Diarrhea, infections, IBD

Question 1

PPx for travelors diarrhea? What is immunocompromised?

Answer 1

Bismuth

Immunocompromised = rifaximan

Question 2

Eating food with resulting diarrhea and getting cold and hot mixed up progressing to ataxia

What is the treatment?

Answer 2

ciguatera fish poisoning from eating preditory reef fish

Tx: supportive care

Question 3

Which parasite causes VitB12 deficiency?

Which tapeworm causes VitB12 deficiency?

Answer 3

D. latum

Hynenolepis mana (MCC US). Eating raw fish.

Tx: Praziquantel

Question 4

Which parasite is worse in HTLV-1 patient?

How do you treat?

Answer 4

Strongyloides

Tx: Ivermectin and antibiotics if hyperinfection

Question 5

How is scroimboid poisining prevented?

Answer 5

Freezing fish

Tx: supportive care

Question 6

Eating raw salmon then having gastric symptoms?

Answer 6

Anisakis species are parasitic nematodes found in different types of seafood, including salmon, herring, cod, mackerel and squid.

Question 7

How do you treat cryptosporidium?

Answer 7

HIV anti-retrovirals and Nitazomamide

Question 8

Month long diarrhea + eosinophilia and Charcot-Leyden crystal in stool? Often immunocompromised. How do you treat?

Answer 8

Cystoisispora belli

Tx: Bactrim

Question 9

Chronic diarrhea after traveling to tropics? How to treat and how long?

Answer 9

Tropical sprue. Test for celiac too.

Tx: 6 months of tetracycline and folic acid

Question 10

Mexican with diarrhea and R-sided colitis and these ulcers?

Answer 10

Entamoeba histolytica

Tx: Flagyl 10 days then paromomycin 7 days

Question 11

Treat moderate to severe travelers diarrhea with what? What about SE Asia?

Answer 11

Azithromycin or Cipro

Cipro resistance in Asia

Question 12

How to treat Campylobacter?

Answer 12

Azithromycin

Question 13

How to treat Ascaris? What if pregnent?

Answer 13

Albendazole or Mebendazole x1

Pregnent tx with pyranetal penazole

Question 14

How to treat hookworm?

Answer 14

Albendazole x3 days

Question 15

What infection assoicated with reactive arthritis? How present? How to treat? What else associated with it?

Answer 15

Yersina

Submucosal invasion

RLQ pain and pharyngitis

Worse with hemachromatosis

Tx: supportive care. Cipro for severe case.

Question 16

Shellfish and shock, what bacertia? Mechanism?

Answer 16

Vibrio

Preformed enterotoxin

Wrose with ETOH and cirhosis

Question 17

Difference between paralytic shellfish poisoning and ciguatera fish poisoning?

Answer 17

Paralytic shellfish has rapid onset weakness and paralysis (much longer with ciguatera)

Question 18

Name of Chinese liver fluke and how to treat?

Answer 18

Chlonorachissinensis

Tx: praziquantel

Question 19

How to treat Shigella? Most common shigella type in US?

Answer 19

S. sonnei

Tx: Quinolones

Question 20

How to treat Vibri cholerae?

Answer 20

Azithromycin or

Fluoroquinolones or

Tetracyclines

Question 21

HIV + dilated gallbladder with dilated CBD and diarrhea? How to treat?

Answer 21

Cryptosporidium

Tx Antiretrovirals and Nitazoxamide

Question 22

Crohns gene defect

Answer 22

NOD2 on chrome 16

Question 23

NOD2 on chrome 16

Answer 23

Crohns

Question 24

Divertsion colitis is from a lack of what? How to treat?

Answer 24

Butyrate

Short chain fatty acid enema

Question 25

Which occular IBD manifestation is seperate from inflammation ativity?

Answer 25

Uveitis (photophobia, headaches, blurred vision)

Question 26

Live vaccines to be avoided while immunosuppressed?

Answer 26

MMR Varicella Herpes zooster Yellow Fever

Question 27

What parasite does not invade epithelium?

Answer 27

Giardia

Question 28

Basil or rasberry protazoa?

Question 29

How to treat tapeworm D. latum (fish) and H. nana (fecal)?

Answer 29

Praziquental

Question 30

How to treat yersinia?

Answer 30

Bactrum (Bactrum for the patient with HIV and appenicitis)

Question 31

Timing of sickness onset difference between Staph and Clostridium?

Answer 31

Staph preformed 30 min Clostridium preformed 12 hours