Day 7 - GI1 Quiz Flashcards
Different types of esophageal diverticula
ZENKER - upper esophagus; TRACTION - mid esophagus; EPIPHRENIC - low esophagus
Tx diarrheal illnesses: Entamoeba histolytica
Metronidazole
Tx diarrheal illnesses: Giardia lamblia
Metronidazole
Tx diarrheal illnesses: Salmonella or Shigella
Quinolone, Fluoroquinolone, or TMP/SMX; Try not to tx Salmonella if can avoid it (only give antibx to high risk pts or severe disease)
Tx diarrheal illnesses: Campylobacter
Erythromycin
Hep B exposure: Negative HBsAg, Negative HBeAg, Negative Anti-HBs, Positive Anti-HBc IgM
Acute infection window period
Hep B exposure: Positive HBsAg, Positive HBeAg, Negative Anti-HBs, Positive Anti-HBc IgG
Chronic infection (active viral replication)
Hep B exposure: Negative HBsAg, Negative HBeAg, Positive Anti-HBs, Negative Anti-HBc IgG
Vaccination
Hep B exposure: Negative HBsAg, Negative HBeAg, Positive Anti-HBs, Positive Anti-HBc IgG
Recovery from infection
Tx diffuse esophageal spasm v. Achalasia
NOT too different in terms of medical tx - Nifedipine, Nitrates, (can also use TCAs for dysphagia/chest pain in DES); Achalasia more likely to need interventino - botox injections, pneumatic dilation, or myotomy
Infectious agents: Food poisoning with mayonaise sitting out too long
S. aureus (preformed toxin)
Infectious agents: Rice water stools
Vibrio cholera (or ETEC)
Infectious agents: Diarrhea from pet feces
Yersinia entercolytica (also causes pseudoappendicitis)
Infectious agents: Food poisoning from reheated rice in Chinese food
Bacillus cereus
Infectious agents: Most common cause of traveler’s diarrhea
ETEC