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The germs are then swallowed by the other person, multiply in their intestines, and cause an infection. Be sure everyone washes their hands carefully after, using the bathroom or helping a baby or child with diapers or toileting and before preparing or eating food. If someone in your family develops diarrhea, talk with your health care provider about getting, a stool test. This is critical for family or household members who handle or prepare food as a job. Medication is recommended for children and adults with Shigella in their stools, as it shortens the length of the illness and the amount of time the germ is found in the stools. If more than one unrelated Shigella case occurs in one daycare center, additional screening of asymptomatic children is necessary. Observe si su nino o miembros de su familia tiene diarrea o contracciones dolorosas del estomago. Si su ninos contrae una diarrea severa, diarrea con sangre o mucosidad, fiebre o vomitos, no lo envie al centro. Si su ninos contrae una diarrea suave, por favor llamenos para hablar si es que puede asistir al centro. En cualquiera de los casos, pida a su proveedor de atencion medica que haga una prueba de heces para Shigela. Si la prueba es positiva, mantenga a su ninos en casa hasta que la diarrea seria o enfermedad pase y su ninos haya recibido medicamentos. Por favor, mantenganos informados de como se siente su nino y sobre cualquiera de las pruebas positivas o tratamiento. La Shigela es una bacteria muy pequena (microscopica) que puede infetcar los intestinos y las heces. Las personas que contraen esto, puede que se pongan o no se pongan enfermas o tengan diarrea. De las personas que se llegan poner enfermas, la mayoria se ponen solo ligeramente enfermas. Sin embargo, algunas personas tienen fiebre, contracciones dolorosas del estomago y heces con sangre y mucosidad. La bacteria puede continuar pasando en las heces por varias semanas, despues que la enfermedad parezca que haya terminado. Los germenes pueden luego ser esparcidos en los alimentos o bebidas u objetos y eventualmente, a las manos y bocas de otras personas. Los germenes luego son tragados por otra persona, se multiplican en los intestinos, y causan una infeccion. Puede tomar 72 horas o mas para que los germenes crezcan en las heces y se puedan identificar.
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The digestive and respiratory Lymphokines Complement T cell Antibodies Macrophage B cell Killer cell Virus When challenged, the immune system has many weapons to choose. Microbes entering the nose often cause the nasal surfaces to secrete more protective mucus, and attempts to enter the nose or lungs can trigger a sneeze or cough reflex to force microbial invaders out of the respiratory passageways. The stomach contains a strong acid that destroys many pathogens that are swallowed with food. These passageways are lined with tightly packed epithelial cells covered in a layer of mucus, effectively blocking the transport of many organisms. Mucosal surfaces also secrete a special class of antibody called IgA, which in many cases is the first type of antibody to encounter an invading microbe. Underneath the epithelial layer a number of cells, including macrophages, B cells, and T cells, lie in wait for any germ that might bypass the barriers at the surface. Next, invaders must escape a series of general defenses, which are ready to attack, without regard for specific antigen markers. Specific weapons, which include both antibodies and T cells, are equipped with singular receptor structures that allow them to recognize and interact with their designated targets. Bacteria, Viruses, and Parasites the most common disease-causing microbes are bacteria, viruses, and parasites. Each uses a different tactic to infect a person, and, therefore, each is thwarted by a different part of the immune system. Most bacteria live in the spaces between cells and are readily attacked by antibodies. When antibodies attach to a bacterium, they send signals to complement proteins and phagocytic cells to destroy the bound microbes. Some bacteria are eaten directly by phagocytes, which signal to certain T cells to join the attack. All viruses, plus a few types of bacteria and parasites, must enter cells to survive, requiring a different approach. Antibodies also can assist in the immune 21 Antibodies are triggered when a B cell encounters its matching antigen. Lymphokines secreted by the T cell allow the B cell to multiply and mature into antibody-producing plasma cells. These antigen-antibody complexes are soon eliminated, either by the complement cascade or by the liver and the spleen.
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Differential diagnoses some gastro-intestinal disorders give rise to diarrhoea, for example infammatory bowel conditions, irritable bowel syndrome. Proprietary preparations should be used, for example, Dioralyte which is available in different favours. If diabetic, careful, regular monitoring of blood glucose will be necessary when taking ort (and, indeed, during an episode of diarrhoea). Gastro-IntestInal system Anti-motility drugs, eg loperamide help to reduce the duration of diarrhoea and improve symptoms. It should only be used where symptom control is necessary and should not be used routinely for diarrhoea. Kaolin and morphine preparations are not recommended for diarrhoea symptoms because of lack of clinical effcacy. Plenty of clear fuids should be taken with ort recommended if necessary to avoid dehydration. It is only available as a liquid preparation and may prove too bulky for travellers. It may appear as alternating constipation and diarrhoea, abdominal discomfort, passage of mucus, bloating and constipation or faecal urgency and diarrhoea. If there are large amounts of diarrhoea passed, there may be an infective or infammatory cause. Treatment Options reassurance and diagnosis often is the only treatment required for Ibs sufferers. Anti-diarrhoeal drugs, eg loperamide are used where diarrhoea is the predominant symptom. Peppermint oil is believed to have direct relaxant properties of intestinal smooth muscle. It can microbial food supplements, eg, be diffcult to prove or otherwise an Lactobacillus and Bifdobacterium species association with the suspect food. Haemorrhoids in children are rare, but may occur in infants with portal hypertension. Gastro-IntestInal system Practical Tips avoid straining due to constipation by Warm baths are soothing for the periensuring that the diet contains lots of anal area.
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It has been suggested that azotaemia is more likely to develop in older patients and in those with small or irregular kidneys. Potentially, those with higher creatinine concentrations (even high normals within laboratory reference range), lower urine septic gravity and very high pre-treatment total T4 concentrations have an increased risk of being azotaemic after treatment for hyperthyroidism. In recognition of this, medical management of patients prior to any other treatment is often recommended, so, renal functional deterioration can be assessed. In general, however, treatment considerations are centred on control of the underlying hyperthyroid state, as well as addressing its cardiovascular consequences. Provided that antithyroidal drugs are well tolerated, it is sensible to stabilise the condition of hyperthyroid patients before general anaesthesia for other treatment 4 / 12 options, because a high occurrence of catecholamine-induced arrhythmias has been reported. If medical treatment with methimazole or carbimazole is inefficient at controlling cardiac manifestations associated with hyperthyroidism, betablockers are usually successful in treating many of the cardiovascular effects. Congestive failure should obviously be treated in the standard way, with the introduction of diuretics. In addition, the type of tumour and likelihood of achieving clean surgical margins should be addressed. If metastatic disease is present, a partial thyroidectomy and referral for chemotherapy can be considered. A poor surgical candidate, or one in which margins will be difficult, can also be offered referral, with the possibility of surgery and adjunctive radiotherapy and chemotherapy. Those suspected of having carcinoma should be given radioactive iodine as a preferential treatment. Feline patients with any suspicion of renal disease should be offered medical therapy in the first instance, with renal parameters carefully assessed during treatment. Significant worsening of renal disease would be a reason not to recommend surgery or radioactive iodine treatment and may prompt alteration in drug dosages. Medical treatment can also be used to control clinical signs prior to surgery (making anaesthesia safer) or prior to radioactive iodine treatment (to assess the response of renal function). Preparations of both methimazole and, more recently, a longacting once-daily preparation of carbimazole (Vidalta: Intervet) are licensed for the treatment of feline hyperthyroidism.
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A purulent discharge suggests bacterial conjunctivitis; a clear discharge suggests a viral or allergic cause. A gritty sensation is common in conjunctivitis, but a foreign body must be excluded, particularly if only one eye is affected. Itching is a common symptom in allergic eye disease, blepharitis, and topical drop hypersensitivity. Conjunctivitis itself has many causes, including bacteria, viruses, Chlamydia, and allergies. The eye may be difficult to open in the morning because the discharge sticks the lashes together. The discharge Purulent bacterial conjunctivitis usually is mucopurulent and there is uniform engorgement of all the conjunctival blood vessels. When fluorescein drops are instilled in the eye there is no staining of the cornea. Chloramphenicol ointment applied at night may also increase comfort and reduce the stickiness of the eyelids in the morning. Patients should be advised about general hygiene measures; for example, not sharing face towels. Viral conjunctivitis Viral conjunctivitis commonly is associated with upper respiratory tract infections and is usually caused by an adenovirus. Viral conjunctivitis usually lasts longer than bacterial conjunctivitis and may go on for many weeks; patients need to be informed of this. Photophobia and discomfort may be severe if the patient goes on to develop discrete corneal opacities. Small focal areas of corneal inflammation with erosions and associated opacities may give rise to pronounced symptoms, but these are difficult Viral conjunctivitis to see without high magnification. There may be associated head and neck lymphadenopathy with marked pre-auricular lymphadenopathy.
