had an admission today that spent the past 7 weeks in spain and on her final day there started with severe vomitting. reports occasional diarrhea, but nothing overwhelming. anyway, her admitting diagnosis was gastroenteritis r/o dysentary. anyone familiar with this? i work on an ortho/trauma floor but we wound up getting this patient anyway and we were all desperately trying to remember facts about dysentary. is it contagious? should she be on contact or airborne precautons? a private room? any help would be appreciated!
Jul 9, '01
I guess when I think of the word "dysentary", I think of the epidemic type dysentary that they get in third world countries. Generally, when we had someone show up in our Urgent care with n/v, mostly diarrhea, it was due to some type of food poisoning (contaminated meat, unpasteurized dairy products, and those notorious salmonella ridden eggs) or drinking bad water on a hiking or camping trip.(the dreaded giardia) Usually, it had a bacterial or parasitic origin. We ran stool cultures and treated with antibiotics. I am sure they have asked this patient about what she ate and drank when she was in Spain. Did she eat some weird food from a local street vendor? Did she drink water from a mountain stream, while hiking? Was anyone else on the trip sick?
Last edit by fiestynurse on Jul 9, '01