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Diarrhea (Classification According To Clinical Presentation (Infammatory…
Diarrhea
Definition
Passage of at least 3 watery stools within 24 hours
Classification According To Clinical Presentation
Non-Invasive
General
No tissue invasion
Copious Watery Stool
SI affected
Parasites
Cryptosporitum
Gardia Lamblia
Parvum
Bacteria
Vibrio Cholera
Bacillus cereus
EPEC
ETEC
Viruses
Rotavirus
Adenovirus
Norovirus
Secretory
Malfunction of Na+ absorption mechanism
Increased Cl- secretion
Mucosal cAMP inc the problems
Bacterial toxins inc cyclic nucleitdes in the mucosa
Fasting does not stop diarrhea quickly
Osmotic/Watery
Inc intra-luminal osmotic pressure
Dec absorption of fluids and solutes
Causes
Lactose Intolerance, Giardia Lamblia
Fasting stops diarrhea
Infammatory
General
Terminal Part of Ileum & LI affected
Dysentery
Tissue Invasion + Bloody stool with pus & mucus
Shigella sp
Enteroinvasive
E. Coli
Hemorrhagic Colitis
Copious like stool, liquid bloody, no wbc
Bacteria
Enterohemorrhagic E. Coli (HUS: Hemolytic Uremia Syndrome)
Bloody Watery
Tissue invasion, copious, liquid bloody with some pus
Bacteria
Salmonella enterica
Salmonella typhi
Campylobacter jejuni
Yersinia Enterocolitica
V. Parahaemolyticus
Y. Enterocolitica
Clostridium difficile
Listeria Monocytogenes
Traveller's
Travelled somewhere and caught the infection and brought it back. Most likely will have watery diarrhea
Bacteria
ETEC
EPEC
C. Jejuni
Salmonella
Shigella
V. cholera
Viruses
Rotavirus
Hepatitis A
Parasites
Cryptosporidium
Parvum
Gardia Lamblia
Classification according to Duration
Acute
<14 Days
Persistent
14 Days - 1 Month
Chronic
1 Month