Page 242 - 2021 IDMT Digital
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TRAVELER’S DIARRHEA
Introduction:
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• 6XVFHSWLEOH GXH WR PDUNHG FKDQJH LQ FOLPDWH VRFLDO FRQGLWLRQV VDQLWDWLRQ VWDQGDUGV DQG
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• 'LDUUKHD XVXDOO\ GHYHORSV LQ GD\V
• %DFWHULD FDXVH
o 0RVW FRPPRQ SDWKRJHQV HQWHURWR[LJHQLF E. coli Shigella VSHFLHV
Campylobacter jejuni (Southeast Asia)
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Subjective:
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o 6WRROV PD\ EH EORRG\ LQ PRUH VHYHUH FDVHV
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ZHHN RU ORQJHU
• )RFXVHG +LVWRU\
o 7UDYHO KLVWRU\
o ([SRVXUHV
o 6LFN FRQWDFWV
Objective:
• 9LWDO 6LJQV
o 5DUH WR KDYH IHYHU EXW FDQ EH SUHVHQW LQ PRUH VHYHUH FDVHV
• 3K\VLFDO ([DP
o 0D\ EH QRUPDO LQ PLOG LOOQHVV
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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
DQG EORRG\ GLDUUKHD
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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