Done forget
Zinc & probiotic
Acute Diarrhea
describes fluidity ,
Volume , frequency of stool relative to usual
habit .
33 loose / stool 124hr 10mL stool 1kg1 24hr
watery or >
Normal stool Patera :
• 0-4 months Breastfed : 2-4 / day . Yellow → Golden pH : 5
• o -
h months Bottle fed :
2-3 /day , pale yellow→ light brown
PH : -7
• Um → Iyear : I -31 day , Parker yellow -
former
Breast fed infant
• > 1 year : adult like
Types of diarrhea :
Dehydration
1. Acute watery diarrhea: commonest wt loss
2. Dysentery: Blood . mucus + Tenesmus I fever
malnutrition
3. persistent diarrhea , begin as acute infective watery , > 14 days dehydration
,
U . Chronic 1, : > 1h days ,
insidious onset
bacteria: while abroad
→
* infectious : fever pus , blood , , epidemic , travel → parasite: when came back
* non infectious : afebrile , No pus
-
, No blood, sporadic NoTravel ,
pathophysiology : 1- Secretory 2- Osmotic 3 Exudative
. 4. A
motility
A- 1^-4' 5. f surface area
Exudative intestinal mucosa rnflammed
A Blood fluid Pus .
,
cause: Salmonella , shigella Campylobacter
-
,
-
9 Y ,
amoebiasrs
-
:#
M motility , Hyperthyroidism
t surface area: short bowel syndrome
a
, Red flags : - Poor wt
gain ,
wt loss ,
C-Tt -
-
Cortinas, profuse diarrhea w/ dehydration -
-
Blood / mucus -
- assoc . w/ high fever . Rash , arthritis -
Etiology : Common :
Rare :
1- Gastroenteritis (Viral more ) 1-
Ivy disaccharides
def
Systemic infection
.
2- 2- toxic rnjeseron
3- antibiotic associated 3- Hirschsprung toxic
colitis
4-
overfeeding u - Hus
5- food poisoning 5- Hyperthyroidism
6- Intussusception
Hx: frequency , volume c
Consistency Vomiting cdehyoraeron) 7- appendicitis
,
Blood , mucus , fever Crnlecerous - bacterial ?) 8- Neonatal opuord withdrawal
urinating infrequently
wt loss PTZNR : 7 .
Extra GIT infection ( earache i dysuria ) a PTT :
719111,12
convulsions C Shigella)
food War out
-
Urk -7
family infected "
contamination "
-
-
.
-0s
Exam : Hydration , extra GIT signs , weight cut loss & as baseline)
Ix : No dehydration , No blood rn stool No Ix needed .
if indicated: I -
GSE 1 Stool culture
2- Rotavirus by immunoassay
Blood tests urine culture extra GIT dz
3- , ,
X-ray →
Case : Ahmad 18m -0 Zdayhx
non -
bloody diarrhea , 78 Stool 1 day
low fever , vomiting
Q : Dx ? Cause ? what -10 ask ? mx ?
Zinc & probiotic
Acute Diarrhea
describes fluidity ,
Volume , frequency of stool relative to usual
habit .
33 loose / stool 124hr 10mL stool 1kg1 24hr
watery or >
Normal stool Patera :
• 0-4 months Breastfed : 2-4 / day . Yellow → Golden pH : 5
• o -
h months Bottle fed :
2-3 /day , pale yellow→ light brown
PH : -7
• Um → Iyear : I -31 day , Parker yellow -
former
Breast fed infant
• > 1 year : adult like
Types of diarrhea :
Dehydration
1. Acute watery diarrhea: commonest wt loss
2. Dysentery: Blood . mucus + Tenesmus I fever
malnutrition
3. persistent diarrhea , begin as acute infective watery , > 14 days dehydration
,
U . Chronic 1, : > 1h days ,
insidious onset
bacteria: while abroad
→
* infectious : fever pus , blood , , epidemic , travel → parasite: when came back
* non infectious : afebrile , No pus
-
, No blood, sporadic NoTravel ,
pathophysiology : 1- Secretory 2- Osmotic 3 Exudative
. 4. A
motility
A- 1^-4' 5. f surface area
Exudative intestinal mucosa rnflammed
A Blood fluid Pus .
,
cause: Salmonella , shigella Campylobacter
-
,
-
9 Y ,
amoebiasrs
-
:#
M motility , Hyperthyroidism
t surface area: short bowel syndrome
a
, Red flags : - Poor wt
gain ,
wt loss ,
C-Tt -
-
Cortinas, profuse diarrhea w/ dehydration -
-
Blood / mucus -
- assoc . w/ high fever . Rash , arthritis -
Etiology : Common :
Rare :
1- Gastroenteritis (Viral more ) 1-
Ivy disaccharides
def
Systemic infection
.
2- 2- toxic rnjeseron
3- antibiotic associated 3- Hirschsprung toxic
colitis
4-
overfeeding u - Hus
5- food poisoning 5- Hyperthyroidism
6- Intussusception
Hx: frequency , volume c
Consistency Vomiting cdehyoraeron) 7- appendicitis
,
Blood , mucus , fever Crnlecerous - bacterial ?) 8- Neonatal opuord withdrawal
urinating infrequently
wt loss PTZNR : 7 .
Extra GIT infection ( earache i dysuria ) a PTT :
719111,12
convulsions C Shigella)
food War out
-
Urk -7
family infected "
contamination "
-
-
.
-0s
Exam : Hydration , extra GIT signs , weight cut loss & as baseline)
Ix : No dehydration , No blood rn stool No Ix needed .
if indicated: I -
GSE 1 Stool culture
2- Rotavirus by immunoassay
Blood tests urine culture extra GIT dz
3- , ,
X-ray →
Case : Ahmad 18m -0 Zdayhx
non -
bloody diarrhea , 78 Stool 1 day
low fever , vomiting
Q : Dx ? Cause ? what -10 ask ? mx ?
