Diarrhea

Question 1

Normal stool volume?

Answer 1

3-7 Bowel movements, less than 1 L per day

Question 2

Normal stool volume loss?

Answer 2

0.1 L

Question 3

Acute infectious diarrhea volume?

Answer 3

20-30 Bowel movements, about 20 liters

Question 4

Diarrhea reflects increased water in stool from? (2)

Answer 4

Inc. intestinal secretion

Dec. intestinal reabsorption

Question 5

What is psuedodiarrhea?

Answer 5

Anal inflammation

Question 6

Problem responsible for fecal incontinence?

Answer 6

Neuromuscular

Question 7

Problem responsible for overflow incontinence?

Answer 7

Leakage of stool

Question 8

Duration of acute diarrhea?

Answer 8

Less than 14 days

Question 9

Duration of persistent diarrhea?

Answer 9

14-30 days

Question 10

Duration of chronic diarrhea?

Answer 10

> 30 days

Question 11

In developed countries what is usually the cause of diarrhea?

Answer 11

Viruses

Question 12

Least common cause for diarrhea in developed country?

Answer 12

Protozoa

Question 13

More severe diarrhea indicative of what?

Answer 13

Bacterial infection

Question 14

Salmonella is most likely found where?

Answer 14

Small bowel

Question 15

What does Salmonella cause?

Answer 15

Dysentery

Question 16

Where is E.coli found and what does it cause?

Answer 16

Small bowel

Dysentery

Question 17

Where is campylobacter found and what does it cause?

Answer 17

Colon

Dysentery

Question 18

Where is Shigella found and what does it cause?

Answer 18

Colon

Dysentery

Question 19

How many types in the bristol stool chart?

Answer 19

7

Question 20

Acute infectious diarrhea volume?

Answer 20

20-30 Bowel movements, about 20 liters

Question 21

Diarrhea reflects increased water in stool from? (2)

Answer 21

Inc. intestinal secretion

Dec. intestinal reabsorption

Question 22

What is psuedodiarrhea?

Answer 22

Anal inflammation

Question 23

Problem responsible for fecal incontinence?

Answer 23

Neuromuscular

Question 24

Problem responsible for overflow incontinence?

Answer 24

Leakage of stool

Question 25

Duration of acute diarrhea?

Question 26

Duration of persistent diarrhea?

Answer 26

14-30 days

Question 27

Duration of chronic diarrhea?

Answer 27

>30 days

Question 28

In developed countries what is usually the cause of diarrhea?

Answer 28

Viruses

Question 29

Least common cause for diarrhea in developed country?

Answer 29

Protozoa

Question 30

More severe diarrhea indicative of what?

Answer 30

Bacterial infection

Question 31

Salmonella is most likely found where?

Answer 31

Small bowel

Question 32

What does Salmonella cause?

Answer 32

Dysentery

Question 33

Where is E.coli found and what does it cause?

Answer 33

Small bowel | Dysentery

Question 34

Where is campylobacter found and what does it cause?

Answer 34

Colon | Dysentery

Question 35

Where is Shigella found and what does it cause?

Answer 35

Colon | Dysentery

Question 36

How many types in the bristol stool chart?

Answer 36

7

Question 37

What is the hallmark of inflamatory bowel disease?

Answer 37

Fistula

Question 38

What dietary alteration needs to be made in the treatment of diarrhea?

Answer 38

Avoid dairy, low residue diet

Question 39

Inflammatory cause of Chronic Diarrhea involve what?

Answer 39

IBD Invasive Neoplasia

Question 40

IBD such as ulcerative colitis or Crohn's disease manifest via what?

Answer 40

White blood cells Pus Blood

Question 41

What can cause maldigestion disorders?

Answer 41

Chronic pancreatitis | Cystic fibrosis

Question 42

Major presenting symptom as vomiting?

Answer 42

S. aureus (Cream pie at picnic) B. cereus (Leftover fried rice) Norwalk (Cruise ships)

Question 43

Major presenting symptom as inflammatory diarrhea?

Answer 43

Non-typhoidal salmonella (Hambergers at picnic) Shiga toxin producing e.coli (Hambergers, spinich) V. parahemolyticus (Sushi) V. Vulnificus (Raw oysters)

Question 44

Risk factors for Hep A?

Answer 44

Male sex with males Shellfish Food workers

Question 45

How do you treat acute diarrhea?

Answer 45

Oral rehydration Symptomatic Therapy (Anti-motility agents) Probiotics Dietary alterations (Avoid dairy, low residue diets) Empiric Antibiotics (Metronidazole)