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Klinisk medicin 5 > Gastroenteriter > Flashcards

Gastroenteriter Flashcards

1
Q

Blodiga diarréer?

A 
Campylobacter
Shigella
Amöba
Clostridium difficile
EHEC
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2
Q

Buksmärtor?

A

Campylobacter
Shigella
EHEC

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3
Q

Kräkningar?

A

Rotavirus
Calicivirus
Matförgiftning

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4
Q

Importfall?

A 
(Campylobacter)
(Salmonella)
Shigella
Amöba
Giardia
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5
Q

Sjukhussmitta?

A

Rotavirus
Calicivirus
Clostridium difficile

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6
Q

Diagnostik: PCR?

A

Rotavirus
Calicivirus
EHEC

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7
Q

Diagnostik: f-odling?

A

Campylobacter
Shigella
Salmonella
Yersinia

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8
Q

Diagnostik: cystor + maskägg?

A

Amöba

Giardia

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9
Q

Diagnostik: toxinpåvisning?

A

Clostridium difficile

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10
Q

Diagnostik: klinisk?

A

Matförgiftning

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11
Q

Diffdiagnoser till gastroenterit?

A 
Appendicit
IBD
Divertikulit
Ischemi
Ileus
Lever-/gallsjukdom
Graviditet
Sepsis
Hjärtinfarkt
Annan infektion? (ssk äldre)
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12
Q

Riskyrke?

A

Hantering av oförpackade livsmedel
Skötsel av blöjbarn
Matning eller beredning av mat åt andra
Vård av immundefekta

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13
Q

Viktig anamnes?

A 
Personer i omgivningen sjuka?
Ätit något ej genomstekt eller som smakade konstigt?
Varit utomlands? Egen brunn?
Antibiotika senaste månaderna?
Djurkontakt?

Hereditet för IBD?
Riskyrke?
Dagisbarn eller person med riskyrke i familjen?

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14
Q

Finns vaccin?

A

Vaccin finns mot:

  • tyfoidfeber
  • kolera (ger även visst skydd mot ETEC)
  • rotavirus (endast till barn 6-24m)
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15
Q

Vanligaste diarréorsak hos barn 6-24m?

A

Rotavirus!

Smittar fekalt-oralt samt droppsmitta.
Inkubationstid 1-3d, duration 3-8d.
Vattentunna diarréer, kräkningar. Eventuellt luftvägssymtom och lite feber.
Behandling: rehydrering.

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16
Q

“Vinterkräksjukan”

A

Calicivirus!

Förekommer i hela världen och är mycket smittsamt. Epidemiska utbrott på institutioner/sjukhus. Inkubationstid 1-2d, duration 12-60h, smittfri 24h efter sista symtomet.

Våldsamma kräkningar, diarré, buksmärta, ev feber, huvudvärk och myalgi.

Behandling: symtomatisk, rehydrering.

Klinisk medicin 5 (6 decks)

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