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Ingestion of

fecally
contaminated
food/water

XI. PATHOPHYSIOLOGY

Endotoxin are
released

Direct invasion of
the bowel wall
Stimulation and
obstruction of
mucosal lining of
the bowel wall

Destruction of
lining of the
bowel wall

(Abdominal
pain/crampin
g)
Bleeding
Hematochezi
a
Hematemesis

tenesmu
s

Management

Further
physically
rectal exam

Digestive and
absorptive
malfunction

Antispasmodics
Antibiotics ( to
directly kill pathogen)
H2- receptor blocker

Ulceration in the
bowel wall

Excessive gas
formation

Borborygmi
Mild diarhea
(2-3 stool)
Nausea
Vomiting
Feeling of
fullness

Flatus
GI distention

Greater secretion
of water and
electrolyte

antispasmodics

Increase
peristaltic
movement
LI Is overwhelmed
Diarrhea
fluid
volume
and
unable
to
(
watery
stool)
deficit
reabsorb
the
lost

Active secretion
of chloride and
bicarbonate ions
in the small bowel

Antimotility
Antiemetics
Antidiarrhea
rehydration

Inhibition of
sodium
reabsorption
Fluid and
electrolyte
imbalance

hypermatrem
ia

Increased
protein-rich
fluids in the
lumen

Continuous
rehydration
especially
through IV line

Severe diarrhea
(>10 episodes)

Large intestine is
overwhelmed and
unable to
reabsorb the lost
fluid

Metabolic
acidosis

Kussmauls
breathing

Hyperventilation
through keeping
the PCO22 ion

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