Infections of the gut Flashcards
What condition is this and how do you treat it?
Cryptosporidium (extraluminal organisms)
treat with nitazoxanide, usually only if immunocompromised
What condition is this and what GI symptoms is it associated with?
Trichuriasis (whipworm)
Usually asymptomatic but can cause diarrhea, colitis and IDA
Who gets stool studies vs treated for acute diarrhea (>3 stools in 24 hours + GI symptom)?
Tavelers:
w/ or w/o bloody diarrhea –> treat azithro 1g once
w/ or w/o fever –> treat azithro 1g once
non-travelers
w/ bloody diarrhea –> stool studies
w/ non-bloody diarrhea and fever > 72 hours –> stool studies
non-bloody diarrhea and fever <72 hours supportive care
What condition is this and how do you treat it?
Entamoeba histolytica
RF- endemic areas, MSM
Bloody diarrhea, colonoscopy with flask shaped ulcers
Treat with flagyl and luminal agents (paromomycin)
Major infectious cause of anal pruritis.
Enterobius vermicularis
commonly seen in daycare workers
treat with albendazole
Typhoid fever - what are the fatures
leukopenia or leukocytosis, mild anemia, thrombocytopenia, and hepatocellular liver injury.
fever with pulse-temperature dissociation
abdominal pain and “rose spots” or salmon-colored macules on the trunk
hepatosplenomegaly, gastrointestinal bleeding, and ileocecal perforation during the third week.
diagnosed with a blood culture (not stool)
what medication is used for prophylaxis of traveler’s diarrhea in healthy people?
prophylaxis of traveler’s diarrhea with bismuth subsalicylate QID, not antibiotics, in healthy people who have no high-risk medical conditions that put them at risk for severe illness.
Pulse- fever dissociation
leptospirosis- high bili, conjunctival suffusion; treat with doxycycline
typhoid fever
familial conditions with episodic abdominal pain
- hereditary angioedema- edema (diffuse bowel edema or angioedema of the lips) triggered by ACEi or stressors, treat with C1 esterase concentrates
- familial mediterranean fever
acanthosis nigracans
malignancy, especially gastric
erythematous scaling plaques on legs and face
zinc deficiency
risk factors- EtOH, TPN, crohn’s disease
sudden outbreak
Leser-Trelat - outbreak of seborrheic keratosis - associated with new cancer
get pan-endoscopy
GI manifestations of Ehlers-Danlos syndrome
splanchninc arterial aneurysms
GI bleeding
bowel perforation
GI manifestations of lupus
peritonitis
pancreatitis
colitis
diarrhea + rash
necrolytic migratory erythema
glucagonoma
diagnosis with serum glucacon level
diabetes, dermatitis, weight loss
GI symptoms of Pseudoxanthoma elasticum
GI bleeding, often needs to be managed surgically
thickening of the skin on hands and soles
Tylosis
start screening for esophageal SCC at age 30
