Norwalk Virus

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Norwalk Virus

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Overview

  • Small round structured virus
References

Epidemiology and Demographics

  • 1/3 of outbreaks of nonbacterial gastroenteritis in US
References

Risk Factors

  • Fecal-oral transmission (water, food, surfaces, person-to-person)
  • Typically via ill food handler or contamination of bulk food supply
  • Common Vehicles:
  • Salads
  • bakery products
  • ice
  • shellfish


References

Screening

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Pathophysiology & Etiology

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Molecular Biology

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Genetics

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Natural History

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Diagnosis

  • Old way: EM, following antibody titers
  • New way: RT-PCR of stool samples

Differential Diagnosis

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History and Symptoms

Presents as:

References

Physical Examination

Appearance of the Patient

Eyes

Ear Nose and Throat

Heart

Lungs

Abdomen

Extremities

Neurologic

Other

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Laboratory Findings

Electrolyte and Biomarker Studies

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Electrocardiogram

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Chest X Ray

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MRI and CT

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Echocardiography or Ultrasound

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Other Imaging Findings

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Other Diagnostic Studies

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Risk Stratification and Prognosis

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Treatment

Pharmacotherapy

Acute Pharmacotherapies

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Chronic Pharmacotherapies

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Surgery and Device Based Therapy

Indications for Surgery

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Pre-Operative Assessment

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Post-Operative Management

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Transplantation

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Primary Prevention

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Secondary Prevention

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Cost-Effectiveness of Therapy

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Future or Investigational Therapies

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Suggested Revisions to the Current Guidelines

References

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Acknowledgements

The content on this page was first contributed by: Stephen Wiviott, M.D.

List of contributors:


Suggested Reading and Key General References

Suggested Links and Web Resources

For Patients


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