2.  Typhoid Fever
 Bacillary Dysentery
 Cholera
 Food Poisoning
 Leptospirosis

3.  Hepatitis
 Mumps

4.  Amoebiasis  Enterobiasis
 Schistosomiasis  Taeniasis
 Capillariasis  Trichuriasis
 Helminths  Paragonimiasis
 Trichinosis  Strongyloidiasis
 Ancylostomiasis  RedTide
 Ascariasis Poisoning

5. is a general infection caused by
Salmonella Typhi involving primarily
the lymphoid tissues (Peyers Patches)
of the small intestine.
is a bacterial infection transmitted by
contaminated water, milk shellfish or
other foods

6. Salmonella Typhosa or Salmonella Typhi
Fecal Oral route
Rose Spot on the Abdomen
10-20 days

7. – as long as the bacteria are
excreted therefore another
important source of infection is
the stool of the patient

8. 1. PRODROMAL OR GRADUAL ONSET/
INITIAL STAGE
Fever, Abdominal pain, diarrhea
Irregularly spaced small rose spot
on the abdomen, chest, trunk, and
back

9. 2. FASTIGIAL STAGE
1. Ladderliked fever or stairway fever
2. Rose pot
3. Splenomegaly enlargement of the spleen

10. 2. FASTIGIAL STAGE
Abdominal symptoms may become
marked abdominal distention
(tympanites)
Teeth and lips accumulate a dirty brown
collection of dried mucus and bacteria
known as (typhoid state)

11.  Restless alteration in the level of
consciousness
 Carphologia
– involuntary picking of linens
 Subsultus Tendinum
– involuntary twitching of the
tendon of the wrist

12. WIDAL TEST
– agglutination test for typhoid fever
3 ANTIGEN USE
– positive active typhoid state or
acute infection
exposed before to typhoid fever
Immunized with cholera typhoid
– are found among carriers

13. 3. STAGE OF DEFERVESCENCE
Circulation
PEYERS PATCHES
INFLAMMATION
Slough or falls off
MEMBRANE
MELENA

14. HEMATOCHEZIA
– fresh blood in the stool
–inflammation of the lining tissue
of the abdominal cavity

15. 4. LYSIS - or CONVALESCENCE
STAGE

16.  WIDAL TEST
 RECTAL SWAB
CHLORAMPHENICOL

17. 1. Symptomatic
2. GI Bleeding (NPO) Blood Transfusion
may be given to patient
3. Avoid spicy food cause irritation of
gastric mucosa and aggravate the
bleeding of the pt.
4. Encourage increase fluid intake the
patient may become dehydrated due
to water loss vomiting diarrhea and
poor oral intake.
5. Give a high calorie low residue diet
during febrile stage

18.  Immunization ( Cholera Typhoid )
 Avoid the 5 Fs
 Proper disposal of feces
 Avoid breeding places of flies
 Proper preparation cooking storage of
food
 Proper handwashing
 Cut finger nails