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Raouf Ra'fat Soliman
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With Prof. Dr Mohammed Abo El-Asrar
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....................................................................................
" " :
:
– : – :
– :
-:
51
-:
Diarrhea
electrolyte disturbance colic , bleeding, .......etc.
diarrhea The second commonest presentation after respiratory disease
In winter In summer
80%
of patient
80 % of patient
respiratory diarrhea
-: - Definition
•
•
liver hepatitis & portal hyper tension
Mechanism of hepatomegaly and veno-occlusive dis.
•
tract diseases
•
....................................................................................
- degree of diarrhea. - Mechanism of diarrhea. - Etiology of diarrhea. - Gastroenteritis { precipitating factors, C/P, complications, investigations and TTT}. Definition Definition :
- passing loose stool "
" container + - frequent
1. 11 .
if breast feeding
frequency
according to usual habits
intake called exaggerated gastro-colic reflex * * 2. 2.
if artificial feeding
if if
> 3 times /day. Diarrhea & dysentery
Dysentery
diarrhea
with mucous and blood + tenesmus ( painful defecation )
+
Degrees Diarrhea Degree ss of Diarrhea - Water loss / 1 motion Diarrhea
100
ml water /1 motion
...
6
600 ml water /day 6 X 100 60 ml / kg / day = 600/ 10
10
:
mild or moderate or severe
so , mild diarrhea 1.
Mild diarrhea..... loss 50-70 ml /kg /day
2.
Moderate diarrhea.... diarrhea.... loss 70-90 ml /kg / day
3.
Severe diarrhea..... diarrhea..... loss > 90 ml /kg /day Mechanism of diarrhea diarrhea
vein
.... branch of artery .... .... columnar cells intestinal villi
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