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Gastrointestinal > Quick and Dirty Infectious Diarrhea > Flashcards

Quick and Dirty Infectious Diarrhea Flashcards

1
Q

Poultry ingestion

A

salmonellosis (Salmonella bongori, Salmonella enterica)

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2
Q

pet reptiles, swine, cows, rodents, and pets

A

salmonellosis (Salmonella bongori, Salmonella enterica)

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3
Q

Bloody diarrhea common

A

salmonellosis (Salmonella bongori, Salmonella enterica)

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4
Q 
Invasive disease:
Bacteremia
Meningitis
Septic arthritis
Osteomyelitis
Sickle cell patients are at particular risk of bone complications
A

salmonellosis (Salmonella bongori, Salmonella enterica)

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5
Q

Sequelae:
Irritable bowel syndrome
Reactive arthritis (Reiter syndrome)

A

salmonellosis (Salmonella bongori, Salmonella enterica)

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6
Q

most aggressive shigellosis

A

Shigella dysenteriae

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7
Q

produce grown where sewage used as fertilizer

A

Shigellosis

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8
Q

initially watery and non-bloody, becoming mucoid and bloody

A

Shigellosis

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9
Q

hemolytic uremic syndrome (HUS)

A

Shigellosis & EHEC

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10
Q

seizures (in children)

A

shigellosis

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11
Q

reactive arthritis

A

shigellosis

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12
Q

sepsis and bacteremia

A

shigellosis

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13
Q

poultry

A

Campylobacter

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14
Q

Domestic dogs and cats can also be culprits

A

Campylobacter

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15
Q

Military, School, Households, Daycare, Prisions

A

shigellosis

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16
Q

Guillain-Barré syndrome

A

camylobacter

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17
Q

Prodrome with watery diarrhea that becomes bloody

A

Campylobacter

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18
Q

cattle reservior

A

Enterohemorrhagic Escherichia coli

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19
Q

like green leafy vegetables, undercooked meat, and raw milk

A

Enterohemorrhagic Escherichia coli

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20
Q

Shiga toxin

A

Shigellosis and Enterhohemorrhagic Escherichia coli

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21
Q

Jack-in-the-Box & Chipotle

A

Enterhohemorrhagic Escherichia coli

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22
Q

Lack of fever

A

Enterhohemorrhagic Escherichia coli

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23
Q

azithromycin

A

Enterhohemorrhagic Escherichia coli

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24
Q

Pig reservoir

A

yersiniosis

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25
Q

rodents, rabbits, sheep, horses, dogs, and cats reservoir

A

yersiniosis

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26
Q

undercooked pork

A

yersiniosis

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27
Q

raw/unpasteurized milk

A

yersiniosis

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28
Q

may progress to necrotizing enterocolitis

A

Infants/children in yersiniosis

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29
Q

erythema nodosum

A

yersiniosis

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30
Q

mesenteric lymphadenitis

A

yersiniosis

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31
Q

pseudoappendicitis

A

yersiniosis & campylobacter

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32
Q

Pseudomembranous Colitis

A

Clostridium difficile

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33
Q

Superinfection with toxin production

A

Pseudomembranous Colitis

34
Q

ABX of Pseudomembranous Colitis

A

Clindamycin
Ampicillin
Cephalosporins (second- and third-generation)
Fluoroquinolones

35
Q

Mild to moderate greenish, foul-smelling watery diarrhea 5-15 times per day (usually no blood or mucus)

A

Pseudomembranous Colitis

36
Q

Hemodynamic compromise secondary volume depletion

A

Pseudomembranous Colitis

37
Q

Toxic megacolon

A

Pseudomembranous Colitis

Amebiasis

38
Q

TcdB toxin

A

Pseudomembranous Colitis

39
Q

Bad prognosis of Pseudomembranous Colitis

A
  • Leukocytosis (> 30,000/mcL)
  • Hypoalbuminemia (< 2.5 g/dl)
  • Elevated serum lactate
  • Azotemia
40
Q

First line of treatment for Pseudomembranous Colitis

A

Metronidazole (cheap)

41
Q

Second line of treatment for Pseudomembranous Colitis

A

Vancomycin (oral so stays in bowel)

42
Q

fecal transplantation

A

Pseudomembranous Colitis

43
Q

anal-oral sexual contact transmission

A

amebiasis

44
Q

Bull’s eye shaped nucleus, with red blood cells in the cytoplasm

A

Amebiasis

45
Q

liver abscess

A

Amebiasis

46
Q

First line of treatment for Amebiasis

A

Metronidazole

47
Q

Stomach flu

A

Norovirus

48
Q

Extremely contagious virus

A

Norovirus

49
Q

cruise ships

A

Norovirus

50
Q

MCC of viral gastroenteririts

A

Norovirus

51
Q

Aerosolization transmission

A

Norovirus (vomit)

Rotavirus (virus)

52
Q

MCC of childhood diarrhea

A

Rotavirus

53
Q

MCC of viral gastroenteririts in pediatrics

A

Rotavirus

54
Q

fecal-oral transmission with the following foods: meats, dairy, mayonnaise, and bakery products (cream pastries)

A

Staphylococcal Food Poisoning

55
Q

Traveler’s Diarrhea

A

Enterotoxigenic Escherichia Coli

56
Q

Montezuma’s Revenge, Delhi Belly, Turista

A

Enterotoxigenic Escherichia Coli

57
Q

Transmission: Fecal-oral route, consumption of contaminated foodstuffs, drinking contaminated water or ice

A

Enterotoxigenic Escherichia Coli

58
Q

MCC of traveler’s diarrhea

A

Enterotoxigenic Escherichia Coli

59
Q

Pepto-Bismol with mild antimicrobial activity can treat…

A

Enterotoxigenic Escherichia Coli

60
Q

preferred antibiotic for prescribing a patient prior to travel

A

Azithromycin to treat Enterotoxigenic Escherichia Coli & Campylobacter

61
Q

fried rice

meat

A

Bacillus cereus

62
Q

Transmitted via consumption of cooked meat or poultry that is allowed to cool without proper refrigeration

A

Clostridium perfringens

63
Q

Third most common cause of foodborne illness in United States

A

Clostridium perfringens

64
Q

jejunal hemorrhagic necrosis

A

Clostridium perfringens

65
Q

Blue Death

A

Vibrio cholerae

66
Q

naturally contaminated shellfish

A

Vibrio cholerae - cholera

67
Q

Voluminous “gray” fluid diarrhea (“rice water stools”) with flecks of mucus

A

Vibrio cholerae - cholera

68
Q 
Hypovolemic shock with electrolyte abnormalities
Renal failure
Acidosis
Circulatory collapse
Death
A

Vibrio cholerae - cholera

69
Q

Infections typically worse in immunocompromised, chronic hepatic dysfunction, and alcoholics

A

Vibriosis

70
Q

in marine and brackish waters, such as estuaries and saltwater marshes

A

Vibriosis

71
Q

common shellfish-associated diarrhea

A

Vibriosis

72
Q

watery diarrhea begins shortly after eating raw or undercooked shellfish

A

Vibriosis

73
Q

infection occurs after swimming in marine or brackish waters or handling of infected shellfish

A

Vibriosis

74
Q

Cellulitis may spread rapidly, causing hemorrhagic bullae and/or necrotizing fasciitis

A

Vibriosis

75
Q

Development of bacteremia and sepsis in high risk patients after consumption of infected shellfish or secondary from wound infection

A

Vibriosis

76
Q

Beaver Fever

A

Giardiasis

77
Q

Causative organism of Giardiasis

A

Giardia lamblia

78
Q

MC intestinal parasite disease in the United States

A

Giardiasis

79
Q

Foul-smelling, greasy diarrhea (with high fat content) and abdominal gassy distention

A

Giardiasis

80
Q

First line treatment for Giardiasis

A

metronidazole

Gastrointestinal (12 decks)

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