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Anonymous
May 23

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
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