Constipation and Diarrhea Flashcards
“explosive diarrhea” MC diarrhea in children in the US
C. jejuni
enteroinvasive- secretory
‘Enteric Fever” –> typhoid fever
Salmonella
“dysentery” bloody mucus in the stool
Shigella sonne
food poisoning
S. aureus
traveler’s diarrhea (outside US) , UTI
E. coli
hx of hiking and drinking wilderness water (1-3 wk prior)
G. lamblia
x: burning sensation in the abdomen, head, neck or ext., chest pn
ate: ____
MSG
match bact to food:
__: ham, poultry, mixed salad (24 hrs) vomit
___: fried rice, mac in cheese, diarrhea with abdominal cramps (less than 2 days)
__: meat and poultry
vomit less than 24 hrs
S. Aureus: ham, poultry, mixed salad (24 hrs) vomit
Bacillus cereus: fried rice, mac in cheese, diarrhea with abdominal cramps (less than 2 days)
C. perfringens: meat and poultry
vomit less than 24 hrs
rice water stool
vibrio cholerae
x: CNS palsies, paralysis and respiratory failure
C. botulinum
Adult with abdominal pn:
distention
wt loss
bl in stool
colorectal CA
x: radiation of pn from the back to the groin
renal/ ureter dysfunction
x: pn began at the umbilicus and then goes out the RLQ
Appendix
Hx: current hx of PID
pt now has pn in the URQ
Fitz high curtus - liver capsule inflame. as a result of PID
unilateral inferior abdominal pn that is worst at the end of menstration
PID
severe pn with nausea and vomiting - no position of relief
Kidney/ ureter stones
MC in males:
( humid, during summer, dehydrated)
types of stones seen in an individual with hemolytic anemia
cholelithiasis
pn refers to inferior scap, nausea, vomiting
x: pn on a full stomach, worst with recumbancy
reflux esophagitis
x: recurrent pn, felt on an EMPTY stomach. Relieved by antacids, unaffected by positions
peptic ulcer
H. pylori
x: severe pn radiating to back with hx of chronic alcohol abuse
pancreatitis
incr: p-amylase
X:
Incr AST, ALT, GGT
liver failuer
x: incr bl urine nitrogen, creatinine
Kidney failure
x: incr CKM-B, triponine I, triponine 1
heart failure
x: patchy, transmural involvement of SI
HLA-B27
peripheral jt pn
can result in intestinal obstruction
crohns
x: lower abdominal pn with low grade fever, bl in stool, mild leukocytosis
diverticulitis
