gastroenteritis Flashcards

1
Q

when is it likely to be viral or bacterial

A

viral in children, bacterial in adults

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2
Q

possible mechanisms bacterial

A

mucosal adherence, mucosal invasion, toxin production- enterotoxin,cytotoxin

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3
Q

mechanism in watery diarrhoea

A

enterotoxins, adherence

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4
Q

mechanism in dysentery

A

mucosal invasion and damage

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5
Q

what organisms can cause watery diarrhoea

A

bacillus aureus, staph aureus, vibrio cholera, E coli, salmonella, camp jejuni, C dif

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6
Q

what organisms can cause dysentery

A

shigella, salmonella, e coli, c dif, Yersinia enterocolitica

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7
Q

what does salmonella affect

A

small and large bowel

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8
Q

symptoms salmonella

A

nausea, cramping, diarrhoea, fever. can lead to bacteraemia

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9
Q

what does shigella affect

A

damage to the intestinal mucosa.

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10
Q

symptoms shigella

A

freq small vol stools- blood and mucus

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11
Q

shigella associations

A

poor hygeine

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12
Q

salmonella associations

A

poultry, eggs

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13
Q

campylobacter associations

A

poultry, cattle

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14
Q

what type of diarrhoea does camp jej produce

A

profuse and watery. nausea, diarrhoea, cramps

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15
Q

how does staph aureus cause gastro

A

produces enterotoxin B causing massive secretion fluid into intestinal lumen

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16
Q

features staph aureus

A

violent vomiting then profuse watery diarrhoea

17
Q

what can enterhaemorrhagic E coli lead to

A

TTP, HUS- more common in children

18
Q

what is travellers diarrhoea

A

3 or more uniformed stools per day travelling in developing nation. food or water borne

19
Q

treatment

A

ORS and antibiotics

20
Q

antibiotics in dysentery

A

ciprofloxacin

21
Q

antibiotics cholera

A

ciprofloxacin

22
Q

antibios travellers

A

rarely used- ciprofloxacin

23
Q

antibios C dif

A

metronidazole

24
Q

antibios salmonella, shigella, campylobacter

A

ciprofloxacin, azithromycin