Enteric Infections Part 2

Question 1

Signs of H pylori infection

Answer 1

Nausea
Vomiting
Epigastric pain
Anorexia
Acid reflux

Question 2

Who do we test for H pylori

Answer 2

Anyone with symptoms of dyspepsia

Anyone with gastric cancer, active PUD or a hx of PUD

Question 3

Alarm features of H pylori

Answer 3

Bleeding
Anemia
Early satiety
Weight loss
Dysphagia
Odynophagia
Family or personal hx of gastric cancer

Question 4

3 tests for h pylori

Answer 4

Urease breath test
Serology
Endoscopy + biopsy

Question 5

Triple therapy for H pylori

Answer 5

For 2 weeks
PPI (lansoprazole)
2 antibiotics (clarithromycin and amoxicillin)

Question 6

Hepatitis A symptoms

Answer 6

Usually mild, self limited illness

Fatigure, N/V, diarrhea, abdo pain, fever, THEN jaundice, pruritis, dark urine, pale stools

Question 7

2 main causes of food poisoning

Answer 7

Staph aureus

Bacillus cereus

Question 8

Food poisoning symptoms

Answer 8

Acute onset of nausea, vomiting (*) and upper GI pain

Within 1-6 hours of ingestion

Question 9

Symptoms of botulism in adults

Answer 9

Double vision
Drooping eyelids
Dry mouth
Dizziness
Dysarthria
Dysphagia
Descending flaccid paralysis
Diaphragm paralysis --> death

Question 10

2 most common pathogens in abdominal abscesses

Answer 10

E coli

Bacteroides

Question 11

Empiric therapy for septic abdominal abscess

Answer 11

Pip-Tazo or

Ceftriaxone and Metro

Question 12

Treatment for amoebic liver abscess

Answer 12

Metro 5-10 days
Paramomycin or iodoquinol
NO SURGERY

Question 13

3 ways to get a Candida infection

Answer 13

Loss of mucosal barrier
Immune deficiency
Antibiotic use