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12 Cards in this Set
- Front
- Back
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Type of bacteria vibrio cholerae |
Gram negative toxin producing which causes secretory diarrhoa |
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Signs and symptoms |
Abdominal pain, diarrhea, vomiting fever |
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Transmission |
Ingestion of contaminated water, person to person (10^10-10^12) bacterium shedded in stool Sharing soap Eating rice and rice products O blood group have severe infections |
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Incubation |
Depends on host and inoculum amount 2-3 days to 5-6 days |
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Clinical manifestations |
Fever, diarrhea, abdominal pain and kussmaul breathing, electrolytes imbalance- lethargy and fatigue. Metabolic acidosis, dehydration - sunken eyes, dry mucosa, washer womens hands |
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Risk factors |
Hypochrondynia, |
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Diarrhea features |
Cholera gravis is severe form of diarrhoea Classical rice water with flecks of mucus Ok |
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Investigation |
Hypokalemia, hyponatremia, metabolic acidosis, AKI- Acute tubular necrosis, hypocalcemia, hypoglycemia |
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Complications |
Children- aspiration pneumonia Adults- cholera sicca- fluid accumulation in intestinal lumen, circulatory collapse and death can occur |
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Diagnostic test |
1. Stool culture 2. Raid test - antigen, molecular test and dark field microscopy |
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Treatment |
1. Fluid hydration 2. Antibiotics - fluoroquilones, macrolides, tetracycline 3. Nutrition and vitamin zinc and vitamin A |
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Prevention |
1. Vaccination 2. Breastfeeding 3. Poor food and water safety |
