Download MBBS Final Year paediatrics Assessment of acute diarrhoeal disease Notes

Download MBBS (Bachelor of Medicine and Bachelor of Surgery) 4th Year (Final Year) paediatrics Assessment of acute diarrhoeal disease Handwritten Notes

ASSESSMENT OF ADD

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GOALS OF ASSESSMENT
1.Determine the type of diarrhea(a/c
watery/dysentery/persistent)
2.Look for dehydration and other complications
3.Assess for malnutrition
4.Rule out nondiarrhoeal il ness esp systemic
infections
5.Assess feeding,both preil ness and during il ness

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HISTORY
? Ask the mother or caretaker about
i. Onset of diarrhoea:;duration and number of
stools per day
i . Blood in stools
i i. Number of episodes of vomiting
iv. Presence of fever,cough or other significant
symptoms(convulsions,recent measles)

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v. Type and amount of fluids(inc.breast milk) and
food taken during the il ness and pre-il ness
feeding practices
vi.Drugs or other local remedies taken(inc opioids
or antimotility drugs like loperamide that may
cause abdominal distension)
vii.Immunization history

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EXAMINATION
? Assess for dehydration

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? Examine for
1. Features of malnutrition;Anthropometry for weight
and height;examination for wasting,edema and
signs of vitamin deficiency
2. Systemic infection:presence of cough,high grade
fever,fast breathing or chest
indrawing(pneumonia);high grade fever with
splenomegaly(malaria)
3. Fungal infections:oral thrush or perianal satel ite
lesions

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LABORATORY INVESTIGATIONS
? Can be managed without investigations
? STOOL MICROSCOPY
? STOOL CULTURE
? BLOOD TESTS

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