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Clin Med 4 > GI- diarrhea > Flashcards

GI- diarrhea Flashcards

1
Q

inflammatory or non-inflammatory?

staph aureus

A

non

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2
Q

yersinia enterocolitica source

A

undercooked pork

unpasteurized milk

fecally contaminated water

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3
Q

norovirus source

A

prepared foods

cruis ships

kids

close quarters

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4
Q

norovirus age

A

older kids

adults

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5
Q

rotavirus source

A

poopy food/ water

daycare

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6
Q

bacillus cereus source

A

food borne- grains

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7
Q

persisistent diarrhea presentation

A

14-30 days

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8
Q

vibrio cholerae source

A

dirty food and water

travel

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9
Q

vibrio parahemolyticus source

A

raw seafood

shellfish

travel

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10
Q

c-diff source

A

recent hospitalization/ abx

community acquired

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11
Q

yersinia enterocolitca tx

A

supportive

abx if severe

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12
Q

profound weight loss

A

chronic giardiasis

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13
Q

campylobactor source

A

undercooked poultry

unpasteurized milk

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14
Q

norovirus prevention

A

handwashing

environmental cleaning

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15
Q

inflammatory or non-inflammatory?

rotavirus

A

non

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16
Q

B. cereus tx

A

supportive

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17
Q

inflammatory or non-inflammatory?

vibrio parahemolyticus

A

inflammatory

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18
Q

cyclospora source

A

imported fruits and veg

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19
Q

inflammatory or non-inflammatory?

yersinia enterolticia

A

inflammatory

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20
Q

giardia lamblia source

A

waterborne

foodborne

fecal oral

camping, lakes, streams, ponds, daycares, pools

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21
Q

norovirus tx

A

self limiting-

supportive

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22
Q

salmonella source

A

poultry

livestock

reptiles

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23
Q

yersinia enterocolitica source

A

undercooked pork

unpasterized milk

poop contaminated water

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24
Q

inflammatory or non-inflammatory?

bacillus cereus

A

non

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25
Q

classic dysentery

A

shigella

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26
Q

diagnostics to consider with infectious chronic diarrhea

A

stool studies

scope with bx

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27
Q

shigella tx

A

abx- FLQ, macrolide, bactrim

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28
Q

abx associated w/ causing C. diff

A

FLQ

clindamycin

cephalosporins

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29
Q

inflammatory or non-inflammatory?

clostridium perfringens

A

non

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30
Q

campylobactor tx

A

supportive

FLQ or macrolide if severe

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31
Q

is osmotic diarrhea relieved by fasting

A

yes

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32
Q

bacillus cereus: V/D predominant

A

vomit

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33
Q

inflammatory or non-inflammatory?

campylobactor

A

inflammatory

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34
Q

rice water diarrhea

A

vibrio cholerae

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35
Q

salmonella tx

A

supportive

abx for severe pts

36
Q

inflammatory or non-inflammatory?

cryptosporidium

A

non

37
Q

vibrio cholerae tx

A

supportive

if severe: doxy/ macrolide/ tetracycline/ FLQ

38
Q

staph aureus onset

A

within hours of exposure

39
Q

diagnostics to consider with metabolic chronic diarrhea

A

thyroid studies

glucose

40
Q

inflammatory or non-inflammatory?

E. histolytica

A

inflammatory

41
Q

zollinger ellison

and

neuroendocrine tumors

are examples of

A

secretory diarrhea

42
Q

diagnostics to consider with malabsorptive chonic diarrhea

A

CBC

CMP

celiac serologies

fecal fat

small bowel imaging

scope with bx

43
Q

is secretory diarrhea relieved by fasting?

A

no

44
Q

risk of HUS

A

e. coli

45
Q

mimic appendicitis

A

yersinia enteroclitica

46
Q

clostridium perfringens source

A

food borne

inadequately cooked/ reheated meats

home canning

47
Q

is cryptosporidium severe?

A

normally self limiting but serious in AIDS

48
Q

cyclospora tx

A

bactrim

49
Q

severe afebrile bloody diarrhea

A

E. coli

50
Q

inflammatory or non-inflammatory?

shigella

A

inflammatory

51
Q

inflammatory or non-inflammatory?

norovirus

A

non

52
Q

inflammatory or non-inflammatory?

giardia

A

non

53
Q

E.coli tx

A

NO ANTIDIARRHEAL

NO ABX- risk of HUS

54
Q

C. perfringens tx

A

supportive

55
Q

inflammatory or non-inflammatory?

E.coli

A

inflammatory

56
Q

rotavirus tx

A

self limiting-

supportive

57
Q

inflammatory or non-inflammatory?

vibrio cholerae

A

non

58
Q

E. coli source

A

undercooked beef

unpasteurized products

59
Q

shigella source

A

poop contaminated food/ water

60
Q

chronic diarrhea duration

A

> 30 days

61
Q

toxin associated w/ E.Coli

A

shiga toxin

62
Q

inflammatory or non-inflammatory?

cyclospora

A

non

63
Q

lactose intolerance is an example of

A

osmotic diarrhea

64
Q

inflammatory or non-inflammatory?

c. diff

A

both

65
Q

inflammatory or non-inflammatory?

salmonella

A

inflammatory

66
Q

what type of diarrhea?

weight loss

streatorrhea

anemai

A

malabsorptive

(chronic)

67
Q

what should you be concerned about w/ rotavirus

A

can progress to dehydration

68
Q

norovirus duration

A

1-3 days

abrupt onset and self limiting

69
Q

staph auerus enterotoxin souce

A

food borne

creamy foods

potato salad

processed meats

70
Q

staph aureus: V/D predominant

A

vomit

71
Q

S. aureus tx

A

supportive

72
Q

vibrio parahemolyticus tx

A

supportive

FLQ/ doxy if severe

73
Q

bacillus cereus onset

A

w/in hours of exposure

74
Q

what type of diarrhea?

frequent loose stools

abdominal pain/ cramping

bloating

urgency

no red flags

A

IBS-D

(chronic)

75
Q

bacteria linked to guillain barre

A

campylobactor

76
Q

c. diff tx

A

D/C inciting abx

vanco

fidaxomicin

metronidazole

77
Q

what type of diarrhea?

fever

bloody diarrhea

abdominal pain

A

IBD

microscopic ischemic radiation

NSAID induced colitis

malignancy

78
Q

diagnostics to consider with inflammatory chronic diarrhea

A

CBC

CMP

ESR/CRP

fecal leukocytes

fecal calprotectin

small bowel imaging

scope with bx

79
Q

what type of diarrhea?

exposures

A

giardia

E. histolytica

cytomegalovirus

80
Q

what metabolic disorders are associated with chronic diarrhea

A

hyperthyroidism

DM

81
Q

medications that can cause medication induced diarrhea

A

Mg antacids

metformin

reglan

laxatives

abx

PPI

colchicine

82
Q

rotavirus age

A

6 mo- 2 y/o

83
Q

cryptosporidium source

A

recreational water

daycares

84
Q

giardia lamblia tx

A

metronidazole

(or tinidazole/ albendazole)

85
Q

cryptosporidium tx

A

supportive

tx if immunocompromised

86
Q

acute diarrhea duration

A

less than 14 days

Clin Med 4 (9 decks)

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