C-Diff Question

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Specializes in Cath Lab, OR, CPHN/SN, ER.

Hey! Although the micro class at the school I graduated from is an excellent one that actually covers diseases and meds, the class I took was horrible (took it at another school, then transferred).

I've always heard that once you smelled c-diff stools, you would never forget them- what does it smell like? Reason I ask is, I had a pt last night, being admitted. She had the most foul-smelling stools I have ever smelled. It smelled like rotten eggs, and (TMI) was liquidy and greenish-black. I have never cared for a c-diff pt, and was wondering if this was it. Thanks! -Andrea

Specializes in Telemetry, ICU, Resource Pool, Dialysis.

GI bleed and Cdiff both smell rank. If it was dark greenish/black, it may have been GI bleed. Liquid GI bleed smells worse than Cdiff.:barf01:

Specializes in Cath Lab, OR, CPHN/SN, ER.

Thanks. She had a hx of GI bleeds and ulcers too. I may have to kidnap fiance's micro book! :) -A

Specializes in ER.

GI bleed smells the whole entire department up..when someone has a GI bleed, everyone knows it. C-Diff is runny stool, still fairly stinky but on a much smaller scale than GI bleed. Although I don't think either smells like rotten eggs...Its not really a smell you can explain, you just have to experience it..

Specializes in Telemetry, ICU, Resource Pool, Dialysis.
GI bleed smells the whole entire department up..when someone has a GI bleed, everyone knows it. C-Diff is runny stool, still fairly stinky but on a much smaller scale than GI bleed. Although I don't think either smells like rotten eggs...Its not really a smell you can explain, you just have to experience it..

I don't know...if you left a dozen eggs in a tightly closed trash can, outside in the yard, in the middle of summer for a couple days - add a few rotten potatoes, some worms you forgot in the cooler (that's been on the porch) after you went fishing last week, some chicken skin, a dead bird and let it sit for another day and stir... you might come pretty close!!! :D

Specializes in ER.
I don't know...if you left a dozen eggs in a tightly closed trash can, outside in the yard, in the middle of summer for a couple days - add a few rotten potatoes, some worms you forgot in the cooler (that's been on the porch) after you went fishing last week, some chicken skin, a dead bird and let it sit for another day and stir... you might come pretty close!!! :D

...and you would know this because????? :eek:

Specializes in Telemetry, ICU, Resource Pool, Dialysis.

Personal experience...except for the stirring part. I thought "gee this smells like GI bleed" as I was gagging!!!

Specializes in Cath Lab, OR, CPHN/SN, ER.

We have 3 pts on our floor with C Diff right now. They are all on one end of the hall. The entire side of the floor is so stinky. Trust me, you will never forget that stench!!!

:barf01:

Hey! Although the micro class at the school I graduated from is an excellent one that actually covers diseases and meds, the class I took was horrible (took it at another school, then transfered).

I've always heard that once you smelled c-diff stools, you would never forget them- what does it smell like? Reason I ask is, I had a pt last night, being admitted. She had the most foul-smelling stools I have ever smelled. It smelled like rotten eggs, and (TMI) was liquidy and greenish-black. I have never cared for a c-diff pt, and was wondering if this was it. Thanks! -Andrea

We seem to be tops with C-diff. We get lots of it (it seems) and believe me, if you have ever smelled it, you never forget it. Doesn't take a laboratory to diagnose it. Also, c-diff usually has a mucous appearance.

No matter how strong you think you can tolerate gross smelly emesis, c-diff to me outranks it.

One time I was doing rounds 3-11 shift as a CNA. A resident who was positive c-diff need to be changed, so we advised the family professionally if they can step outside. They decided not to, so as they were sitting, I pulled the curtain and proceeded along with my coworker. I could peak at the mirror and see them regretting staying in the room. But oh-well...

Wear double gloves...and get some scented spray.

Specializes in Critical Care/ICU.
some worms you forgot in the cooler (that's been on the porch) after you went fishing last week, some chicken skin, a dead bird and let it sit for another day and stir... you might come pretty close!!! :D

:roll

Sheesh!! Thanks a lot, pp! I just nose sprayed my keyboard with the fierce grape gatorade I'm drinking!! LOL!

I think c-diff stool has a sweet and creamy ordor to it. Seriously.

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