHUHG XQOHVV SDWLHQW LV LPPXQRFRPSURPLVHG RU PLVVLRQ LV YLWDO

          Subjective:
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                 o  $EGRPLQDO FUDPSV  QDXVHD  YRPLWLQJ
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                 o  ,OOQHVV FDQ VXEVLGH VSRQWDQHRXVO\ LQ     GD\V  EXW     UHPDLQ V\PSWRPDWLF IRU
                      ZHHN RU ORQJHU
            •  )RFXVHG +LVWRU\
                 o  7UDYHO KLVWRU\
                 o  ([SRVXUHV
                 o  6LFN FRQWDFWV
          Objective:
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                 o  5DUH WR KDYH IHYHU  EXW FDQ EH SUHVHQW LQ PRUH VHYHUH FDVHV
            •  3K\VLFDO ([DP
                 o  0D\ EH QRUPDO LQ PLOG LOOQHVV
                 o  0D\ KDYH DEGRPLQDO WHQGHUQHVV
          Assessment:
            •  'LIIHUHQWLDO
                 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
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                 o  ,%6  cKURQLF IXQFWLRQDO GLVRUGHU FKDUDFWHUL]HG E\ DEGRPLQDO SDLQ RU GLVFRPIRUW
                    ZLWK DOWHUQDWLRQV LQ ERZHO KDELWV  QR DEQRUPDO ILQGLQJV XVXDOO\ QRWHG
                 o  ,%'  VHYHUH DEGRPLQDO SDLQ ZLWK EORRG\ GLDUUKHD  PD\ KDYH SRVLWLYH IDPLO\
                    KLVWRU\



















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