Diarrhea

Question 1

Differentiate diarrhea from what three things

Answer 1

1. Pseudodiarrhea,
2. fecal incontinence (involuntary/sudden discharge),
3. overflow incontinence (obstipation, chronic constipation as the underlying cause)

Question 2

Acute/persistent/chronic diarrhea times

Answer 2

14d

14-30d

>30d

Question 3

Acute diarrhea usually caused by (3…most to least likely)

Answer 3

Usually viral

Bacterial more likely if severe

Protozoa are least common

Question 4

Diarrhea grouped into what three catergories

Answer 4

Watery

Fatty

Inflammatory

Question 5

Watery - Secretory diarrheas

Answer 5

Osmotic

Functional

Question 6

Enteric pathogens - small bowel

Answer 6

• Salmonella
• E.coli
• Clost. Perf
• Staph aureus
• B. cereus
• V. cholerae

Question 7

Enteric pathogens (bact.) - colonic

Answer 7

• Campylobacter
• shigella
• c. diff
• e.coli 0157:h7

(also yersinia, v. parahemolyticus, EIEC, Klebsiella)

Question 8

Fatty diarrheas- secretory

Answer 8

Malabsorption

Maldigestion

Question 9

Inflammatory diarrheas -Secretory

Answer 9

IBD

Invasive

Neoplasia

Question 10

Pie at picnic

Answer 10

S. aureus

1-6hours

Question 11

B. cereus incubation period

Answer 11

1-6 hours

Question 12

Hamburgers at picnic organism/time

Answer 12

Non-typhoidal Salmonella

1-3 days

Question 13

Hamburgers/spinach– organism and time

Answer 13

E.coli 0157:57

1-8 days

Question 14

Raw shellfish organism

Answer 14

v. parahemolyticus

Question 15

Oyster organism and location

Answer 15

Vibrio vulnificus

(Redneck Riveria in months without R)

Question 16

C. perfringens can cause what syndrome

Answer 16

pig bel (necrotizing enteritis)

Question 17

C. perf tends to result in what type of Sx?

Answer 17

Acute gastroenteritis