AgE Patho PT Centered

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XI.

PATHOPHYSIOLOGY

Medical Diagnosis

Acute Gastroenteritis (AGE)

Definition

Acute Gastroenteritis (AGE)- Gastroenteritis (also known as gastro, gastric flu, tummy bug in some countries, and stomach
flu, although unrelated to influenza) is inflammation of the gastrointestinal tract, involving both the stomach and the small
intestine (see also gastritis and enteritis) and resulting in acute diarrhea.

Schematic Diagram (Book based)


Precipitating
Predisposing Washing of hands inadequately
Geographical area – tropical islands in the Sharing of food from the same plate
Pacific (Philippines) and Asia Drinking unpurified water
Age ($ yrs. old)

Ingestion of foods or fluids contaminated


with Salmonella typhi bacteria

Bacteria enter the stomach and survive a pH


as low as 1.5

Bacteria invades the Payer’s patches of the


intestinal wall in the small intestines where it
attach (incubation period is first 7-14 days
after ingestion)
Bacteria will then injects toxins known as
the effector proteins into the intestinal
cells and interrupts with the cellular
proteins & lipids & manipulate their
function resulting in phagocytization of the
epithelial cell membrane until it is engulf
down into the inferior part of the host cells
Perforation and
destruction of Signs/
Diagnostic: (05- mucosal lining of the symptoms:
15-10) intestinal wall can (05-15-10) and
Macrophages & intestinal epithelial
Hematology: lead to persistent (05/18/10)
cells then attract T cells &
HgB – 132g/L inflammation Vomiting, drying
neutrophils with interleukin 8 (IL-8
Hct - .41 of mucosal
causing inflammation of the
WBC – 6.8 membranes,
Lymphocytes - .07 intestinal wall) Ulceration and fever
bleeding in the
The bacteria is within the mucosal lining and
macrophages and survives leads to necrosis

Tissue damage and


Bacteria spread via the lymphatics
while inside the macrophages inflammation causes
loss of absorption
due to damaged villi
causing an increase Diagnostics: (05-16-
Diagnostic: The bacteria induced macrophage in water, 10) specific gravity:
(05-16-10) apoptosis, breaking out into the
electrolytes, mucus, 1.025
Urinalysis: bloodstream and cause systemic
infection blood, and serum to
Pus cells: 15- be pulled into the
19/hpf intestine from
RBC: 0-2/hpf immature crypt cells

Abdominal spasm is
induced to limit
mucosal injury adding
in stimulation of
increased peristalsis
Acute
Gastroenteritis

Legend:

- Pathophsiology

- Signs and symptoms

- Diagnostic exams

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