✅ اسهال (حاد)

▪️︎توی دو دسته resource-limited resource-abundant settings بررسی میشه که جفتشون مهم هستن(باتوجه به شرایط ما).

▪️︎Diarrhea is defined as the passage of loose or watery stools, typically at least three times in a 24-hour period.
Acute – 14 days or fewer in duration.

▪️︎Invasive diarrhea, or dysentery, is defined as diarrhea with visible blood or mucus, in contrast to watery diarrhea. Dysentery is commonly associated with fever and abdominal pain.

▪️︎درباره ضداسهال(لوپرامید و...):
For patients who want symptomatic therapy, the antimotility agent loperamide (Imodium) can be
used cautiously.
We avoid antimotility agents in patients with clinical features suggestive of dysentery (fever, bloody or mucoid stools) unless antibiotics are also given because of concerns that antimotility agents can prolong disease in such infections or lead to more severe illness.

▪️︎درباره آنتی‌بیوتیک دادن و یا S/E و S/C گرفتن هم دوتا از تصاویر رو بنگرید.(عکس اول و آخر که براساس دسترسی اون منطقه هست).
و بصورت کلی:
Antibiotic therapy is not indicated in most cases since the illness is usually self-limited.

▪️︎و درباره C. difficile باتوجه به مصرف زیاد آنتی‌بیوتیک:
For patients who are currently taking antibiotics, who have taken antibiotics within the past three
months, or who have been hospitalized within the past three months prior to presentation with diarrhea, C. difficile colitis is a primary concern.

➡️
- Approach to the adult with acute diarrhea in resource-abundant settings.

- Approach to the adult with acute diarrhea in resource-limited settings.

- Approach to the adult with chronic diarrhea in resource-abundant settings.