GI Exam Flashcards

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1
Q

small bowel obstruction on imaging

A

dilated small bowel (>3 cm), dilated stomach, decompressed large bowel, differential air fluid levels on upright film, gasless abdomen

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2
Q

ileus imaging findings

A

dilated large and small bowel, colon air, +/- air fluid levels

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3
Q

when to CT small bowel obstruction

A
  1. if plain films are suggestive of uncomplicated SBO (must rule out complication that is not seen on x-ray)
  2. If clinical findings are suggestive of SBO but it is not seen on plain films
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4
Q

when can there be a dilated small bowel with a large bowel obstruction

A

if there is ileocecal valve incontinence

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5
Q

staph is present in

A

meat, dairy, bakery products

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6
Q

staph aureus incubation period

A

1-8 hours

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7
Q

staph aureus presentation

A

intense N/V followed by diarrhea x 24-48 hours

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8
Q

staph aureus tx

A

supportive care

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9
Q

campylobacter locations

A

raw poultry, pasteurized milk, daycare, contaminated water

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10
Q

most common bacterial diarrhea cause

A

campylobacter

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11
Q

campylobacter location of infection

A

jejunum/colon

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12
Q

campylobacter presentation

A

resembles surgical abdomen, shigella, salmonella (But lasts longer)

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13
Q

most common infectious diarrhea in adults cause

A

norovirus

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14
Q

do you give abx to e coli 0157:87

A

no - can cause HUS and TTP if abx are given

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15
Q

campylobacter incubation

A

2-7 days

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16
Q

campylobacter duration

A

2-10 days

17
Q

campylobacter treatment

A

azithromycin

18
Q

complication of campylobacter

A

guillain-barre

19
Q

which bacteria is in rice

A

bacillus cereus

20
Q

onset/presentation of b cereus

A

acute onset severe N/V x 24 1 hour after exposure

21
Q

b cereus tx

A

supportive

22
Q

vibrio sources

A

shellfish

23
Q

ricewater stools

A

vibrio cholera

24
Q

vibrio cholera diagnosis

A

stool culture

25
Q

vibrio cholera treatment

A

IV fluids, doxycycline

26
Q

vibrio cholera fluid loss and stool culture

A

1 L/hour, nonbloody, no fecal leukocytes

27
Q

leading cause of parasitic diarrhea worldwide

A

giardia

28
Q

how many cysts of giardia causes infection

A

10-15

29
Q

giardia stool examination

A

cysts visible, antigen assay

30
Q

giardia treatment

A

metronidazole

31
Q

giardia presentation

A

gas, frothy/foul-smelling diarrhea with mucus, nonbloody

32
Q

entamoeba histolytica route

A

fecal-oral

33
Q

entamoeba histolytica presentation

A

bloody diarrhea with lower abdominal cramping

34
Q

entamoeba histolytica onset of symptoms due to

A

invasion of colonic wall due to disruption of commensal relationship between amoeba and host

35
Q

entamoeba histolytica higher prevalence in

A

men who have sex with men

36
Q

entamoeba histolytica complications

A

distant abscesses (liver, heart, kidney, brain)

37
Q

entamoeba histolytica treatment

A

metronidazole