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Differential diagnostics of intestinal infections at children.

Emergency
conditions at intestinal infections

Topic 19. Differential diagnostics of intestinal infections at children


To answer following questions

Differential signs of various types of diarrheas:


Type of diarrhea
Signs
Invasive Secretory Osmotic
Causative agents
Severity of disease is
caused by
Intensivety of
intoxication
symptoms
Catarrhal phenomena
Localization of
abdomen pain
Flatulence
Increase size of liver
and/or spleen
Characteristics of
faeces
Tenesmus
Symptoms of
dehydration
Changes of
coprology test

Differential signs of type of dehydration:


Type of dehydration
Signs
Hypertonic Isotonic Hypotonic
Consciousness
Presence of
convulsions
Presence or
absence of thirst
Voice
characteristic
Temperature
Skin (color,
humidity,
elasticity)
Condition of
mucous
membranes
Muscular tone

Big fontanel
Arterial pressure
Frequency of
breath
Quantity of
diuresis
Sodium level in
blood
Possible cause
of death
Degree of dehydration at children:
Degree of dehydration
Signs mild moderately severe severe
(I degree) (II degree) (III degree)
% of body weight
loss:
0-3 years
more than 3years
General condition

Voice

Thirst

Big fontanel

Body temperature

Eyeballs
Presence or absence

2
of tears
Condition of mucous
membranes
Elasticity of skin

Cyanosis of skin

Tachypnoea

Tones of heart

Pulse rate

Diuresis

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