Vomiting & Diarrhoea in a nursing home - Rcpa.tv
Vomiting & Diarrhoea in a nursing home - Rcpa.tv
Vomiting & Diarrhoea in a nursing home - Rcpa.tv
You also want an ePaper? Increase the reach of your titles
YUMPU automatically turns print PDFs into web optimized ePapers that Google loves.
Appropriate <strong>in</strong>vestigations<br />
Answers B & C<br />
Yes. Both these answers are reasonable. General faecal<br />
micro/culture is <strong>in</strong>dicated due to the air travel.<br />
Campylobacter spp are still the commonest cause of bloody stools <strong>in</strong><br />
patients.<br />
Clostridium difficile should be actively screened for, as the patient<br />
was a recent hospital <strong>in</strong>patient, and given the <strong>in</strong>creas<strong>in</strong>g <strong>in</strong>cidence<br />
of severe disease caus<strong>in</strong>g C. difficile serotypes <strong>in</strong>ternationally (yet<br />
to be seen <strong>in</strong> Australia).<br />
Shiga tox<strong>in</strong> produc<strong>in</strong>g E. coli are also a known cause of haemorrhagic<br />
diarrhoea and should be excluded if considered likely.