Acute diarrhea resident survival guide: Difference between revisions

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Revision as of 15:47, 6 December 2013

Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]

Definition

Three or more bowel movements daily are considered to be abnormal, and the upper limit of stool weight is generally agreed to be 200 g daily.^[1]

Acute diarrhea has a duration of less than four weeks and is usually caused by an infection.

Causes

Life Threatening Causes

Common Causes

Management

Acute diarrhea (<4 wks)

Hx PE

[[Acute diarrhea resident survival guide

Evaluation of Volume Status by Dhaka Method|Volume status]]

Evaluation of Volume Status by Dhaka Method

**Evaluate Volume Status by Dhaka Method**
Assessment	No dehydration	Some dehydration^†	Severe dehydration^‡
General condition	Normal	Irritable/less active*	Lethargic/comatose^§
Eyes	Normal	Sunken	-
Mucosa	Normal	Dry	-
Thirst	Normal	Thirsty	Unable to drink^§
Radial pulse	Normal	Low volume*	Absent/ uncountable^§
Skin turgor	Normal	Reduced	-

†Some dehydration = At least two signs, including at least one key sign (*) are present
‡Severe dehydration = Signs of “some dehydration” plus at least one key sign (§) are present

Do's and Don'ts

References

↑ Sleisenger, Marvin H.; Feldman, Mark; Friedman, Lawrence S. (Lawrence Samuel); Brandt, Lawrence J. (2010). Sleisenger and Fordtran's gastrointestinal and liver disease : pathophysiology, diagnosis, managemen. Philadelphia , PA: Saunders/Elsevier. ISBN 1-4160-6189-4.

Template:WikiDoc Sources

[1] Sleisenger, Marvin H.; Feldman, Mark; Friedman, Lawrence S. (Lawrence Samuel); Brandt, Lawrence J. (2010). Sleisenger and Fordtran's gastrointestinal and liver disease : pathophysiology, diagnosis, managemen. Philadelphia , PA: Saunders/Elsevier. ISBN 1-4160-6189-4.

[1]

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 ==Management==
+{{familytree/start |summary=Acute Diarrhea Algorithm}}
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+{{familytree | | | | | | | | | | | | | | | | | | | | | | | | B01 | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | B01 = Hx PE}}
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+{{familytree | | | | | | | | | | | | | | | | | | | | | | | | C01 | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | C01 = [[Acute diarrhea resident survival guide
+#Evaluation of Volume Status by Dhaka Method|Volume status]]}}
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+{{familytree/end}}
+====Evaluation of Volume Status by Dhaka Method====
+{| {{table}}
+|-
+{| {{table}}
+|+ '''Evaluate Volume Status by Dhaka Method'''
+| valign="bottom" align="center" style="background:#f0f0f0;"|'''Assessment'''
+| valign="bottom" align="center" style="background:#f0f0f0;"|'''No dehydration'''
+| valign="bottom" align="center" style="background:#f0f0f0;"|'''Some dehydration<sup>†</sup>'''
+| valign="bottom" align="center" style="background:#f0f0f0;"|'''Severe dehydration<sup>‡</sup>'''
+|-
+| General condition||Normal||Irritable/less active*||Lethargic/comatose<sup>§</sup>
+|-
+| Eyes||Normal||Sunken||-
+|-
+| Mucosa||Normal||Dry||-
+|-
+| Thirst||Normal||Thirsty||Unable to drink<sup>§</sup>
+|-
+| Radial pulse||Normal||Low volume*||Absent/ uncountable<sup>§</sup>
+|-
+| Skin turgor||Normal||Reduced||-
+|}
+| †Some dehydration = At least two signs, including at least one key sign (*) are present <BR>
+| ‡Severe dehydration = Signs of “some dehydration” plus at least one key sign (§) are present
+|-
+|}
 ==Do's and Don'ts==