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6 comparative diagnosis


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  • 2. PROFESSOR : DRA. ROSA GONZALES LLONTOPSTUDENTS:Campos Milyan LeidyChavesta Manrique XinthiaHuamán Cueva ZoilaRacchumí Nima AnitaRamírez Armas Karina Group N° 6Velásquez Esspinal José Luis
  • 3. A 29 year-old man was admitted to the hospital because of fatigue, anorexia, malaise, fever and difficulty concentrating, delirious. He appeared tired and thin, histemperature was 39 °C, with diffuse abdominal pain and diarrhea (5 stools for day), some dehydration.
  • 4. “I think that is cholera.. but, also it can be typhoid fever..”“Now.. How do I know if it is cholera or typhoid fever?”
  • 5. Infection of the small intestine that causes a large amount of watery diarrhea. is anis caused by This bacteria releases This bacteria releases Vibrio aatoxin that causes toxin that causes Vibrio increased release of increased release of cholerae cholerae water from cells in the water from cells in the intestines, which intestines, which produces severe produces severe diarrhea. diarrhea.
  • 6. Symptoms ofTHE cholera
  • 7. Typhoid fever Typhoid fever is Typhoid fever is caused by caused by Bacteria of the genus Bacteria of the genus an acute an acuteinfectious disease Salmonella Salmonella infectious disease
  • 8. Is caused by consuming Is caused by consumingcontaminated food or contaminated food ordrinks. drinks. Include: Milk Cheese Which grow in Ice cream locations near Seafood points of Vegetables wastewater Eggs disposal Water
  • 9. Symptoms ofthe typhoid fever
  • 10. Symptomshigh feverhigh fever loss of appetite loss of appetite headache headache weakness weakness
  • 11. abdominal painabdominal pain chills chills nosebleed nosebleed
  • 12. Differential signs andsymptoms of both diseases
  • 13. Typhoid TyphoidCholeraCholera Fever FeverTachycardia Bradycardia
  • 14. Cholera Cholera TyphoidFever Typhoid FeverFrom 30 to 40 From 6 to 8 stoolsstools for day. for day.
  • 15. Cholera Cholera TyphoidFever Typhoid FeverMild fever or no Fever up to 40 ° C. fever.
  • 16. Typhoid Typhoid Cholera Cholera Fever FeverFever conscious state. Delirious with fever.
  • 17. Cholera Cholera TyphoidFever Typhoid FeverSevere dehydration Moderate dehydration.
  • 18. “Now, I know that my patient have typhoid fever”“But, I need clinical tests to do my diagnosis”
  • 20. A complete bloodcount (CBC). Show a high number of white cells in the blood.
  • 21. A blood culture During the first week of the fever can show S. typhi bacteria.
  • 22. Urine test ELISA. To look for the bacteria that causes typhoid fever.
  • 23. Platelet count (be low). coproculture . The germ is eliminated in the dregs . Positivity is very high within 2-4 weeks, staying positive chronic carriers.
  • 24. Serology Widal technique Demonstrates the presence of agglutinating antibodies (agglutinins) against H antigens (flagellar) or O (somatic) of Salmonella typhi.
  • 25. “I confirmed my diagnosis”“Finally, give the treatment”
  • 26. TREATMENT A person will usually antibiotics recover in 2-3 days with prompt antibiotic treatment Ciprofloxacin Ceftriaxone (Cipro) (RocephinIf you are being treated for typhoid fever, it is important to If you are being treated for typhoid fever, it is important todo the following: do the following: Wash your hands carefully with soap and water after using the bathroom Eating a healthy diet. Drinking fluids
  • 27. Thanks a lot!!!!