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 !!!!