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File: 102596_sep96_decls2_0004.txt
Subject: DIARRHEAL DISEASES
Unit: VAR. BUMED
Parent Organization: BUMED
Box ID: BX303811
Folder Title: VARIOUS NAVAL MESSAGES FOLDER 1
Document Number: 16
Folder SEQ #: 2
Possible pseudome@
Cl
1. Dx: Anoscopy
proctoscopy
Failure to respond within 72 hours to 15-20 cm.
2. Pseudomembran
present, or
proctoscope
-> YES unavailable
NO YES
NO
a. Vancomyci
250 mg.q6hxlO days o
b. Vancomycin solution
125 mg.q6hxlC days o
c. Flagyl
250 mg.QlDxIO days
1. Assess for antimicrobial resistance stool c
2. Assess for possible amebiasis @ repeat stool exams;
proctoscopy/sigmoid
3. Assess for possible giardiasis ;,repeat stool exams;
for flatus, evidence of
malabsorption (e.g.,
qualitative stool
fecal fat; consider duodenal
aspirate.
4. Consider empirical trials of alternative antibiotic regimen or
of anti-amoebal or antigiardial therapy.
5. Cases which remain refractory may r@ire evacuation.
blood smear for malaria several
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Document 28 f:/Week-37/BX303811/VARIOUS NAVAL MESSAGES FOLDER 1/diarrheal diseases:1018961450003
Control Fields 17
File Room = sep96_declassified
File Cabinet = Week-37
Box ID = BX303811
Unit = VAR. BUMED
Parent Organization = BUMED
Folder Title = VARIOUS NAVAL MESSAGES FOLDER 1
Folder Seq # = 2
Subject = DIARRHEAL DISEASES
Document Seq # = 16
Document Date =
Scan Date =
Queued for Declassification = 01-JAN-1980
Short Term Referral = 01-JAN-1980
Long Term Referral = 01-JAN-1980
Permanent Referral = 01-JAN-1980
Non-Health Related Document = 01-JAN-1980
Declassified = 18-OCT-1996