Constipation and Diarrhea

Question 1

“explosive diarrhea” MC diarrhea in children in the US

Answer 1

C. jejuni

enteroinvasive- secretory

Question 2

‘Enteric Fever” –> typhoid fever

Answer 2

Salmonella

Question 3

“dysentery” bloody mucus in the stool

Answer 3

Shigella sonne

Question 4

food poisoning

Answer 4

S. aureus

Question 5

traveler’s diarrhea (outside US) , UTI

Answer 5

E. coli

Question 6

hx of hiking and drinking wilderness water (1-3 wk prior)

Answer 6

G. lamblia

Question 7

x: burning sensation in the abdomen, head, neck or ext., chest pn
ate: ____

Answer 7

MSG

Question 8

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

Answer 8

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

Question 9

rice water stool

Answer 9

vibrio cholerae

Question 10

x: CNS palsies, paralysis and respiratory failure

Answer 10

C. botulinum

Question 11

Adult with abdominal pn:
distention
wt loss
bl in stool

Answer 11

colorectal CA

Question 12

x: radiation of pn from the back to the groin

Answer 12

renal/ ureter dysfunction

Question 13

x: pn began at the umbilicus and then goes out the RLQ

Answer 13

Appendix

Question 14

Hx: current hx of PID

pt now has pn in the URQ

Answer 14

Fitz high curtus - liver capsule inflame. as a result of PID

Question 15

unilateral inferior abdominal pn that is worst at the end of menstration

Answer 15

PID

Question 16

severe pn with nausea and vomiting - no position of relief

Answer 16

Kidney/ ureter stones

MC in males:
( humid, during summer, dehydrated)

Question 17

types of stones seen in an individual with hemolytic anemia

Answer 17

cholelithiasis

pn refers to inferior scap, nausea, vomiting

Question 18

x: pn on a full stomach, worst with recumbancy

Answer 18

reflux esophagitis

Question 19

x: recurrent pn, felt on an EMPTY stomach. Relieved by antacids, unaffected by positions

Answer 19

peptic ulcer

H. pylori

Question 20

x: severe pn radiating to back with hx of chronic alcohol abuse

Answer 20

pancreatitis

incr: p-amylase

Question 21

X:

Incr AST, ALT, GGT

Answer 21

liver failuer

Question 22

x: incr bl urine nitrogen, creatinine

Answer 22

Kidney failure

Question 23

x: incr CKM-B, triponine I, triponine 1

Answer 23

heart failure

Question 24

x: patchy, transmural involvement of SI
HLA-B27
peripheral jt pn
can result in intestinal obstruction

Answer 24

crohns

Question 25

x: lower abdominal pn with low grade fever, bl in stool, mild leukocytosis

Answer 25

diverticulitis