Diarrhea
SX â Loose stools, blood, mucus, fever, abd pain, distention
PE â abd, rectal
Next Steps
DX â CBC (anemia, inc WBC) CMP (hypokalemia) KUB (X-Ray of Abdomen) Investigations for Stool: Stool WBC (infections). Stool Ova and Parasite (Roundworms). Stool Microscopy (Visualization of eggs). Stool Culture and Gram Stain (Bacteria). Stool Fecal Occult Blood (Bleeding). Stool C. Diff Toxin (Clostridium Difficile). Stool Fecal Fat (Steatorrhea).
Health Tips
TX â Fluid replacement ORS/IVF. Meds: Loperamide start 4mg x 1, then 2mg after each loose stool, Bismuth. Specific Tx: ⢠Giardia â Metronidazole 250mg PO TID x 5-7 days. ⢠Shigella â Ciprofloxacin 500mg BID. ⢠C. Diff â Metronidazole 500mg PO Q8Hrs x 10-14 days. ⢠Travelers â Azithromycin 500mg PO QD x 1-3 days. ⢠Salmonella â Ciprofloxacin 500mg BID. ⢠E. Coli â Ciprofloxacin 500mg BID x 3 days. ⢠C. Jejuni - Azithromycin 500mg QD.