Diarrhea

Description

Infectious diseases Mind Map on Diarrhea, created by LewisLewis on 08/02/2014.
LewisLewis
Mind Map by LewisLewis, updated more than 1 year ago
LewisLewis
Created by LewisLewis over 10 years ago
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Resource summary

Diarrhea
  1. Acute
    1. Duration of symptoms is <14 days
    2. Persistent (>14 days)
      1. Chronic (>4 weeks)
        1. History: identifying pathogen
          1. Alternative water sources, consumption of raw or undercooked meat, raw seafood (Vibrio), unpasteurized milk (E. coli, Salmonella, campylobacter)
            1. Travel to undeveloped area (wide range pathogens)
              1. Unwell patient contacts (Shigella, E.coli, Salmonella, Campylobacter, Giardia)
                1. Recent hospitalisation or antibiotics (C.difficile)
                  1. Swimming in fresh water lake, swimming pools (E. coli, Salmonella, Camylobacter, Cryptosporidium)
                  2. Viral causes
                    1. Probably the most common cause of infectious diarrhea
                      1. Rotavirus is a common cause of diarrhea in infants and young children
                        1. Norovirus is frequently implicated in outbreak situations
                        2. C. difficile is tha major identifiable cause of antibiotic-associated diarrhea
                          1. Prevalence of asymptomatic colonization of the bowel ranges from <5% in the community to over 20% in hospitalized patients
                          2. Listeria monocytogenes
                            1. Diagnosis requires blood cultures
                              1. Infection can cause febrile gastroenteritis accompanied by bacteremia and sometimes meningitis
                              2. Campylobacter
                                1. Sources of infection
                                  1. Contaminated food or water, in particular undercooked chicken or other meats
                                  2. Incubation period
                                    1. 1 to 10 days (usually 2 to 5 days)
                                    2. Symptoms
                                      1. Watery or bloody diarrhea
                                        1. Abdominal pain and nausea
                                          1. Headache
                                            1. Fever
                                            2. Organism survival
                                              1. Survive better in food under refrigeration than at room temperature
                                              2. Treatment
                                                1. Usually none, but fluids may be given
                                              3. Salmonella
                                                1. Sources of infection
                                                  1. Undercooked food e.g. chicken, eggs and meat
                                                  2. Incubation period
                                                    1. 6-48 hours
                                                    2. Symptoms
                                                      1. Diarrhea, abdominal pain, vomiting, nausea and fever lasting 1-7 days
                                                      2. Organism survival
                                                      3. Giardia/Cryptosporidium
                                                        1. Treatment
                                                          1. Organism survival
                                                            1. Symptoms
                                                              1. Incubation period
                                                                1. Sources of infection
                                                                2. E coli 0157:H7
                                                                  1. Sources of infection
                                                                    1. Incubation period
                                                                      1. Symptoms
                                                                        1. Organism survival
                                                                          1. Treatment
                                                                          2. Shigella
                                                                            1. Treatment
                                                                              1. Organism survival
                                                                                1. Symptoms
                                                                                  1. Incubation period
                                                                                    1. Sources of infection
                                                                                    2. Yearsinia
                                                                                      1. Treatment
                                                                                        1. Usually self-limiting, antibiotics do not reduce the severity or duration of the illness
                                                                                        2. Organism survival
                                                                                          1. Symptoms
                                                                                            1. Abdominal pain, diarrhea, nausea and vomiting
                                                                                              1. Headache
                                                                                                1. Fever
                                                                                                2. Incubation period
                                                                                                  1. Approximately 7 days
                                                                                                  2. Sources of infection
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