Bloody diarrhoea:
1)
shigella
Basillary dysentery
IP 2-3 days
Oro-feacal
C/F:
Bloody diarrhoea
Sudden
fever
Abd
pain
Stool microscopy: no trophoziote
Association: spondyloartheritis
Treatment; cipro
2)
Amaebiasis
Amaebic dysentery
IP 1-4 weeks
Oro-feacal
C/F:
abd pain
diarrhoea
,start slowly ,then become perfuse and bloody
stool microscopy;trophozoite
treatment: metronidazole
diloxamide for chronic disease
3)
salmonella
IP 12-48 hrs
Gm –ve bacilli
Egg, meat and poultry
C/F:
Bloody diarrhoea
Abd
pain
Vomiting
Local
infection
Treatment: cipro
4)
compylobactor
IP 2-5 days
Gm –ve rods
C/F:
Severe abd pain
(may mimic acute abdomen)
Bloody
diarrhoea
Non bloody diarrhoea:
Giardiasis:
IP 1-4 weeks
Flagellate protozoa
Colonize duodenum and jejunum
C/F
Explosive
diarrhoea
Offensive
Bloating
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