Diarrhea Flashcards
What is diarrhea?
Decreased consistency and/or frequency increased of bowel movement
With whom is diarrhea most common?
Kids and young adults
What is the daily secretion
7 L from endogenous source
2 L from exogeneous source
Classification of diarrhea in duration
- Acute - up to 14 days
- Persistent - > 15 days
- Chronic - > 30 days
Classification of diarrhea in infection
- Viral
- Bacterial
*Parasite
Types of E. Coli
Toxic, Invasive, Pathogen, Hemorrhagic
This bacteria causes nausea in diarrhea
ETEC
This bacteria causes pus and blood in diarrhea
EIEC
This bacteria causes blood and fever in diarrhea
EHEC
This bacteria causes vomit and mucous in diarrhea
EPEC
In disinteriform diarrhea is frequent ____ and less frequent ____
Blood
Vomit
Physiopatology of the types of diarrhea
Osmotic - blocks water and electrolyte entrance
Secretory - H2O secretion
Inflammatory - Serious damage to enterocyte
Motor - increased or decreased motility
Which diarrheas are caused by ETEC (nausea and vomit)
Secretory
Which diarrheas are caused by EPEC (vomit and mucous)
Secretory and osmotic
Which diarrheas are caused by EIEC (blood and pus)
Inflammatory - invasive
Which diarrheas are caused by EHEC (blood)
Inflammatory - non invasive
Causes for non bloody diarrhea (VES Dificil) and where do they appear
Virus - osmotic
ETEC - seretory & EPEC - secretory and osmotic
S. aeureus - secretory
C. Difficile - inflammatory
Causes for bloody diarrhea (EShA CaSa VY) and where do they appear
EHEC - inflammatory NI & EIEC - inflamatory I
Shigella - secretory and inflammatory I
Amiba (E. Histolytica) - inflammatory I
Campylobacter - inflammatory I
Salmonella - inflammatory I
Vibrio cholerae - secretory
Yersinia enterolitica
Antibiotics for..
Virus - No
Bacteria - Start with fluoroquinolones or macrolide
Parasitic - metronidazole
When do you give antibiotics for diarrhea
Watery: trip or fever
Bloody: trip and fever
When do you give loperamide
If watery, no fever and they can’t rest
