Gastroenteritis + Food Poisoning Flashcards

1
Q

What is the most common cause of food poisoning?

A

Campylobacter

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2
Q

What bacteria cause outbreaks?

A

E.coli and salmonella

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3
Q

What is the most common cause of viral diarrhoea in children < 3 years old?

A

Rotavirus

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4
Q

What causes explosive vomiting?

A

Norovirus

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5
Q

Short incubation time bacteria (1-6hrs)

A

S.aureus, bacillus cereus

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6
Q

Medium incubation time bacteria (12-48hrs)

A

Salmonella, clostridium perfringens

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7
Q

Long incubation time bacteria (2-14 days)

A

Campylobacter, E.coli 0157

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8
Q

Poultry, raw milk, poor food presentation

A

Salmonella

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9
Q

Poultry, raw egg, meat, animal guts

A

E.coli 0157

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10
Q

Toxin-producing organisms

A

S.aureus, clostridium prefringens, bacillus cereus, E.coli 0157

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11
Q

Bloody diarrhoea organisms

A

Campylobacter, shigella, E.coli 0157

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12
Q

Typhoid investigation

A

Blood culture

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13
Q

Salmonella investigation

A

Stool culture

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14
Q

Campylobacter investigation

A

Stool culture

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15
Q

Shigella investigation

A

Stool culture

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16
Q

C. difficile investigation

A

Stool toxin

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17
Q

E.coli 0157 investigation

A

Stool toxin

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18
Q

Norovirus investigation

A

Stool PCR

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19
Q

Tropical sprue treatment

A

Tetracycline + folic acid

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20
Q

Amoeba treatment

A

Metronidazole/tinidazole

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21
Q

Cholera treatment

A

Ciprofloxacin/azithromycin

22
Q

Salmonella treatment

A

Ciprofloxacin

23
Q

Campylobacter treatment

A

Clarithromycin/azithromycin

24
Q

Treatment of E.coli 0157

A

Supportive DO NOT GIVE EMPIRICAL ANTIBIOTIC IF SUSPECTED

25
Q

Giardiasis treatment

A

Metronidazole/tinidazole

26
Q

Threadworm treatment

A

Mebendazole

27
Q

Typhoid treatment

A

Ciprofloxacin/Azithromycin

28
Q

Cryptospodrium (parasitic) treatment

A

Paromomycin (if sev)

29
Q

Cryptospodrium investigation

A

Stool culture

30
Q

Blood culture investigation

A

Typhoid

31
Q

Stool culture investigation

A

Salmonella, campylobacter, shigella

32
Q

Stool microscopy investigation

A

Giardia, amoebia, parasites, threadworm (Enterobius)

33
Q

Stool toxin investigation

A

C. difficile, E.coli 0157

34
Q

Salmonella

A

Supportive but if spread: Ampicillin/gentamycin/quinolones

35
Q

First line treatment for all uncomplicated gastroenteritis

A

Oral rehydration/IV fluids

36
Q

C.diff treatment

A
  1. Oral metronidazole

2. IV vancomycin

37
Q

C.diff diagnosis

A

BLOOD culture
GDH + toxin A+B must be POSITIVE
GDH +ve and toxins –ve then INDETERMINATE

38
Q

Campylobacter complication

A

Guillane-Barr syndrome

39
Q

HUS complication

A

E.coli 0157 + shigella

40
Q

Organisms that require antibiotics

A

Typhoid, shigella, C.diff, parasites, E.coli 0157

41
Q

Things that put you at more risk of C.diff

A

Recent antibiotic exposure, PPIs, C.diff spore exposure (relative)

42
Q

C.diff complications

A

Toxic megacolon, pseudomembranous colitis

43
Q

What causes chagas disease?

A

Trypanasoma cruzi

44
Q

Complication of chagas disease?

A

Megaoesophagus

45
Q

Disease due to fresh water exposure and can lead to hepatomegaly, liver fibrosis and portal HT
Why does it cause these things?

A

Schistosomiasis

Adult reside in portal venules

46
Q

Types of helminths?

A

Nematodes - round worms
Trematodes - flukes
Cestodes - tapeworm

47
Q

Taelia solium, taelia sagination - caused by?

A

Pork, beef

48
Q

Pre-hepatic jaundice causes:

A

Malaria, HUS comp, sickle-cell comp of infection

49
Q

Hepatic jaundice causes:

A

Acute hepatitis A + E, malaria, enteric fever, rickettsia (rocky mount spotted fever), viral haemorrhage fever

50
Q

Post-hepatic jaundice causes:

A

Ascending cholangitis, helminths