Acute diarrhea resident survival guide: Difference between revisions
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====Evaluation of Volume Status by Dhaka Method==== | ====Evaluation of Volume Status by Dhaka Method==== | ||
{| {{table}} | {| {{table}} | ||
| valign="bottom" align="center" style="background:#f0f0f0;"|'''Assessment''' | | valign="bottom" align="center" style="background:#f0f0f0;"|'''Assessment''' | ||
| valign="bottom" align="center" style="background:#f0f0f0;"|'''No dehydration''' | | valign="bottom" align="center" style="background:#f0f0f0;"|'''No dehydration''' | ||
| Line 50: | Line 47: | ||
| General condition||Normal||Irritable/less active*||Lethargic/comatose<sup>§</sup> | | General condition||Normal||Irritable/less active*||Lethargic/comatose<sup>§</sup> | ||
|- | |- | ||
| Eyes||Normal||Sunken|| | | Eyes||Normal||Sunken||— | ||
|- | |- | ||
| Mucosa||Normal||Dry|| | | Mucosa||Normal||Dry||— | ||
|- | |- | ||
| Thirst||Normal||Thirsty||Unable to drink<sup>§</sup> | | Thirst||Normal||Thirsty||Unable to drink<sup>§</sup> | ||
| Line 58: | Line 55: | ||
| Radial pulse||Normal||Low volume*||Absent/ uncountable<sup>§</sup> | | Radial pulse||Normal||Low volume*||Absent/ uncountable<sup>§</sup> | ||
|- | |- | ||
| Skin turgor||Normal||Reduced|| | | Skin turgor||Normal||Reduced||— | ||
|- | |- | ||
|} | |} | ||
† Some dehydration = At least two signs, including at least one key sign (*) are present. <BR> | |||
‡ Severe dehydration = Signs of “some dehydration” plus at least one key sign (§) are present. | |||
==Do's and Don'ts== | ==Do's and Don'ts== | ||
Revision as of 15:52, 6 December 2013
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]
Definition
- Three or more bowel movements daily are considered to be abnormal, and the upper limit of stool weight is generally agreed to be 200 g daily.[1]
- Acute diarrhea has a duration of less than four weeks and is usually caused by an infection.
Causes
Life Threatening Causes
Common Causes
Management
| Acute diarrhea (<4 wks) | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Hx PE | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Volume status | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Evaluation of Volume Status by Dhaka Method
| Assessment | No dehydration | Some dehydration† | Severe dehydration‡ |
| General condition | Normal | Irritable/less active* | Lethargic/comatose§ |
| Eyes | Normal | Sunken | — |
| Mucosa | Normal | Dry | — |
| Thirst | Normal | Thirsty | Unable to drink§ |
| Radial pulse | Normal | Low volume* | Absent/ uncountable§ |
| Skin turgor | Normal | Reduced | — |
† Some dehydration = At least two signs, including at least one key sign (*) are present.
‡ Severe dehydration = Signs of “some dehydration” plus at least one key sign (§) are present.
Do's and Don'ts
References
- ↑ Sleisenger, Marvin H.; Feldman, Mark; Friedman, Lawrence S. (Lawrence Samuel); Brandt, Lawrence J. (2010). Sleisenger and Fordtran's gastrointestinal and liver disease : pathophysiology, diagnosis, managemen. Philadelphia , PA: Saunders/Elsevier. ISBN 1-4160-6189-4.