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Diarrhoea - Coggle Diagram
Diarrhoea
Types
Osmotic
enteral feed associated
Secretory
enterotoxin related
Inflammatory
IBD
Dysmotility
ILues
Management
History
Travek
Drug history
Examination
Dehydration
Tenderness
Investigation
C.difficile toxin (PCR + CDT)
CT abdomen/pelvis
Sigmoidoscopy/colonoscopy
Specific points
Surgical review
Supportive
Antibiotics if infective
Changing feed
Once infections and overflow excluded then consider anti-motility
Bowel management system
Clostridium Difficle
Description
Anaerobic
Gram +ve
Spore forming
Bacillus
Enterotoxin A+B
Risk factors
Age >60
Broad specturm antibiotics
Malignancy
Low albumin
Renal/ pulmonary disease
Proton pump inhibitor therapy
Management
Infection control
PO Vancomycin
Parenteral metroniadazole
20% progress to psudomembranous colitis
Fidaxomicin
Classification
Mild <3 stools
3-5 stools WCC <15
WCC>15
Definition
WHO
3 stools /day
Bristish Society of Gastroenterology
200g /day
Bristol stool chart
Type 6/7