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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









                          hypotension
                          altered mental status

                      2.  MENINGITIS
                          headache
                          fever
                          meningismus/stiff neck
                          cranial nerve palsies (VI most common; also
                                III, Vill Vill)
                          altered mental status
                          seizure
                          positive Kernig's sign

                 C. LABORATORY
                      1. HEMATOLOGIC:
                          a.  MFNINGOCOCCEMIA
                              i)   HGB/HCT: nonspecific
                              ii) WBC- leuko@osis or leukopenia (leukopenia
                                   implies more fulminant illness)
                              iii) thrombocytopeniat common
                          b.  MENINGITIS
                              i)    HGB/HCT: nonspecific
                              ii)  WBC: leukocytosis more typical, leukopenia
                                    suggests sepsis/meningococcemia
                              iii)   Platelets:        usually     normal
                                     thrombocytopenia suggests
                                     sepsis/maningococcemia.

                      2. CHEMISTRIES: nonspecific; serum glucose and protein
                           should be obtained for comparison against CSF
                           values.

                      3.  URINALYSIS: nonspecific

                      4.  MICROBIOLOGIC:
                          a.  CSF GRAM STAIN: positive in 50-90%, including
                              meningococcemia without clinical meningitis.
                              organisms may be present prior to WBC'S.
                          b.  CSF CULTURE% positive in 50-90%, including
                              meningococcemia without clinical meningitis
                          c.  ETOOD CULTURE: positive in 50-60%.
     d.  organisms are fragile - smears and cultures
                              should be prepared as soon as CSF is obtained
                              from patient.

                      5.  SEROLOGY: not applicable.

                      6.  COAGULATION: prothrombin time (PT) and partial
                          thromboplastin (PTT) time may be elevated in
                          meningococcemia. Evidence of DIC, including
                          decreased fibrinogen levels, and elevated levels
                          at fibrin degradation products may be seen.

                 D. X-RAY: nonspecific



    lot'.

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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