Internal Medicine

0521779407-14 CUNY1086/Karliner 0 521 77940 7 June 4, 2007 21:16

Mineralocorticoid Disorders Miscellaneous Intestinal Protozoa 989

➣Mineralocorticoid deficiency: hypertension, edema, hypoka-

lemia

follow-up

■Monitor serum potassium, renal function

■Monior BP, treat hypertension

complications and prognosis

■Hypertension persists after surgical resection of aldosterone-

secreting adenoma in about 35% of patients.

MISCELLANEOUS INTESTINAL PROTOZOA

J. GORDON FRIERSON, MD

history & physical

History

■Exposure: Ingestion of fecally contaminated food and water con-

taining cysts of Entamoeba hartmanni, Entamoeba coli, Endolimax

nana, Iodamoeba butschlii, or Chilomastix mesnili

Signs & Symptoms

■None. These are all non-pathogens.

tests

■Basic tests: blood: normal

■Basic tests: urine: normal

■Specific tests: Stool O&P exam finds organisms.

■Other tests: none

differential diagnosis

■None; no symptoms

management

What to Do First

■If GI symptoms are present and no pathogenic organisms are seen,

check more stools (up to 4–6), as presence of these non-pathogens

is a marker for contamination.

General Measures

■Same