Diarrhea

Question 1

What is diarrhea?

Answer 1

Decreased consistency and/or frequency increased of bowel movement

Question 2

With whom is diarrhea most common?

Answer 2

Kids and young adults

Question 3

What is the daily secretion

Answer 3

7 L from endogenous source
2 L from exogeneous source

Question 4

Classification of diarrhea in duration

Answer 4

• Acute - up to 14 days
• Persistent - > 15 days
• Chronic - > 30 days

Question 5

Classification of diarrhea in infection

Answer 5

• Viral
• Bacterial
  *Parasite

Question 6

Types of E. Coli

Answer 6

Toxic, Invasive, Pathogen, Hemorrhagic

Question 7

This bacteria causes nausea in diarrhea

Answer 7

ETEC

Question 8

This bacteria causes pus and blood in diarrhea

Answer 8

EIEC

Question 9

This bacteria causes blood and fever in diarrhea

Answer 9

EHEC

Question 10

This bacteria causes vomit and mucous in diarrhea

Answer 10

EPEC

Question 11

In disinteriform diarrhea is frequent ____ and less frequent ____

Answer 11

Blood
Vomit

Question 12

Physiopatology of the types of diarrhea

Answer 12

Osmotic - blocks water and electrolyte entrance
Secretory - H2O secretion
Inflammatory - Serious damage to enterocyte
Motor - increased or decreased motility

Question 13

Which diarrheas are caused by ETEC (nausea and vomit)

Answer 13

Secretory

Question 14

Which diarrheas are caused by EPEC (vomit and mucous)

Answer 14

Secretory and osmotic

Question 15

Which diarrheas are caused by EIEC (blood and pus)

Answer 15

Inflammatory - invasive

Question 16

Which diarrheas are caused by EHEC (blood)

Answer 16

Inflammatory - non invasive

Question 17

Causes for non bloody diarrhea (VES Dificil) and where do they appear

Answer 17

Virus - osmotic
ETEC - seretory & EPEC - secretory and osmotic
S. aeureus - secretory
C. Difficile - inflammatory

Question 18

Causes for bloody diarrhea (EShA CaSa VY) and where do they appear

Answer 18

EHEC - inflammatory NI & EIEC - inflamatory I
Shigella - secretory and inflammatory I
Amiba (E. Histolytica) - inflammatory I
Campylobacter - inflammatory I
Salmonella - inflammatory I
Vibrio cholerae - secretory
Yersinia enterolitica

Question 19

Antibiotics for..

Answer 19

Virus - No
Bacteria - Start with fluoroquinolones or macrolide
Parasitic - metronidazole

Question 20

When do you give antibiotics for diarrhea

Answer 20

Watery: trip or fever
Bloody: trip and fever

Question 21

When do you give loperamide

Answer 21

If watery, no fever and they can’t rest