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Pediatrics 101 > ID Diarrhea > Flashcards

ID Diarrhea Flashcards

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1
Q

watery diarrhea, vomiting, mid-upperabdominal pain, little fever, large volume

A

small bowel
Labs-peripheral WBC normal, stool few cells
Cx- dehydration

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2
Q

Dysentery (mucus/bloody stools), small volume, lower abd cramps, fever usual, vomiting uncommon

A

COLON
Stool - WBCs, RBCs
peripheral WBC increased
Cx bacteremia, metastatic infection

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3
Q

watery diarrhea causative bacteria

A

Eneterotoxigenic E Coli;

Vibrio Cholerae

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4
Q

watery diarrhea causative viruses

A

Rotavirus
Norovirus
(Adeno, astro, calci)

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5
Q

watery diarrhea causative parasites

A

Giardia

Crptosporidium

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6
Q

watery diarrhea causative - Preformed toxins

A

Staphylococcus aureus
Bacillus cereus
Clostridium Perfringens

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7
Q

watery diarrhea, MC cause of travellers diarrhea

A

E coli

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8
Q

watery diarrhea, Haiti, voluminous (rice water) drh

A

Vibrio cholera

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9
Q

watery diarrhea, day care centers, nosocomial Oct-Apr, PROMINENT VOMITING

A

Rotavirus

<2yo IP: 2-4 days

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10
Q

watery diarrhea, MC gastroenteritis in school age children

A

Norovirus IP 1-2 days

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11
Q

watery diarrhea, epidemics (schools, cruise ships, restaurants, institutions)

A

Norovirus

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12
Q

watery diarrhea, shellfish and salad, Vomiting Prominent

A

Norovirus

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13
Q

watery diarrhea, winter vomiting disease; seasonal -

A

Norovirus

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14
Q

watery diarrhea in older children and adults

A

Norovirus

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15
Q

watery diarrhea, wilderness, summer,

A

GIARDIA

may cause asymptomatic infection

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16
Q

watery diarrhea, flatulence, foul smelling stools

A

GIARDIA may cause watery drh

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17
Q

watery diarrhea, prolonged infection with soft stops, weight loss; foreign travel/ day care

A

GIARDIA

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18
Q

watery diarrhea, swimming, summer

A

cryptosporidium IP 5- 14 days

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19
Q

watery diarrhea, farm animal

A

cryptosporidium also day care

20
Q

watery diarrhea, > 2 weeks symptoms, weight loss

A

cryptosporidium June to Oct

21
Q

watery chronic drh in ICP host/ AIDS

A

cryptosporidium (peaks in August)

22
Q

watery diarrhea, Egg, potato salad, pastries, meats

A

Staph aureus, IP 1-6 hrs, brief duration, prominent vomiting, uncommon cramps

23
Q

watery diarrhea, IP 1-6 hrs, brief duration, prominent vomiting, uncommon cramps

A

Staph aureus or Bacillus cereus

24
Q

rice, meat vegetables

A

Bacillus cereus, IP 1-6 hrs, brief duration, prominent vomiting, uncommon cramps

25
Q

meat/poultry gravies, Mexican style

A

Clostridium Perfringes IP 8-16 hrs <3 days duration, prominent cramping, vomiting uncommon

26
Q

IP 8-16 hrs <3 days duration, prominent cramping, vomiting uncommon

A

Clostridium Perfringes

27
Q

Dysentery (mucus/bloody stools), small volume, lower abd cramps, fever usual, vomiting uncommon

A

COLON
Stool - WBCs, RBCs
peripheral WBC increased
Cx bacteremia, metastatic infection

28
Q

Dystentery Causes

A

Bacteria - Shigella, Salmonella, Non-typhoid Salmonella, Campylobacter jejuni, Yersenia enterocolitica, EHEC E Coli, Clostridium difficile,
Parasites :- Entamoeba histolytica

29
Q

mucus/bloody drh started as a watery dry, daycare center / travel - convulsions

A

Shigella

IP 1-4 days

30
Q

seizures and diarrhea

A

Shigella 1-5 yo, person - person transmission

31
Q

gradual onset mucus/bloody drh, fever, headache, maliase abd pain, HSM, rose spots

A

Salmonella Typhi IP 7 -14 days

Drh variable - Constipation may occur early

32
Q

fever/pulse dissociation: relatively low pulse in fever

A

Salmonella Typhi, humans only reservoir, transmitted by carrier or close contacts

33
Q

mucus/bloody drh, eggs, chicken, red meat, unpasteurized milk, ice cream, raw fruits & vegetables

A

Non-typhoid Salmonella

IP 6 - 72 hours

34
Q

handling of reptiles

A

Non-typhoid Salmonella, bacteremia, osteomyelitis, meningitis abscess

35
Q

infants, HIV infected, sickle cell, asplenia

A

Non-typhoid Salmonella, multiple serotypes

36
Q

mucus/bloody drh,CHICKEN, unpasteurized milk

A

Campylobacter jejuni IP 1-7 days

37
Q

mucus/bloody drh, farm animals, cats dogs

A

Campylobacter jejuni

intestinal cramping common

38
Q

mucus/bloody drh, daycare center outbreaks

A

Camplobacter jejuni

assoc GBS

39
Q

PORK - mucus/bloody drh

A

Yersinia IP 4-6 days, pets and farm animals

40
Q

mesentric adenitis/pseudo-appendicitis

A

Yesrsinia MC in older children,

41
Q

Patients with excessive iron storage (thalassemia, hemochromatosis)

A

Yersinia, may cause bacteremia, osteomyelitis, meningitis

42
Q

Petting zoos, dairy farms, swimming (summer)

A

EHEC E coli, bloody drh severe - hematochezia

43
Q

severe abd pain, mimic intussusception, no/low fever,

A

EHEC Ecoli

44
Q

ground beef, raw fruits and vegetables

A

EHEC Ecoli, O157:H7, Shiga toxin

45
Q

HUS, MAHA, low platelets, AKI

A

Shiga toxin EHEC E coli

46
Q

Abx use, clindamycin, cephallosporins, penicillins, quinolones

A

clostridium difficile

onset of sx during or after abx rx

Pediatrics 101 (18 decks)

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