GI Infections Flashcards

1
Q

Name causative agents (3)

A
  1. Bacteria
  2. Viruses
  3. Protozoa
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2
Q

What ulcers is helicobacter pylori associated with?

A

Duodenal ulcers
Gastric ulcers
Increased risk of gastric cancer

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3
Q

Diagnosis for helicobacter pylori? (3)

A
  1. Endoscopy + biopsy
  2. Breath test
  3. Serology
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4
Q

Treatment for helicobacter pylori (3)

A
  1. Proton Pump Inhibitor
  2. Bismuth salts
  3. Antibiotics
    - Amoxicillin
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5
Q

How does gastroenteritis present?

A
1. Diarrhoea 
May be accompanied with
- Nausea
- Vomiting
- Abdominal pain
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6
Q

Viral symptoms of gastroenteritis (5)

A
  1. Abdominal cramps
  2. Vomiting
  3. Profuse watery stools
  4. Fever
  5. Headaches
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7
Q

State the direct and indirect methods of organisms entry

A
  1. Invasive infection

2. Enterotoxic syndromes

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8
Q

How does an invasive infection work?

A

Enters the mucosal cells, destroy them causing diarrhoea with blood in the stool

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9
Q

How does an enterotoxin syndrome work?

A

The organism don’t invade the mucosa, but produce enterotoxins of which act as chemical mediators causing hypersecretion of the fluid

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10
Q

Incubation and transmission route for Norovirus (2)

A
  1. Transmitted faecal oral route

2. Incubation 1-2 days

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11
Q

How does the norovirus present clinically?

A
  1. Abrupt onset of vomiting
  2. Watery diarrhoea
  3. +/- Fever
  4. Abdominal pain
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12
Q

How is norovirus managed?

A

Self limiting:

Correct fluid/electrolyte balance

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13
Q

List the 3 types of salmonella

A
  1. Gastroenteritis (most common)
  2. Enteric fever - typhoid fever
  3. Bacteremia
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14
Q

Incubation period and symptoms for salmonella

A

8-48hrs

Symptoms develop within 2 days

  1. Cramps
  2. Watery/bloody diarrhoea
  3. Fever/sometimes vomiting
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15
Q

Diagnosis of salmonella

A

Stool

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16
Q

Treatment for salmonella (2)

A
  1. Supportive (IV hydration)

2. Antibiotics (usually not necessary for salmonella gastroenteritis)

17
Q

What bacteria is a common cause of antibiotic associated diarrhoea?

A

Clostridium difficile

18
Q

C. difficile transmission routes

A

Faecal oral route

19
Q

Tx options for CDI (5)

A
  1. Oral rehydration
  2. Antibiotics
  3. Probiotics
  4. Colectomy
  5. Faecal transplants
20
Q

How are GI infections prevented? (4)

A
  1. Safe food handling and handwashing
  2. Infection control
  3. Surveillance