Your SlideShare is downloading. ×
Sep 11 quiz diarrhea
Sep 11 quiz diarrhea
Sep 11 quiz diarrhea
Sep 11 quiz diarrhea
Sep 11 quiz diarrhea
Sep 11 quiz diarrhea
Sep 11 quiz diarrhea
Sep 11 quiz diarrhea
Sep 11 quiz diarrhea
Sep 11 quiz diarrhea
Sep 11 quiz diarrhea
Sep 11 quiz diarrhea
Sep 11 quiz diarrhea
Sep 11 quiz diarrhea
Sep 11 quiz diarrhea
Sep 11 quiz diarrhea
Sep 11 quiz diarrhea
Sep 11 quiz diarrhea
Sep 11 quiz diarrhea
Sep 11 quiz diarrhea
Sep 11 quiz diarrhea
Upcoming SlideShare
Loading in...5
×

Thanks for flagging this SlideShare!

Oops! An error has occurred.

×
Saving this for later? Get the SlideShare app to save on your phone or tablet. Read anywhere, anytime – even offline.
Text the download link to your phone
Standard text messaging rates apply

Sep 11 quiz diarrhea

768

Published on

By Kanjanee Wachirarangsiman, MD

By Kanjanee Wachirarangsiman, MD

Published in: Sports, Automotive
0 Comments
0 Likes
Statistics
Notes
  • Be the first to comment

  • Be the first to like this

No Downloads
Views
Total Views
768
On Slideshare
0
From Embeds
0
Number of Embeds
0
Actions
Shares
0
Downloads
17
Comments
0
Likes
0
Embeds 0
No embeds

Report content
Flagged as inappropriate Flag as inappropriate
Flag as inappropriate

Select your reason for flagging this presentation as inappropriate.

Cancel
No notes for slide

Transcript

  • 1. Quiz diarrhea ๋
  • 2.  
  • 3. Entamoeba histolytica
    • Trophozoite and cystic form
    • Invasive produce colonic ulceration
    • <1% spread outside the intestine :liver ,brain infection, pleural or pericardial effusion
    • Complication: GI bleeding, toxic megacolon, intussusception, stricture,perforation
    • Stools: blood-streaked mucus
    • Ab-based enzyme immunoessay sens and spec 95%
  • 4.
    • Rx : paromomycin, iodoquinol, diloxanide furoate
    • Severe symptoms:metronidazole750 mg tid x10 day
  • 5.  
  • 6. Enterobius vermicularis
    • Pinworm or seatworm
    • Natural host: human
    • Noninvasive
    • Perianal tingling or itching at night
    • Cellophane tape test
    • Rx empirically all other familial member
    • Albendazole 400 mg once,2 nd dose at 2 wk later
  • 7.  
  • 8. Giardia
    • Backpacker’s diarrhea
    • Pt with decreased gastric acid: susceptible to Giardia infection
    • Proximal bowel,superficial invasion of the mucosa
    • Symptoms:from malabsorption
    • Abdominal distension, colicky pain, flatulence, frequency explosive diarrhea
  • 9. Giardia
    • Acute infection: stool exam sens>95%
    • Chronic infection: ELISA, DFA
    • Rx:metronidazole 250 mg tid x7 day
  • 10.  
  • 11. Ascaris lumbricoides
    • eggs are swallowed  invade intestine mucosa  lungs  the bronchial tree  swallowing to the small intestine
    • adult worms in the small intestine: no symptoms
    • nonproductive cough ,substernal discomfort,dyspnea,fever,eosinophilia
    • Rx:Albendazole (400 mg once), mebendazole (500 mg once), or ivermectin (150–200 g/kg once)
  • 12. 5 micron
  • 13. 20 micron
  • 14. Coccidial infection
    • Cryptosporidium
    • most common cause of chronic diarrhea in AIDS
    • Isospora belli
    • OI in AIDS
  • 15. Coccidial infection
    • Non invasive
    • Mild to profuse watery diarrhea
    • Dx:oocysts in stool, acid fast stain ,EISA
    • Cryptosporidium 5 micron, Isospora 20 micron
    • Cryptosporidium Rx:Self-limited in immunocompetent, AIDS:HAART
    • Isosporisis: TMP-SMX
  • 16. Cyclospora
  • 17. Cyclospora cayetamemsis
    • Acute explosive watery diarrhea and abdominal cramps ,subside in 1-3 day
    • Followed by intermittent mild diarrhea and marked anorexia and fatigue
    • Dx: modified acid fast stain 8-10 micron,DDx cryptosporidium
    • Rx:TMP-SMX
  • 18.  
  • 19. Strongyloides stercoralis
    • uncomplicated strongyloidiasis: asymptomatic
    • Immunocompromise host: Colitis, enteritis, or malabsorption
    • In disseminated strongyloidiasis:GI,lungs,CNS , peritoneum, liver, and kidneys
    • Gram-negative sepsis, pneumonia, or meningitis may complicate
    • Dx: larvae in stool
    • Rx:Ivermectin 200 g/kg daily for 2 days, albendazole 400 mg daily for 3 days
    • For disseminated strongyloidiasis rx at least 5–7 days or until the parasites are eradicated.
  • 20.  
  • 21. Tenia
    • Intestinal infections with T. solium may be asymptomatic
    • In cysticercosis: cysticerci can be found anywhere in the body but are most commonly detected in the brain
    • Dx: proglottid in stool
    • Rx:A single dose of praziquantel (10 mg/kg) is highly effective

×