7/21/2019 Diarrhea ppt

http://slidepdf.com/reader/full/diarrhea-ppt-56d96e12b5ec0 1/16

Acute Diarrhea

7/21/2019 Diarrhea ppt

http://slidepdf.com/reader/full/diarrhea-ppt-56d96e12b5ec0 2/16

Name : NSGender : FemaleAge : 4 Years oldWeight : 13 kgHeight : 92 cm

Head Circm!erence : "1 cm#eligion : ChristianAddress : $l% S&ada'a ()

7/21/2019 Diarrhea ppt

http://slidepdf.com/reader/full/diarrhea-ppt-56d96e12b5ec0 3/16

Chie! Com*laint:

Watery stools

Additional Com*laint:FeverNauseaVomitingAbdominal pain

7/21/2019 Diarrhea ppt

http://slidepdf.com/reader/full/diarrhea-ppt-56d96e12b5ec0 4/16

History of illness

• Alloanamnesis with patient's mother

• Patient came to complaint about watery stools since

yesterday !he also felt nausea and abdominal pain F

yellow"green# mucus " # blood " # smells more rotten th

before and $ cup a%ua every bowel Felt thirsty continu

&rination no complaints Decreased appetite ompla

after eating corn on the cob coo(ed by his mother o

7/21/2019 Diarrhea ppt

http://slidepdf.com/reader/full/diarrhea-ppt-56d96e12b5ec0 5/16

Past medical history *

•Patient has never e+perienced this complaithis

Family Disease History*• ,here-s no family member who sic( li(e this

7/21/2019 Diarrhea ppt

http://slidepdf.com/reader/full/diarrhea-ppt-56d96e12b5ec0 6/16

(mmnisat

ion

(

+months,

((

+months,

(((

+months,

-ooster

./ 0 " " "

DP, 1 2 3 " "

Polio 0 1 2 " "

Hepatitis . 0 $ 3 " "

ampa( 4 12 " " "5otavirus 1 2 3 " "

7/21/2019 Diarrhea ppt

http://slidepdf.com/reader/full/diarrhea-ppt-56d96e12b5ec0 7/16

Physical 6+amination

• /eneral status * loo(s moderate unwell# wea(n• onsiousness * composmentis

• .lood pressure * 47837 mmHg

• Pulse * $90 +8minute

•

5espiratory rate * 91 +8minute•  ,emperature * 9:#7o

7/21/2019 Diarrhea ppt

http://slidepdf.com/reader/full/diarrhea-ppt-56d96e12b5ec0 8/16

H.A/ 0 0.

Head * Normocephaly ;H * 7$ cm<# fontanel alreadclosed# sun(en fontanel "

6yes * A "8"# != "8" # Pupil circular# isochoric 9mm89centered# Direct >ight 5e?e+ @8@# =ndirect >ight

5e?e+ @8@# slightly sun(en eyes @8@6N, * normal# secret "8"# blood ;"<outh* dry mouth @Nec( * >ymph gland not enlarged

7/21/2019 Diarrhea ppt

http://slidepdf.com/reader/full/diarrhea-ppt-56d96e12b5ec0 9/16

 ,hora+ *

" =nspection * movement of chest wall symmetrical

" Palpation * Vocal fremitus symmetrical" Percussion * sonor8sonor

" Auscultation * .asic breath sound Vesicular# rightBleft# wh"8"# rh

Abdomen *

" =nspection * distended# bruise ;"<

" Auscultation * bowel sound ;@< 3+8min

" Palpation * palpation pain ;@< all regio# defense muscular ;"<

" Percussion * tympani# percussion pain ;"<

" !(in pinch * goes bac( slowly

7/21/2019 Diarrhea ppt

http://slidepdf.com/reader/full/diarrhea-ppt-56d96e12b5ec0 10/16

6+tremities Superior 

  warm acral# capillary reCll time 1 seconds#cyanosis ;"<# oedem ;"<

6+tremities Inferior   warm acral# capillary reCll time 1 seconds#

cyanosis ;"<# oedem ;"<

7/21/2019 Diarrhea ppt

http://slidepdf.com/reader/full/diarrhea-ppt-56d96e12b5ec0 11/16

Diagnosis

Accute Diarrhea Mild-to-moderat

Dehydration

7/21/2019 Diarrhea ppt

http://slidepdf.com/reader/full/diarrhea-ppt-56d96e12b5ec0 12/16

DiEerential Diagnosis

•

=nfections• Allergies

• =ntolerances

• alabsorptions

7/21/2019 Diarrhea ppt

http://slidepdf.com/reader/full/diarrhea-ppt-56d96e12b5ec0 13/16

>ab ,est

• Hemoglobin * $1 g8d>

• Hematocrit * 99

• Platelet * 113+$04 cells8>

• >eu(ocytes * :#3+$04 cells8>

7/21/2019 Diarrhea ppt

http://slidepdf.com/reader/full/diarrhea-ppt-56d96e12b5ec0 14/16

!upporting e+amination

• omplete .lood ount

• 6lectrolite

• !tools test

7/21/2019 Diarrhea ppt

http://slidepdf.com/reader/full/diarrhea-ppt-56d96e12b5ec0 15/16

TREATMENT

• Non edicamentosa *

"

edicamentosa *

=VFD *

mm8 * Gin( $ + 10 mg tab ;po<

Paracetamol 2 + ;po<

ralyte ad libitum ;$10"$20 m> oral<

Probioti( $ + $04 F& ;po<

7/21/2019 Diarrhea ppt

http://slidepdf.com/reader/full/diarrhea-ppt-56d96e12b5ec0 16/16