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Gastroenteritis > Gastroenteritis > Flashcards

Gastroenteritis Flashcards

1
Q

source of campylobacter

A

contaminated water
animal droppings
unpasteurised milk

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2
Q

clinical features of campylobacter

A

fever
dysentery
reactive arthritis

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3
Q

management of campylobacter

A

self limiting

if severe - erythromycin

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4
Q

source of salmonella

A

contaminated water
eggs
poultry
meat

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5
Q

clinical features of salmonella

A

dysentery
vomiting
abdominal pain
low-grade fever

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6
Q

management of salmonella

A

usually self-limiting

bacteraemia - ciprofloxacin

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7
Q

sources of shigella

A

faecal-oral

contaminated food and water

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8
Q

clinical features of shigella

A

dysentery
colicky abdominal pain
sometimes fever

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9
Q

management of shigella

A

ciprofloxacin

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10
Q

source of bacillus cereus

A

reheated rice or sauces

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11
Q

clinical features of bacillus cereus

A

watery diarrhoea

profuse vomiting

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12
Q

management of bacillus cereus

A

self-limiting

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13
Q

sources of listeria

A

unpasteurised milk and cheese

raw meat

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14
Q

clinical features of listeria

A

watery diarrhoea
colicky abdominal pain
vomiting

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15
Q

management of listeria

A

ampicillin

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16
Q

source of clostridium perfringens

A

uncooked meat

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17
Q

clinical features of clostridium perfringens

A

watery diarrhoea

colicky abdominal pain

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18
Q

management of clostridium perfringens

A

self-limiting

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19
Q

source of clostridium botulinum

A

bottled/canned food

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20
Q

clinical features of clostridium botulinum

A

short period of watery diarrhoea
symmetrical descending flaccid paralysis
no sensory impairment

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21
Q

management of clostridium botulinum

A

anti-toxin

benzyl-penicillin and metronidazole

22
Q

sources of staph aureus

A

dairy products

cooked meats

23
Q

clinical features of staph aureus

A

profuse vomiting initially

diarrhoea presents later

24
Q

management of staph aureus

A

self-limiting

25
Q

source of e coli

A

most common cause of traveller’s diarrhoea

26
Q

clinical features of e coli

A

watery diarrhoea

vomiting

27
Q

management of e coli

A

self limiting

ciprofloxacin may be considered

28
Q

sources of e coli 0157

A

contaminated food

usually as outbreaks

29
Q

clinical features of e coli 0157

A

dysentery

constant abdominal pain

30
Q

management of e coli 0157

A

supportive

31
Q

sources of yersinia

A

pork

milk

32
Q

clinical features of yersinia

A

abdominal pain
watery diarrhoea
sometimes fever

33
Q

management of yersinia

A

ciprofloxacin

34
Q

source of giardia

A

contaminated water

common in the tropics

35
Q

clinical features of giardia

A

explosive, offensive diarrhoea
vomiting
abdominal pain
distension

36
Q

management of giardia

A

ciprofloxacin

37
Q

source of cryptosporidiosis

A

contaminated water

only seen in immunocompromised patients

38
Q

clinical features of cryptosporidiosis

A

profuse diarrhoea

intermittent abdominal pain

39
Q

management of cryptosporidiosis

A

usually self-limiting

if severe - co-trimoxazole for 7 days

40
Q

sources of entamoeba

A

faecal-oral

contaminated food

41
Q

clinical features of entamoeba

A

dysentery with intermittent constipation

42
Q

management of entamoeba

A

metronidazole or tinidazole in acute phase

paromomycin or diloxanide for up to 10 days

43
Q

source of strongyloides

A

endemic in the tropics and sub-tropics

44
Q

clinical features of strongyloides

A 
triad of
- abdominal pain
- dairrhoea
- urticaria
systemic disease in the immunosuppressed
45
Q

management of strongyloides

A

ivermectin for 2 days or albenazole for 3 days

46
Q

clinical features of norovirus

A

common in adults
profuse watery diarrhoea
projectile vomiting
colicky abdominal pain

47
Q

management of norovirus

A

self-limiting

contact precaution

48
Q

clinical features of rotavirus

A

common in kids
watery diarrhoea
vomiting

49
Q

management of rotavirus

A

self-limiting

contact precaution

50
Q

clinical features of cholera

A

severe diarrhoea - ‘rice-water stools’

major fluid loss and shock

51
Q

management of cholera

A

vigorous rehydration
electrolyte replacement
ciprofloxacin

Gastroenteritis (1 decks)

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