GII Flashcards
causes of upper gi bleeding (like uo to duodenumish)
peptic ulcer- most common cause
oesophageal varicies
where would you suspect variceal bleed, what do you give them
patients with history fo liver disease or alcohol excess
antibitotics and terlipressin
endoscopy within 12 hours
what patient do you expect with a non variceal bleed and what do you give
history of peptic ulcers, using nsaid/ anticoag/ antiplatelet
consider ppi
endocscopy within 24 hours
what is dhirhoea
3 watery stools daily
level 5-7 on britsol stool chart
what route is dhirorhea usually spread by
fecal oral transmissionq
non infective causes of dhirohroea
neoplasm
hyperthyroidism
irritable bowel disease
inflammation
infective causes of
a kid goes to a petting zoo and ends up with dhirorhoea. whats the problem
e coli- common from farm animals and unpasterized milk
infective causes of dhirorhea
rotavirus
cholera
camplyobacter
hepatitis a and e
shigella
salmonella
e coli
what are infective causes of dystentery (bloody poo)
shigella, salmonella
also e coli
is e coli a rod or cocci and gram positive or negative
its rod
gram negative
what shoudl you always ask about with diarrhea , and then do
travel!
Stool for microscopy, culture, toxins
Fluids, electrolytes and barrier nursing mainstay of treatment
c difficile is related to what
antibiotic use!- c antibiotics, the broad spectrum antibiotics
co-amoxiclav
clindamycin
dhiorhea outbreak in hospital. what is the suspected cause
c difficile!- very resistant
in hospital setting, if you see a patient with dhirhea what do you use
SIGHT!
Suspect c diff as cause
Isolate the case
Gloves and apron must be worn
Hand wash with soap and water
Test stool for toxin
