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Gastro Heptology > GASTROENTERITIS and food allergies > Flashcards

GASTROENTERITIS and food allergies Flashcards

1
Q

DIARRHOEA +
ANAEMIA+
AKI

A

HUS

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2
Q

HUS aki cause

A

vasculitis:
haematuria
protienuria
bad renal function

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3
Q

HUS blood work

A

anaemia (haemolytic)
thrombocytopenia

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3
Q

bloody diarrohea

A

HUS
campylobacter
salmonella
shigella

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4
Q

cholera
diahrroea & source

A

sudden voluminous watery diarrhea

shell fish

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5
Q

cholera rx

A

hydration
doxy
co trimaXazole

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6
Q

salmonella
diahrroea

A

blood and mucus

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7
Q

Typhoid
diahrroea and
symptoms

A

HIGH FEVER
mild gi symptoms

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8
Q

typhoid source

A

poltry mrat eggs veggeis

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9
Q

salmonella source

A

poultry ehh meat veggies

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10
Q

HIV + dia
but no or little
abd pain and NO FEVER

A

CRYPTO SPORIDIUM

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11
Q

HIV + CRYPTOSPORIDIUM
CD4
& SYMPTOMS

A

CD4 < 100
severe wt loss

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12
Q

HIV + DIA + TROPICAL area

A

isospora belli

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13
Q

hiv + dia + abd pain + low stool frequency of lose motions

A

CMV

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14
Q

HIV DIA CD4 < 50
ABD PAIN

A

MICROSPORIDIUM

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15
Q

HIV + DIA + OTHER ORGAN INVOLVE eg tb in lungs

A

micobacterium AVIUM

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16
Q

typhoid unusal
symptoms at onset

A

constipation or mild diarrhrea

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17
Q

typhoid unusal symptoms

A

ROSE SPOTS BLANCHING
cough
sore throat
headache
anorexia
prolooonged fever

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18
Q

typhoid labs

A

raised transaminases
neutropenia

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19
Q

typhoid incubation

A

few days to weeks

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20
Q

typhoid rx

A

first gen cephalosporins
flouroquinolones

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21
Q

diarhea + CYSTS in stool

A

Giardia ( rx by metronidazole)
tape worm
cryptosporidium

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22
Q

enteric fever =

A

salmonella

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23
Q

staph aureus
symptoms time
dia type
source

A

2 to 4 hrs or within 1 to hrs
profuse watery
meat contamination

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24
Q

salmonella enteritidis
symp time
dia type

A

12 to 72 hrs
bloody

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25
Q

listeria

A

( hysteria )
cns symptoms also with gi
unpasteurized milk
pregnant women

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26
Q

clostridium perfirenges
dia time

A

six to 12 hrs

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27
Q

yersinia enterocolitica
dia time

A

1 day later
bloody diarrhea

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28
Q

bacillus cereus
symp onset

A

re heated rice
vomitting 1 to hrs
diarrhoea 8 to sixteen hrs

29
Q

campylobacter spp
symp onset

A

FLU like symptoms
3 to7 days

30
Q

yersinia and IBD
similarity

A

erythema nodosum
diarrhoea
right ILIAC fossa pain

31
Q

yersinia enterocolitis * vs IBD

A

yersin has travel history

32
Q

shigella incubation period

33
Q

bird box ( river blindness)

A

onchocerciasis
nematode
blindness and pruritis

34
Q

eosinophilic gastroenteriotis

A

eosinophilia
eosinophil infiltrate in lamina propria
no evidence of organism pathogen
rx glucocorticoids
avoid allergen
no eveidence of extra intestinal reason for eosinophilia

35
Q

eosinophilic gastroeneteritis DD

A

STONGYLOIDES

36
Q

STONGYLOIDES dd and symptoms

A

eoisinphilic gastroenteritis
loose bulky stools
persist for decades
lamina propria
nematode
dx presence of parasite in biopsy

37
Q

shistisomiasis labs

A

peripheral eoisionophilia

38
Q

shigella symptomas

A

tenesmus
bloody dia rrhea
fever
outbreaks

39
Q

rota virus dia hlmrk

A

children < 5 yrs

40
Q

non polio ge hallmark

A

more of respiratory amd neuro illnes

41
Q

entero adeno virus dia
hlmrk

42
Q

M/C VIRAL outberaak of dia
( also in hospitals)

A

NOROvirus
faeco oral
watery dia and vomitting
dx ELISA OR PCR
RX hydration

43
Q

abx for vibrio cholera

A

doxy 300 mg singel dose

others : tetra and cipro oral

44
Q

salmonella rx abx

45
Q

e coli abx

A

ceftriaxone iv

46
Q

listeria dia rx abx

A

amoxicillin oral

47
Q

iardia rx abx

A

metronidazole

48
Q

lactose intolerance prone population

A

far EASTERN
African

49
Q

lactose intolerance causing diet

A

european diet

50
Q

lactose intolerance dx

A

diary free diet
lactose breath hydrogen test

51
Q

faecal elastase

A

CHRONIC Pancretitis

52
Q

rx for CHRONIC CONSTIPATION

A

5HT4 agonist
PRUCALOPRIDE trial

53
Q

common foods causing mouth and throat ITCHING

A

birch apple syndrome
celery

54
Q

orange allergy avoidance in wich disease

A

ASTHMA
orange have salycilate
granny smith apples also have salicylate

55
Q

LATEX food syndrome
causing foods

A

BANANAS( M/C)
AVOCADO
KIWI CHESTNUT
papaya potato chestnut

56
Q

FAVA beans causing oxidative haemolysis alergic disease

A

g six p d deficiency

57
Q

wheal size of skin prick test predicts what

A

only positive allergy NOT magnitude of next anaphylaxis

58
Q

what predicts magnitude of next anaphylaxis

A

amount
viral infection

59
Q

food allergy from INTOLERANCE

A

Salicylate
sulphytes
scombroid fish
mSg….
dx is by history

60
Q

skin prick test (IgE meidated)
example

A

kiwi
banana
chestnut
latex
papaya
avocado

61
Q

ige mediated allergy test

A

skin prick test

62
Q

rast test for Ige mediated allergy ?

A

not usefu
can be false negative when ige levels fall after anaphylaxis

63
Q

RAST test indications for allergy

A

1-discontunation of mdication
2-severe skin disease precation
3-if pt has high sensitivity level that can lead to critical condition

64
Q

ost sensitive and specific test for food allergy dx

A

skin prick test
(more effective than RAST)

65
Q

what follows after GE from
giardia

A

Latose intolerance

66
Q

giardasis symps

A

foul smelling flatus
inTERMIttent diarrhea chronic
bloating
STEATORRHOEA(difficult flushing stools)

67
Q

giardasis dx

A

stool antigen test( preffered)
»
three stool C/s

68
Q

chronic diarrhea

A

giardia

IBD
IBS
strongyloides
whipples diseaSE

Gastro Heptology (18 decks)

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