Digestive (GI TRACT) Flashcards
HEHE
Inflammation of the parotid glands
MUMPS
Other term for mumps
PAROTITIS
What gland is swollen when you have mumps?
PAROTID GLANDS
Causative agent of mumps that is COMMON - BENIGN
PARAMYXOVIRUS
Causative agent of mumps that is FEW-SEVERE
STAPHYLOCOCCUS AUREUS
MUMPS (SIGNS & SYMPTOMS FOR THE PAROTID GLAND)
DISCOLORATION, PAIN, SWOLLEN
OTHER SIGNS AND SYMPTOMS FOR MUMPS
DYSPHAGIA, FEVER, HEADACHE, MUSCLE ACHES
Mode of Transmission for Mumps
Direct contact - saliva or respiratory droplets
Close contact activities - sports, kissing, dancing
Diagnostic Examination
P.E., BUCCAL SWAB, RT-qPCR
Diagnostic Examination (Suppurative parotitis)
Nasopharyngeal swab, buccal swab, serum - bacterial culture
How many days do the VIRAL mumps disappear?
10 DAYS
T or F: VIRAL Mumps disappear on its own?
TRUE (T)
What antibiotic is taken for BACTERIAL mumps? and for how many days?
PENICILLIN (7 DAYS)
What medications is used for MUMPS?
ANALGESIC
What type of compresse/s are used for MUMPS?
COLD OR WARM
When there is testicular swelling in MUMPS, what should be done?
elevation and cold compression
list the management for MUMPS
- viral - disappears on its own for 10 days
- bacterial - penicillin for 7 days
- supportive care
- analgesic medication
- cold or warm compresses (swollen parotid glands)
- testicular swelling - elevation and cold compression
T or F: Mumps cause complications occasionally in INFANTS
FALSE (F) - ADULTS
Complications of mumps that can happen to males
ORCHITIS
Orchitis in males can lead to?
TESTICULAR ATROPHY
List all complications of MUMPS
orchitis
oophoritis/mastitis
pancreatitis
encephalitis
meningitis
deafness
Best prevention for MUMPS
VACCINATION (MMR 2 DOSES)
How many days should a pt with mumps be excluded from school or work?
9 days
Dental Caries is also known as
Tooth decay
demineralization of tooth resulting to formation of CAVITIES
dental caries
Causative Agent for dental caries
Oral Alpha-hemolytic Streptococci
*Streptococcus mutans
*Streptococcus sobrinus
Mixed species:
*Streptococcus spp.
*Lactobacilli
*Actinomyces
Give the assessment used for dental caries
*Cavity
*Halitosis
*Toothache
*Altered taste
*Discoloration
*Sensitivity
Mode of transmission for Dental Caries
Direct contact
Diagnostic Examination for Dental Caries
Dental check-up AND Dental x-ray
What is used for fillings of dental caries
fluoride
Give the 3 Management used for dental caries
*Fluoride fillings
*Extraction
*Root Canal
Give the 3 complications under Dental caries
clue: (G A S)
gingivitis
abscess
sepsis
What should be the mouthwash of a person to prevent dental caries?
chlorhexidine
What should be the angle of the bristles when brushing the teeth?
45 degrees
Shigellosis is also known as?
BACILLARY DYSENTERY
severe INFLAMMATORY disease characterized by EROSION of intestinal mucosa
shigellosis
causative agents of shigellosis
shigella dysenteriae
s. sonnei
s. boydii
s. flexneri
Signs and symptoms of shigellosis
*Diarrhea (may contain blood or mucus)
*fever
*Abdominal pain
*Tenesmus - is a feeling of being unable to empty the bowel or bladder
enumerate the steps how shigellosis b doin its job
- invasion
- phagosome lysis and macrophage apoptosis
- release of IL-1 and PMN transmigration
- shigella migration through disrupted tight junctions
- multiplication and intracellular spread
- epithelial cells die and fluids are lost
Mode of transmission for shigellosis
*4 F’s
*waterborne
*sexual contact
What are the 4 F’S of shigellosis
food, fomite, finger, flies
Diagnostic examination for shigellosis
stool examination
stool culture
rectal swab specimen (EMB or macConkey agar)
Management for shigellosis
Fluid and electrolyte replacement
Antimicrobial agents
What are the antimicrobial agents used for patients with shigellosis?
ciprofloxacin
ampicillin
doxycycline
TMP-SMZ (Bactrim)
What are the ingredients and measurements used for making homemade oresol? (topic:shigellosis)
1 liter water
4-5 tsp of sugar
1/2 tsp salt
Complications of Shigellosis
Hemolytic Uremic Syndrome (HUS)
Rectal prolapse
Seizures
Toxic Megacolon
Severe dehydration
Gastroenteritis is also known as? (GIVE 2)
Intestinal flu
Traveller’s Diarrhea
Acute inflammation of the stomach and intestine
Gastroenteritis
Causative agent for Gastroenteritis
Virus
*Adenovirus
*Rotavirus
*Norovirus
*AstroVirus
Bacteria
*Escherichia coli
*Campylobacter jejuni
Signs and symptoms of gastroenteritis
diarrhea
abdominal pain
abdominal cramps
flatulence
anorexia
fever
blood in stool in some cases
vomiting
Mode of transmission of gastroenteritis
fecal-oral route
foodborne
waterborne
direct contact (person to person)
diagnostics for gastroenteritis
fecalysis
blood culture
Management for gastroenteritis
oral rehydration
ivf replacement
antiemetic
antipyretic
antispasmodic
Match the following:
antiemetic: acetaminophen (Tylenol)
antipyretic: metoclopramide (Plasil)
antispasmodic: butylscopolamine (buscopan)
antiemetic:metoclopramide (Plasil)
antipyretic: acetaminophen (Tylenol)
antispasmodic: butylscopolamine (buscopan)
Complications of gastroenteritis
chronic diarrhea
sepsis
systemic infection
dehydration
Prevention of gastroenteritis
rotateq vaccine
what kind of vaccine is rotateq?
live, attenuated
How many doses of rotateq for gastro?
3 doses
When to take the first dose of rotateq for gastro?
6 weeks of age
How many weeks is the interval per dose of rotateq for gastro?
4 weeks
what are the side effects of the rotateq vaccine?
fever, rash, swollen lymph nodes
Typhoid fever is also known as? (GIVE 2)
enteric fever and abdominal typhus
Bacterial infection that can spread throughout the body affecting many organs
typhoid fever
causative agent for typhoid fever
salmonella typhi
common cause = salmonella paratyphi
pathognomonic sign for typhoid fever
rose spots
Mode of transmission for typhoid fever
contaminated food and water
Diagnostic examination for typhoid fever
widal test
blood culture
stool culture
typhidot
This diagnostic examination rapidly checks for the presence of IgM or IgG
typhidot
specimen for typhidot
blood
Interpret:
+ IgM - IgG
+IgM +IgG
+ IgM - IgG = ACUTE INFECTION
+IgM +IgG = RECENT INFECTION
Agglutinating antibodies against H and O antigens of s. typhi
widal test
Management for typhoid fever
Oral rehydration
IVF replacement (d5nm)
Antibiotics
Antibiotics for typhoid fever (3 c’s)
ciprofloxacin, chloramphenicol, cefixime
complication of typhoid fever
peritonitis
dehydration
is there a vaccination for typhoid?
yes, typhoid vaccine (TYPBAR)
Cholera is also known as
El Tor
acute diarrheal infection caused by ingesting contaminated food or water
cholera
causative agent for cholera
vibrio cholerae
What is the stool consistency of someone with cholera
rice water stools - profuse diarrhea
signs and symptoms of cholera
rice water stool
hypotension
diarrhea
abdominal cramps
poor skin tugor
mode of transmission of cholera
foodborne and waterborne
diagnostic examination of cholera
microscopic examination - darkfield phase - contract microscopy
pasteur dipstick test (5mins)
What is the specimen for pasteur dipstick test?
watery stool
management for cholera
oral rehydration
ivf replacement -D5LR
antibiotics
antibiotics for cholera
doxycycline
erythromycin
tetracycline
complications of cholera
dehydration and shock
is there a vaccine for cholera?
yes
lesions that develop in the mucosal lining of the stomach or upper portion of the small intestine
peptic ulcer
causative agent of peptic ulcer
helicobacter pylori
signs and symptoms of peptic ulcer
diarrhea
epigastric pain
melena
hematemesis
vomiting
anorexia
pain in the back
mode of transmission for peptic ulcer
direct contact
oral-fecal route
Diagnostic examination for peptic ulcer
Barium swallow
EGD
Urea breath test
rapid Dx for peptic ulcer
urea breath test
what is swallowed during a urea breath test
carbon isotope
a result of (+) radioactive CO2 indicates?
positive for h. pylori
Management
Antacids and antibiotics
Classification of peptic ulcers?
esophageal, gastric, duodenal
complications of peptic ulcer
gastrointestinal obstruction
gastrointestinal perforation
should a patient with peptic ulcer take NSAIDS?
NO
common bacterial disease that infects the intestinal tract
salmonellosis
Where do the salmonella spp live in animals and humans?
intestines, shed through the stools
causative agent for salmonellosis
salmonella spp.
signs and symptoms for salmonellosis
fever nausea vomiting headache blood in stools
mode of transmission for salmonellosis
contaminated food and water, uncooked meat products
diagnostic examination
biochemical tests
stool culture
management for salmonellosis
antimicrobial therapy
rehydration
complications of salmonellosis
enterocolitis
typhoid fever
septicemia
infectious hepatitis
hepa a
serum hepatitis
hepa b
parenteral hepatitis
hepa c
delta hepatitis
hepa d
enteric hepatitis
hepa e
causative agents for HEPA’S:
A,B,C,D,E
a - HAV
b - HBV
c - HCV
d - HDV
e - HEV
What is the family of hepatovirus
picornaviridae
mode of transmission for hepa a and hepa e
fecal-oral
mode of transmission for hepa b and c
parenteral, sexual, insidious
mode of transmission for hepa d
parenteral, sexual
whats the color of the stool of a person with hepa c and hepa d
pale
what color is the urine of a person with hepa b
dark
what vaccine is used for person with hepa d
hepa b vaccine
management for hepa d
pegylated interferon alpha
management for hepa a and e
symptom management
management for hepa b
antiviral medication
-tenofovir
-entecavir
-pegylated interferon
management for hepa c
direct acting antivirals
-sofusbuvir
-ledipasvir
-velpatasir
complication for hepatitis a and e
fulminant hepatitis
complication for hepatitis b and d
liver cirrhosis, liver cancer, liver failure
complication for hepatitis c
liver cirrhosis, liver cancer, liver failure, cryoglobulinemia