Yellow egg pattern loose stool

Introduction A clinical manifestation of pseudomembranous colitis is that the diarrhea is green seawater or yellow egg pattern. Pseudomenbraneous colitis is an acute mucosal necrotizing inflammation that mainly occurs in the colon and is covered with a pseudomembrane. This disease is common after the application of antibiotics, so it is a iatrogenic complication. It has been confirmed to be caused by a toxin of Clostridiumdifficile. Those who are seriously ill can die.

Cause

Disease resistance, immune function, and dysbacteriosis are important reasons for the application of broad-spectrum antibiotics, especially lincomycin, clindamycin, ampicillin, amoxicillin, etc., inhibiting normal intestinal tract. The flora causes the bacterium Clostridium difficile to rapidly multiply and produce toxins and cause disease. The disease can also occur after surgery, especially after gastrointestinal cancer surgery, and other patients with serious diseases such as intestinal obstruction, malignant tumor, uremia, diabetes, heart failure, sepsis, etc., these cases are generally resistant to disease and The immunity is extremely low, or antibiotic treatment is required due to the condition, the internal environment of the body changes, and the intestinal flora is dysfunctional, which is conducive to the propagation of Clostridium difficile and cause disease. Clostridium difficile and its toxins are the causative factors of the disease, but the potency of the toxin in the feces is not parallel with the severity of the disease. This indicates that the toxin is not the only factor affecting the severity of the disease.

an examination

Related inspection

Fecal epithelial cell abdomen plain film

Clinical manifestations of pseudomembranous colitis: fever, abdominal pain, nausea, bloating, large amount of diarrhea, diarrhea is green sea-like or yellow egg-like loose stools, shedding pseudomembrane; diarrhea after diarrhea is relieved, pulse increases, blood pressure drops, shortness of breath Dehydration signs, mental disorders, abdominal tenderness, abdominal muscle tension, flatulence and bowel sounds are weakened. Diagnosis is based on the above symptoms.

Differential diagnosis

It should be differentiated from ulcerative colitis, colonic Crohn's disease, ischemic enteritis, and AIDS colitis. Clinical manifestations of pseudomembranous colitis: fever, abdominal pain, nausea, bloating, massive diarrhea, diarrhea is green sea-like or yellow egg-like loose stool, detached pseudomembrane, bloating after diarrhea, pulse increase, blood pressure drop, shortness of breath Dehydration signs, mental disorders, abdominal tenderness, abdominal muscle tension, flatulence and bowel sounds are weakened. Diagnosis is based on symptom performance.

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