Intrabdominal Flashcards
1
Q
Cdiff bug?
A
gram positive spore forming, toxin producing, anaerobic bacilli
2
Q
first step in diagnosing cdiff?
A
GDH and toxin
3
Q
if NAAT or GDH positivie then what?
A
this could just be colonization, so just need to test for toxin after
4
Q
RF for cdiff?
A
abx or PPI
5
Q
severe cdiff tx?
A
Vanc 125 qid plus flagyl 500 q8
6
Q
cdiff ileus tx?
A
vanc enema 250q6
7
Q
fulminant cdiff tx?
A
colectomy
8
Q
primary peritonitis in PD patient?
A
ab pain, cloudy effluent, WBC >100, positive culture
9
Q
secondary peritonitis in PD definition?
A
no resolutionafter 5 days of appropriate abx
10
Q
tx for secondary peritonitis in PD?
A
add fungal coverage, remove catheter, ex lap
