Unit iii

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Unit iii

  1. 1.  Typhoid Fever Bacillary Dysentery Cholera Food Poisoning Leptospirosis
  2. 2.  Hepatitis Mumps
  3. 3.  Amoebiasis  Enterobiasis Schistosomiasis  Taeniasis Capillariasis  Trichuriasis Helminths  Paragonimiasis Trichinosis  Strongyloidiasis Ancylostomiasis  RedTide Ascariasis Poisoning
  4. 4. is a general infection caused bySalmonella Typhi involving primarilythe lymphoid tissues (Peyers Patches)of the small intestine. is a bacterial infection transmitted bycontaminated water, milk shellfish orother foods
  5. 5. Salmonella Typhosa or Salmonella TyphiFecal Oral routeRose Spot on the Abdomen10-20 days
  6. 6. – as long as the bacteria areexcreted therefore anotherimportant source of infection isthe stool of the patient
  7. 7. 1. PRODROMAL OR GRADUAL ONSET/INITIAL STAGE Fever, Abdominal pain, diarrhea Irregularly spaced small rose spot on the abdomen, chest, trunk, and back
  8. 8. 2. FASTIGIAL STAGE 1. Ladderliked fever or stairway fever 2. Rose pot 3. Splenomegaly enlargement of the spleen
  9. 9. 2. FASTIGIAL STAGE Abdominal symptoms may become marked abdominal distention (tympanites) Teeth and lips accumulate a dirty brown collection of dried mucus and bacteria known as (typhoid state)
  10. 10.  Restless alteration in the level ofconsciousness Carphologia – involuntary picking of linens Subsultus Tendinum – involuntary twitching of the tendon of the wrist
  11. 11. WIDAL TEST – agglutination test for typhoid fever 3 ANTIGEN USE – positive active typhoid state or acute infection exposed before to typhoid fever Immunized with cholera typhoid – are found among carriers
  12. 12. 3. STAGE OF DEFERVESCENCE CirculationPEYERS PATCHES INFLAMMATIONSlough or falls off MEMBRANE MELENA
  13. 13. HEMATOCHEZIA – fresh blood in the stool –inflammation of the lining tissue of the abdominal cavity
  14. 14. 4. LYSIS - or CONVALESCENCESTAGE
  15. 15.  WIDAL TEST RECTAL SWAB CHLORAMPHENICOL
  16. 16. 1. Symptomatic2. GI Bleeding (NPO) Blood Transfusion may be given to patient3. Avoid spicy food cause irritation of gastric mucosa and aggravate the bleeding of the pt.4. Encourage increase fluid intake the patient may become dehydrated due to water loss vomiting diarrhea and poor oral intake.5. Give a high calorie low residue diet during febrile stage
  17. 17.  Immunization ( Cholera Typhoid ) Avoid the 5 Fs Proper disposal of feces Avoid breeding places of flies Proper preparation cooking storage of food Proper handwashing Cut finger nails

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