Diarrhea

Question 1

What is acute diarrhea?
Who do you test?
What do you test?

Answer 1

<4d
No testing unless very old or very young

BUN/creatinine
Stool culture
Recent travel

Question 2

What is chronic diarrhea?
What do you test?

Answer 2

> 4w

Occult blood test
Electrolytes
Giardia antigen
PCR
CBC w/diff
C.diff

Question 3

General treatment for diarrhea?

Answer 3

Fluid & electrolyte replacement

+/- anti diarrheal

Question 4

Norovirus/Rotavirus
What type of diarrhea?
Dx
Tx

Answer 4

Large volume, watery

Dx: clinical, no testing
Tx: supportive, oral/IV hydration, no abx

Question 5

Bacteria implicated in acute diarrhea
Large volume/watery? 5
What are the treatments?

Answer 5

See table for details

C.perfringens for which the treatment is supportive
No abx

Other four are:
V.cholera
E.Coli
Salmonella
Yersinia

Question 6

Giardia
What kind of diarrhea?
Tx?

Answer 6

Large volume, watery

Question 7

C.difficile
What kind of diarrhea?
Tx

Answer 7

Bloody, small volume, urgency

Question 8

Campylobacter
What kind of diarrhea?
Tx

Answer 8

Bloody, small volume, urgency
Acute
SP: azithromycin

Question 9

Shigella
What kind of diarrhea
Tx

Answer 9

bloody, small volume, urgency

Question 10

E.histolytica
What kind of diarrhea
Tx

Question 11

Whipple disease
What kind of diarrhea?
Tx?