GI - 6 Diarrhea pt 1

Question 1

___ is a diagnosis made after everything else is ruled out

Answer 1

Irritable Bowel Disease

Question 2

Acute diarrhea is:

It is usually __

Answer 2

Diarrhea persisting < 2 weeks

Usually viral

Question 3

If you go camping, drink water, go home and have diarrhea….___

Answer 3

Giardia

Question 4

If antibiotics give you diarrhea do what?

Answer 4

Stop antibiotics and it goes away

Question 5

What organism?

the food is sitting out in the Sun all day. You vomit as well as have diarrhea.

Answer 5

Staph aureus

Question 6

Stool workup: Someone comes in with acute diarrhea, do: (3)

Answer 6

Culture & Sensitivity: learn the bacteria
Ova & Parasite: learn the protozoa X 3
C. Diff

Question 7

We are secreting fluid into the small bowel, creating more fluid that results in diarrhea.

Answer 7

Noninflammatory Diarrhea

Question 8

Diarrhea that is nonbloody, no fecal leukocytes

Answer 8

Noninflammatory Diarrhea

Question 9

What organism?

traveler’s diarrhea. You go away, come back, have diarrhea.

Answer 9

Enterotoxigenic E. Coli

Question 10

Diarrhea from Preformed Enterotoxin Production – means

Answer 10

you have ingested the toxin that gave you diarrhea

Question 11

Inflammatory diarrhea is __ diarrhea.

Only happens in our __.

Answer 11

bloody diarrhea

colon

Question 12

___ is the feeling of constantly needing to pass stools

Answer 12

Tenesmus

Question 13

LLQ cramps, urgency, and tenesmus. What must be ruled out?

Answer 13

Inflammatory Diarrhea

Rule out Inflamm Bowel disease

Question 14

___: Shiga toxin-producing noninvasive organism-mc cause
Most commonly acquired from contaminated meat
Has resulted in several outbreaks of an acute, often severe hemorrhagic colitis.

Answer 14

E coli O157:H7

Question 15

Best antidiarrheal agent, (other than just hydration) is

Answer 15

Pepto Bismol - Bismuth subsalicylate

Question 16

5 causes of Inflammatory diarrhea

Answer 16

Campylobacter, Shigella, Salmonella, Entero-hemorrhagic E. coli, C. difficile

Question 17

6 causes of Noninflammatory diarrhea

Answer 17

Viruses, C. perfrigens, C. aureus, B. cereus, Giardia, drugs

Question 18

of abdominal tenderness or peritonitis

May be present in infection with what 2 organisms?

Answer 18

C difficile or enterohemorrhagic E coli

Question 19

__ fluids are preferred with severe dehydration.

Answer 19

IV fluids

Question 20

Antidirrheal agents are safe for which patients?

Answer 20

Safe in patients with mild to moderate illness

Question 21

When are Anticholinergic agents contraindicated? What’s it cause?

Answer 21

Acute diarrhea -> toxic megacolon