Diarrhea treatments

Question 1

In severe illness of salmonellosis what abx can you give

Answer 1

ciprofloxacin

Question 2

What is a common cause of osteomyelitis in children with sickle cell disease

Answer 2

salmonellis

Question 3

tx for salmonellosis

Answer 3

ceftriaxone

Question 4

tx for shigellosis

Answer 4

TMP-SMX or ciprofloxacin

Question 5

fried rice

Answer 5

Bacillus Cereus

Question 6

Dairy products, mayo, meats, eggs

Answer 6

Staph aureus

Question 7

Raw shellfish, Mexico (contaminated food/water)

Answer 7

Vibrio Cholerae

Question 8

“Rice Water” Stools

Answer 8

Vibrio Cholerae

Question 9

tx for vibrio cholerae

Answer 9

Supportive

+/- tetracyclines

Question 10

Cause of travelers diarrhea

Answer 10

Enterotoxigenic E. coli

Question 11

tx for travelers diarrhea (Enterotoxigenic E. coli)

Answer 11

fluids+/- bismuths

severe–> fluoroquinolone

Question 12

MCC bacterial enteritis in the US

Answer 12

Campylobacter jejuni

Question 13

What is the MC antecedent event in post-infectious Guillain-Barre

Answer 13

Campylobacter jejuni

Question 14

undercooked poultry, raw milk, water, dairy cattle

Answer 14

Campylobacter jejuni

Question 15

Which 2 causes of invasive infectious diarrhea can mimic appendicitis?

Answer 15

Campylobacter jejuni

Yersinia Enterocolitica

Question 16

Stool culture showing:

Gram neg “S, Comma or Seagull Shaped” organisms

Answer 16

Campylobacter jejuni

Question 17

tx for campylobacter jejuni

Answer 17

Erythromycin

Question 18

Which cause of invasive diarrhea in children can cause febrile seizures

Answer 18

Shigella

Question 19

What is seen on sigmoidoscopy with Shigella infection

Answer 19

Punctate areas of ulceration

Question 20

Which cause of invasive diarrhea causes a leukamoid rxn on CBC (WBC >50,000)

Answer 20

Shigella

Question 21

Tx for Shigella if severe

Answer 21

Bactrim

Question 22

Pea Soup Stools

Answer 22

Typhoid fever (salmonella)

Question 23

tx for salmonella if severe

Answer 23

Ceftriaxone and sometimes a fluoroquinolone (pearls) or azithromycin

Question 24

tx for severe Yersinia enterocolitica

Answer 24

Fluoroquinolones

Question 25

Tx for Giardia lamblia (adults vs kids)

Answer 25

adults: Metronidazole Kids: Furazolidone

Question 26

_osmotic or secretory diarrhea?_ **Decreased** diarrhea **w/ fasting** incr. osmotic gap incr. fecal fat

Answer 26

Osmotic diarrhea

Question 27

_osmotic or secretory diarrhea?_ normal osmotic gap large volume **NO change** in diarrhea **w/ fasting**