GI- infection

Question 1

S&S salmonella enteric fever

Answer 1

Stepwise illness.
Week 1: Fever chills
Week 2: Abd pain. “rose-spot” skin lesions
Week 3: Hepatosplenomegaly and intestinal bleeding/ perforation

Question 2

Infectious ileocecitis (pseudo appendicitis)

Answer 2

Bacterial infection of the ileum and cecum mimicking appendicitis but with diarrhea

Question 3

S&S infectious ileocecitis

Answer 3

RLQ pain or Migratory ending in RLQ
Watery/ mucoid/ bloody stools
Diarrhea 
Acute fever
Leukocytosis w/ neutrophilis

Question 4

Organisms common to causing infectious ileocecitis

Answer 4

Yersinia enterocolitica

Campylobacter Jejuni

Question 5

Diagnosis infectious ileocecitis

Answer 5

Imaging: ileocecal inflammation, mesenteric lymphadenopathy, spearing appendix

Diagnostic: stool studies (PCR, culture)

Question 6

Management of infectious ileocecitis

Answer 6

Self resolving.

High risk/ severe: Abx.
>7days, bloody stool, high fevers, pregnancy or immunocompromised

Question 7

S&S norovirus

Answer 7

Water diarrhea
Vomiting
Normal WBC

Question 8

Presentation of shigella gastroenteritis

Answer 8

High Fever intestinal cramping
Watery then bloody/mucoid diarrhea
Tenesmus (feeling ol needing to pass stool)
Rectosigmoid involvement (llq pain) o

Question 9

Complications of shigella gastroenteritis

Answer 9

Rectal collapse
Bacteria
Seizure (seizure + dirrhea=shigella)
HUS

Question 10

Diagnosis shigella gastroenteritis

Answer 10

Stool culture

Question 11

TX shigella gastroenteritis

Answer 11

Supportive care and abx. Abx do not increase risk of Hus (unlike with e.coli)