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Clin Med 1 Test 3 > Diarrheal diseases > Flashcards

Diarrheal diseases Flashcards

1
Q

What types of foods are most at risk for Salmonella contamination

A

eggs and dairy

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2
Q

How long do Salmonella gastroenteritis inf’s last

A

3-5 days (self-limiting)

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3
Q

who gets treated for Salmonella

A

no one- except high-risk folks

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4
Q

DOC for Salmonella

A

ciprofloxacin

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5
Q

2nd line treatments for Salmonella (2)

A

Bactrim (Septra) or Ampicillin

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6
Q

symptoms of Salmonella (4)

A

bloody diarrhea, N/V, fever, ABD cramping

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7
Q

invasive bowel diseases

A

Shigella, Salmonella, Camphylobacter

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8
Q

what is tenesmus

A

symptom of Shigella- anal spasm feel like you “need to go,” but not able to

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9
Q

symptoms of Shigella (4)

A

ABD tenderness, fever, HA, abrupt onset diarrhea

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10
Q

what exam is indicated in Shigella

A

sigmoidoscope - engorged mucosa c ulcerations visible

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11
Q

DDX for Shigella (5)

A

enterotoxic E coli, Camphylobacter, Yersenia enterocolitica, UC, and amebic dysentery

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12
Q

what may happen to Shigella pt’s that become dehydrated

A

HTN

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13
Q

What is the DOC for Shigella

A

Bactrim (BID 7-10 days)

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14
Q

2nd DOC for Shigella

A

FQ

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15
Q

What is the MCC of traveler’s diarrhea

A

enterotoxigenic E coli

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16
Q

Bloody diarrheal dz’s

A

Salmonella, enteroinvasive E coli

17
Q

Caused by undercooked hamburger and develops into HUS or TTP

A

enterohemorrhagic E coli (O157-H7)

18
Q

what will happen to Cholera patients that become dehydrated

A

they become hypotensive

19
Q

How to rehydrate a Cholera pt

A

oral: 1 clean liter water + 1 tsp salt + 1 tsp sugar
IV: Ringer’s Lactate

20
Q

what is DOC for SHORTENING the length of Cholera infection

A

tetracycline (FQ, Bactrim, chloramphenicol, amp)

21
Q

what is causative org of Cholera

A

Vibrio cholera

22
Q

organism that causes diarrhea in oyster-consumers

A

Vibrio parahemolyticus

23
Q

marine organisms that cause skin infections (2)

A

Vibrio vulnificus, Vibrio alginolyticus

Clin Med 1 Test 3 (16 decks)

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