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DIAGNOSIS
PROFESSOR : DRA. ROSA GONZALES LLONTOP
STUDENTS:
Campos Milyan LeidyChavesta Manrique XinthiaHuamán Cueva ZoilaRacchumí Nima AnitaRamírez Armas KarinaVelásquez Esspinal José Luis
Group N° 6
A 29 year-old man was admitted to the hospital
because of fatigue, anorexia, malaise, fever and difficulty
concentrating, delirious. He appeared tired and thin, his temperature was 39 °C, with diffuse abdominal pain and diarrhea (5 stools for day),
some dehydration.
“I think that is cholera.. but, also it can be
typhoid fever..”
“Now.. How do I know if it is cholera or typhoid
fever?”
Infection of the small intestine that causes a large amount of
watery diarrhea.
is an
is caused by
Vibrio cholerae
Vibrio cholerae
This bacteria releases a toxin that
causes increased release of water from cells in the intestines, which produces severe
diarrhea.
This bacteria releases a toxin that
causes increased release of water from cells in the intestines, which produces severe
diarrhea.
Symptoms of THE cholera
Typhoid fever is an acute
infectious disease
Typhoid fever is an acute
infectious diseasecaused bycaused by
Bacteria of the genus Salmonella
Bacteria of the genus Salmonella
Typhoid fever
Is caused by consuming contaminated food or drinks.
Is caused by consuming contaminated food or drinks.
Include:
MilkCheeseIce creamSeafood Vegetables EggsWater
Which grow in locations near
points of wastewater
disposal
Symptoms of the typhoid
fever
Symptoms
high feverhigh fever
headacheheadache
loss of appetiteloss of appetite
weaknessweakness
chillschillsabdominal painabdominal pain
nosebleednosebleed
Differential signs and symptoms of both
diseases
Cholera
Cholera
Typhoid Fever
Typhoid Fever
Tachycardia Bradycardia
Cholera
Cholera
Typhoid Fever
Typhoid Fever
From 30 to 40 stools for day.
From 6 to 8 stools for day.
Cholera
Cholera
Typhoid Fever
Typhoid Fever
Mild fever or no fever. Fever up to 40 ° C.
Cholera
Cholera
Typhoid Fever
Typhoid Fever
Fever conscious state. Delirious with fever.
Cholera
Cholera
Typhoid Fever
Typhoid Fever
Severe dehydration Moderate dehydration.
“Now, I know that my patient have typhoid
fever”
“But, I need clinical tests to do my
diagnosis”
MICROBIOLOGICAL DIAGNOSIS
Show a high number of white cells in the blood.
A complete blood count (CBC).
A blood culture
During the first week of the fever can show S. typhi bacteria.
Urine test ELISA.
To look for the bacteria that causes typhoid fever.
Platelet count (be low).
coproculture
.
The germ is eliminated in the dregs . Positivity is very high within 2-4 weeks, staying positive chronic carriers.
Serology
Demonstrates the presence of agglutinating antibodies (agglutinins) against H antigens (flagellar) or O (somatic) of Salmonella typhi.
Widal technique
“I confirmed my diagnosis”
“Finally, give the treatment”
TREATMENTA person will usually recover in 2-3 days
with prompt antibiotic treatment
antibiotics
If you are being treated for typhoid fever, it is important to do the following: If you are being treated for typhoid fever, it is important to do the following:
Wash your hands carefully with soap and water after using the bathroom
Eating a healthy diet.
Drinking fluids
Ciprofloxacin (Cipro)
Ceftriaxone (Rocephin
Thanks a lot !!!!