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Author4 Posts
doyoudig
Forum Guru

Topics: 144
Posts: 613
05/23/07 - 04:06 PM       #1

If a Pt comes to you and says I have bloody diarrhea for 2 days

do we go straight to culture then give empritic Ab's or do we need to check for fecal leukocytes 1st then culture then empiric Ab;s(if Fever + Blood)

I mean is bloody diarrhea enough for us to assume it is an Invasive Organism ??

When do we just give Fluid and electrolytes??

usmle12
Forum Senior

Topics: 19
Posts: 194
05/24/07 - 07:59 PM       #2

the patient says bloody diarrhea but u have to document it so u check the stool for fecal leukocytes and then send it for culture and start him on antibiotics....for fever bloody diarrhea

fluids for viral causes and when nausea vomiting predominent which mostly toxin mediated staph and bacilus cerus and clostridium perfringins

GL


maninder_amc
Forum Junior

Topics: 14
Posts: 65
05/28/07 - 11:37 AM       #3

start empirical antibiotics when patient has 3 things along with diarrhea:

1 fever
2 pain abdo
3 blood



maninder_amc
Forum Junior

Topics: 14
Posts: 65
05/28/07 - 11:37 AM       #4

start empirical antibiotics when patient has 3 things along with diarrhea:

1 fever
2 pain abdo
3 blood

and always give fluids when theres dehydration









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