Diagnosticapproach to acute infectious diarrhea

A. An attempt should be made to obtain a pathologic diagnosis in patients who give a history of recent ingestion of seafood (Vibrio parahaemolyticus), travel or camping, antibiotic use, homosexual activity, or who complain of fever and abdominal pain.

B. Blood or mucus in the stools indicates the presence of Shigella, Salmonella, Campylobacter jejuni, enteroinvasive E. coli, C. difficile, or, less likely, Yersinia enterocolitica.

C. Most cases of mild diarrheal disease do not require laboratory studies to determine the etiology. In moderate to severe diarrhea with fever or pus, a stool culture for bacterial pathogens (Salmonella, Shigella, Campylobacter) is submitted. If antibiotics were used recently, stool should be sent for Clostridium difficile toxin.

Breaking Bulimia

Breaking Bulimia

We have all been there: turning to the refrigerator if feeling lonely or bored or indulging in seconds or thirds if strained. But if you suffer from bulimia, the from time to time urge to overeat is more like an obsession.

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