PATHOPHYSIOLOGY
ACUTE GASTROENTERITIS
PREDISPOSING FACTORS PRECIPITATING FACTORS
Extreme ages Poor sanitation
Immuno-compromised Etiology: bacterial/viral Contaminated food
Immune deficiency and water
disease Poor food preparation
Ingestion of contaminated
food/water
Pathogen enters
Gastrointestinal tract
Interrupted normal intestinal
flora activity
Pathogen release endotoxins
Stimulation of mucosal Invasion and destruction of mucosal
lining of intestine lining of intestine
Increased secretion of water and Irritation of intestinal mucosa
electrolytes into intestinal lumen
Increased secretion of chloride and bleeding ulceration Abdominal pain
bicarbonate ions
hematochezia
Inhibition of sodium reabsorption
Altered digestion and reabsorption
Increased secretion of protein-rich fluid Indigestion of food
Inhibition ofprotein-rich fluid Abdominal distension Excessive release of gas
reabsorption
Watery stool diarrhea Abdominal nausea Abdominal vomiting Excessive borborygmi
cramping pain
Los of fluids and electrolytes
dehydration
Increased secretion of protein-rich
fluid in bowel