Diarrhea Flashcards

1
Q

Normal stool volume?

A

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

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2
Q

Normal stool volume loss?

A

0.1 L

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3
Q

Acute infectious diarrhea volume?

A

20-30 Bowel movements, about 20 liters

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4
Q

Diarrhea reflects increased water in stool from? (2)

A

Inc. intestinal secretion

Dec. intestinal reabsorption

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5
Q

What is psuedodiarrhea?

A

Anal inflammation

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6
Q

Problem responsible for fecal incontinence?

A

Neuromuscular

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7
Q

Problem responsible for overflow incontinence?

A

Leakage of stool

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8
Q

Duration of acute diarrhea?

A

Less than 14 days

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9
Q

Duration of persistent diarrhea?

A

14-30 days

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10
Q

Duration of chronic diarrhea?

A

> 30 days

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11
Q

In developed countries what is usually the cause of diarrhea?

A

Viruses

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12
Q

Least common cause for diarrhea in developed country?

A

Protozoa

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13
Q

More severe diarrhea indicative of what?

A

Bacterial infection

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14
Q

Salmonella is most likely found where?

A

Small bowel

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15
Q

What does Salmonella cause?

A

Dysentery

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16
Q

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

A

Small bowel

Dysentery

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17
Q

Where is campylobacter found and what does it cause?

A

Colon

Dysentery

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18
Q

Where is Shigella found and what does it cause?

A

Colon

Dysentery

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19
Q

How many types in the bristol stool chart?

A

7

20
Q

Acute infectious diarrhea volume?

A

20-30 Bowel movements, about 20 liters

21
Q

Diarrhea reflects increased water in stool from? (2)

A

Inc. intestinal secretion

Dec. intestinal reabsorption

22
Q

What is psuedodiarrhea?

A

Anal inflammation

23
Q

Problem responsible for fecal incontinence?

A

Neuromuscular

24
Q

Problem responsible for overflow incontinence?

A

Leakage of stool

25
Q

Duration of acute diarrhea?

A
26
Q

Duration of persistent diarrhea?

A

14-30 days

27
Q

Duration of chronic diarrhea?

A

> 30 days

28
Q

In developed countries what is usually the cause of diarrhea?

A

Viruses

29
Q

Least common cause for diarrhea in developed country?

A

Protozoa

30
Q

More severe diarrhea indicative of what?

A

Bacterial infection

31
Q

Salmonella is most likely found where?

A

Small bowel

32
Q

What does Salmonella cause?

A

Dysentery

33
Q

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

A

Small bowel

Dysentery

34
Q

Where is campylobacter found and what does it cause?

A

Colon

Dysentery

35
Q

Where is Shigella found and what does it cause?

A

Colon

Dysentery

36
Q

How many types in the bristol stool chart?

A

7

37
Q

What is the hallmark of inflamatory bowel disease?

A

Fistula

38
Q

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

A

Avoid dairy, low residue diet

39
Q

Inflammatory cause of Chronic Diarrhea involve what?

A

IBD
Invasive
Neoplasia

40
Q

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

A

White blood cells
Pus
Blood

41
Q

What can cause maldigestion disorders?

A

Chronic pancreatitis

Cystic fibrosis

42
Q

Major presenting symptom as vomiting?

A

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

43
Q

Major presenting symptom as inflammatory diarrhea?

A

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

44
Q

Risk factors for Hep A?

A

Male sex with males
Shellfish
Food workers

45
Q

How do you treat acute diarrhea?

A

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