Diarrhea treatments Flashcards
In severe illness of salmonellosis what abx can you give
ciprofloxacin
What is a common cause of osteomyelitis in children with sickle cell disease
salmonellis
tx for salmonellosis
ceftriaxone
tx for shigellosis
TMP-SMX or ciprofloxacin
fried rice
Bacillus Cereus
Dairy products, mayo, meats, eggs
Staph aureus
Raw shellfish, Mexico (contaminated food/water)
Vibrio Cholerae
“Rice Water” Stools
Vibrio Cholerae
tx for vibrio cholerae
Supportive
+/- tetracyclines
Cause of travelers diarrhea
Enterotoxigenic E. coli
tx for travelers diarrhea (Enterotoxigenic E. coli)
fluids+/- bismuths
severe–> fluoroquinolone
MCC bacterial enteritis in the US
Campylobacter jejuni
What is the MC antecedent event in post-infectious Guillain-Barre
Campylobacter jejuni
undercooked poultry, raw milk, water, dairy cattle
Campylobacter jejuni
Which 2 causes of invasive infectious diarrhea can mimic appendicitis?
Campylobacter jejuni
Yersinia Enterocolitica
Stool culture showing:
Gram neg “S, Comma or Seagull Shaped” organisms
Campylobacter jejuni
tx for campylobacter jejuni
Erythromycin
Which cause of invasive diarrhea in children can cause febrile seizures
Shigella
What is seen on sigmoidoscopy with Shigella infection
Punctate areas of ulceration
Which cause of invasive diarrhea causes a leukamoid rxn on CBC (WBC >50,000)
Shigella
Tx for Shigella if severe
Bactrim
Pea Soup Stools
Typhoid fever (salmonella)
tx for salmonella if severe
Ceftriaxone and sometimes a fluoroquinolone (pearls) or azithromycin
tx for severe Yersinia enterocolitica
Fluoroquinolones
Tx for Giardia lamblia (adults vs kids)
adults: Metronidazole
Kids: Furazolidone
osmotic or secretory diarrhea?
Decreased diarrhea w/ fasting
incr. osmotic gap
incr. fecal fat
Osmotic diarrhea
osmotic or secretory diarrhea?
normal osmotic gap
large volume
NO change in diarrhea w/ fasting
