GI Infections Flashcards
When seeing a patient with D&V why is it important to wash your hands?
Viruses such as norogirus are not killed by alcohol gel
How do we grade stool consistency?
Bristol stool chart
Type 1-2 constipation
Type3-4 normal
Type 5-6 diarrhoea
What must you include in taking a GI infection history?
Must do travel history!
Ask about consistency of stool- grade it
Ask about blood or mucous in stool
Exposure and contact history
Animal contact
Any co-morbidities
Public health risk to guide advice and managment
A patient with D&V. Has to have a physical examination nation including what status assessment?
Hydration status
What three lab tests can you order for a patient with D&V ?
Stool sample cultures
Molecular testing
Microscopey
What information would help the lab decide what tests to perform on a stool sample if you weren’t sure?
Travel and exposure history includ8ng comorbidities information like HIV status
What culture do you have to do 8n a pyrexial patient with D&V?
Blood cultures
Broadly speaking how do you treat a GI infection?
Supportive treatment
With or without specific antimicrobials
When lab tests come back what must you do?
Review them and adjust treatment if indicated
If apatientbon a ward developes D&V what should you do other than treat the patient?
Implement infection prevention and control measures
Which common bacterial GI pathogens are there?
Salmonella compylobacter
Shigella
Enterotoxigenic e.coli
Clostridium difficile
Which bacterial agent found in undercooked poultry gives D&V?
Compylobacter
Which 3 viruses are associated commonly with D&V?
Norovirus
Rotavirus
Adenovirus
Name the four common D&V parasites
Cytosporidium
Giardiasis
Cyclospora
Entamoeba
If a young fit well patient presents with D&V and mild dehydration what action should you take?
Oral rehydration
Stool cultures
