405. GI and Liver Flashcards
What are the classes of diaorrhoea
Acute diaorrhoea- >3d less than 14d
Dysentry- infectious gastroenteritis with bloody diorrheoa
Persistent diarrhoea-acutely starting diarrhoea lasting>14d
Traveller’s diarrhoea- starting during or shortly after foeign travel
Food poisoning- caused by consumption of food/water
What viruses’ cause diarrhoea?
Norovirus Rotavirus Adenovirus Sapovirus CMV
What are the causes of food related diarrhoea?
Salmonella- undercooked eggs/meatr (12-72hr)
Campylobacter- under cooked meat, croos contamiantion. 2-5d
E.coli- beef/milk (1-2d)
Listeria- cole meat, 3-70d
bacilla cereus- 30mins-15days
What are the common causes of travellers diarrhoea?
E.coli-watery diarrhoea, cramps and nausea
Giardia- bloating and belching
Campylobacter jejuni and shigella- cramps
Differntials- parasites- cryptosporidiu etc
What are the causes of diarrhoea with blood?
Shigella
Campylbactor
Salmonella
yersinia
C.diff
No blood and diarrhoea. What could it be?
Noravirus
Rotavirus
E.coli-na and cl causes osmotic diaorrhoea
C.perfringens- may lead to nec. enc
Cholera
What parasites commonly cause diarrhoea?
Giardisis
Cryptosporidium
Ameobiasis
Cyclospora
Nematodes
Tapeworm
What parasitic illnes cuases lactose intolerance?
Giardisis
Which parastiic infection can lead to liver abscesses
Ameobiasis
What are the variou types of nematodes
Threadworm
Hookworm
Roundworm
Whipworm
What symtoms can schistosomiasis give you?
itchy papular rash- swimmers itch
Migration- fever, diaorrhea, wheeze, hepatomegaly etc.
Host response- uroegenital, CNS, intestinal, lung
Hpow is shistosomiasis treated?
Two doses of praziquantel over 4 hours
Steroids for migration symtpoms