Pediatrics at All India Institute Of Medical Sciences | Flashcards & Summaries

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Lernmaterialien für pediatrics an der All India Institute of Medical Sciences

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types of dysentery .
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2 types
1 Amoebic
2 bacillary
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Difference b/w Amoebic & Bacillary
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Amoebic -
  • caused by an invasive Protozoa Parasite called antamoeba historytica .
  • patients will have 6 -8 Episodes of loose motion per day .
  • copious amount of stool
  • stool has dark color and offensive odor
  • RBCs clumped with neumerous eosinophils, few pus cells& macrophages .
  • treat with anti protozoal drugs .
Bacillary -
  • caused Bacteria Eg - shigella .
  • more than 10 episode of loose motion per day.
  • small amount of stool.
  • fresh Bood coloured, odorless.
  • RBCs rouleaux , few eosinophils numerous pus cells& macrophages .
  • treat with antbiotics.

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Risk factor - Dysentery
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  • Attendance or work in a day care setting .
  • close contect with an infected person or animal .
  • consumption of unreated water from lakes, rivers .
  • use of public swimming pools .
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causes of dysentery
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shigella, Entamoeba histolytica , E - coli, campylobacter, salmonella, yersinia Enterocolitica
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Differential Dignosis of Dysentery
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Ameobiasis
ulcerative colits
Crohns colitis
Ischemic colitis
Diverticulitis
carcinoma cells
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pathophysiology of Dysentery
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contaminate food & water by infected faeces - Bacteria shigella enter to the gut & Grows in the small intestine -spread to the colon inflame the epithelium mucosa cell and produce or secrete toxin - Break through the colon wall& necrosis the epithelium cell cause haemorrhage , mucus - Desentery .
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Anti microbial treatment of Dysentery
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  • Antibiotics - Ampicilline
                              ciprofloxacin
                              Trimethoprim
  • Anti parasitic - metronidazol for E. histolytic .
Lösung ausblenden
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serious symptoms of Dysentery
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  • change in Level of consciousness or alertness .
  • change in mental status or sudden behaviour change, such as confusion, delirium, lethargy, hallucination .
  • High fever ( 101 F )
  • severe abdominal Pain
  • Rapid heart Rate (tachycardia)
  • severe Dizziness .
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clinical features of Dysentery
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common symptoms -
- Abdominal boating & Pain .
- Bloody diarrhea or Brown yellowish stool .
sudden onset, headache, malaise anorexia & fever .
- 4 -5 times diarrhea sign in the first day infected .
others symptoms -
- decreas urine output.
- Dry skin& mucus memb.
- Felling very thirsty.
- fever& chills .
- muscle cramps .
- muscle weakness.
- weight Loss.
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Dysentery organism Present in ?
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these organism are Presents in the stool of infected People and animals, uncooked food, such as salad .
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complication of Dysentery .
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  • Intestinal hemorrhag
  • perforation
  • peritonitis
  • prolapse rectum
  • dehydration to children .
Lösung ausblenden
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Dignosis of Dysentery
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Rectal swab cureture to find out causative agent .
Lösung ausblenden
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Q:
types of dysentery .
A:
2 types
1 Amoebic
2 bacillary
Q:
Difference b/w Amoebic & Bacillary
A:
Amoebic -
  • caused by an invasive Protozoa Parasite called antamoeba historytica .
  • patients will have 6 -8 Episodes of loose motion per day .
  • copious amount of stool
  • stool has dark color and offensive odor
  • RBCs clumped with neumerous eosinophils, few pus cells& macrophages .
  • treat with anti protozoal drugs .
Bacillary -
  • caused Bacteria Eg - shigella .
  • more than 10 episode of loose motion per day.
  • small amount of stool.
  • fresh Bood coloured, odorless.
  • RBCs rouleaux , few eosinophils numerous pus cells& macrophages .
  • treat with antbiotics.

Q:
Risk factor - Dysentery
A:
  • Attendance or work in a day care setting .
  • close contect with an infected person or animal .
  • consumption of unreated water from lakes, rivers .
  • use of public swimming pools .
Q:
causes of dysentery
A:
shigella, Entamoeba histolytica , E - coli, campylobacter, salmonella, yersinia Enterocolitica
Q:
Differential Dignosis of Dysentery
A:
Ameobiasis
ulcerative colits
Crohns colitis
Ischemic colitis
Diverticulitis
carcinoma cells
Mehr Karteikarten anzeigen
Q:
pathophysiology of Dysentery
A:
contaminate food & water by infected faeces - Bacteria shigella enter to the gut & Grows in the small intestine -spread to the colon inflame the epithelium mucosa cell and produce or secrete toxin - Break through the colon wall& necrosis the epithelium cell cause haemorrhage , mucus - Desentery .
Q:
Anti microbial treatment of Dysentery
A:
  • Antibiotics - Ampicilline
                              ciprofloxacin
                              Trimethoprim
  • Anti parasitic - metronidazol for E. histolytic .
Q:
serious symptoms of Dysentery
A:
  • change in Level of consciousness or alertness .
  • change in mental status or sudden behaviour change, such as confusion, delirium, lethargy, hallucination .
  • High fever ( 101 F )
  • severe abdominal Pain
  • Rapid heart Rate (tachycardia)
  • severe Dizziness .
Q:
clinical features of Dysentery
A:
common symptoms -
- Abdominal boating & Pain .
- Bloody diarrhea or Brown yellowish stool .
sudden onset, headache, malaise anorexia & fever .
- 4 -5 times diarrhea sign in the first day infected .
others symptoms -
- decreas urine output.
- Dry skin& mucus memb.
- Felling very thirsty.
- fever& chills .
- muscle cramps .
- muscle weakness.
- weight Loss.
Q:
Dysentery organism Present in ?
A:
these organism are Presents in the stool of infected People and animals, uncooked food, such as salad .
Q:
complication of Dysentery .
A:
  • Intestinal hemorrhag
  • perforation
  • peritonitis
  • prolapse rectum
  • dehydration to children .
Q:
Dignosis of Dysentery
A:
Rectal swab cureture to find out causative agent .
pediatrics

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