Dysentery
Dysentery
Dysentery
Course Paediatrics
Module GI
Topic Dysentery
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Prof. Nasir Shah
MCPS, FCPS, MRCGP [INT], FRCGP [INT]
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WHO: DEFINITION OF DYSENTERY ®
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• Dysentery is bloody diarrhea
• Any diarrheal episode in which the loose or watery stools
contain visible red blood.
• Caused by;
1. Bacteria
2. Protozoa
3. Parasitic worms
4. Inflammation
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DIFFERENTIAL DIAGNOSIS ®
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• Amebiasis
• Blood, tenesmus
• NO fever
DIFFERENTIAL DIAGNOSIS ®
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• Crohn Disease and Ulcerative Colitis
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DIFFERENTIAL DIAGNOSIS ®
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• Rectal polyp
• Fresh blood
• NO fever
• NO pain
DYSENTERY: ORGANISMS ®
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• Diarrhea accompanied by fever, bloody or mucoid stools,
severe abdominal cramping or tenderness, or signs of sepsis,
think of
1. Salmonella
2. Shigella
3. Campylobacter
4. Yersinia
5. Clostridium difficile
6. ETEC
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DYSENTERY: SOURCES OF INFECTIOUS DIARRHEA ®
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Consumption of;
1. Shellfish
2. Raw milk
3. Unpasteurized juice
4. Undercooked meats, fish, or eggs
5. Contaminated fruits or vegetables
SHELFISH ®
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RAW MILK ®
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UNPASTEURIZED JUICE ®
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UNCOOKED MEAT ®
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UNCOOKED EGGS ®
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UNCOOKED FISH ®
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CONTAMINATED FRUITS ®
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CONTAMINATED VEGETABLES ®
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CONTAMINATED VEGETABLES ®
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