Distinguish bacillary and amoebic dysentery,in areas ; incubation period,onset, occurrence,fever, clinical picture, tenderness,tenesmus, macroscopic stools, microscopic stools?
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May 23
Bacillary dysentery:
Incubation period: 1-3 days Onset: Sudden Occurrence: Common in crowded areas with poor sanitation Fever: Low-grade fever Clinical picture: Abdominal pain, diarrhea with blood and mucus, dehydration Tenderness: Mild tenderness in the abdomen Tenesmus: Present Macroscopic stools: Bloody and mucoid Microscopic stools: Presence of red and white blood cells
Amoebic dysentery:
Incubation period: 1-4 weeks Onset: Gradual Occurrence: Common in tropical and subtropical regions Fever: Low-grade fever or no fever Clinical picture: Abdominal pain, diarrhea with blood and mucus, liver abscess may develop Tenderness: Moderate to severe tenderness in the abdomen Tenesmus: Absent Macroscopic stools: Bloody and mucoid Microscopic stools: Presence of amoebic trophozoites and cysts
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Google Gemini AI
May 23
Bacillary Dysentery
Incubation Period: 1-3 days
Onset: Sudden
Occurrence: Worldwide, especially in developing countries with poor sanitation
Fever: Common, usually high grade
Clinical Picture: - Abdominal pain, cramping - Tenesmus (painful, frequent urge to defecate) - Diarrhea (initially watery, then bloody and mucoid) - Dehydration, electrolyte imbalance
Tenderness: Abdominal tenderness, especially in lower left quadrant
Tenesmus: Severe
Macroscopic Stools: Bloody, mucoid stools with rice water appearance
Microscopic Stools: - Shigella species (gram-negative bacteria) - Red blood cells - White blood cells - Mucus
Amoebic Dysentery
Incubation Period: 7-14 days
Onset: Gradual
Occurrence: Worldwide, but more common in tropical and subtropical areas
Fever: Often low grade or absent
Clinical Picture: - Abdominal pain, irregular - Tenesmus (may be less severe than bacillary dysentery) - Diarrhea (alternating bouts of diarrhea and constipation) - Weight loss, fatigue
Tenderness: Diffuse abdominal tenderness, especially in right lower quadrant
Tenesmus: May be less severe than bacillary dysentery
Macroscopic Stools: Mucoid, bloody stools with "anchovy paste" appearance
Microscopic Stools: - Entamoeba histolytica (protozoan parasite) - Red blood cells - White blood cells - Mucus