quiz 5 GI

Question 1

salmonella

fever, bloody stools

Answer 1

no abx, bactrim or cipro for valv heart disease/immunocompromised

Question 2

shigella
watery/bloody diarrhea w WBCs, tenesmus
fecal-oral, gay, pedi mortality, stool cx

Answer 2

bactrim BID 3-5 days, if outside US cipro 10 days

Question 3

Ecoli
travelers diarrhea/contaminated food
severe: fatal hemorrhagic colitis w thrombotic purpura/ hemolytic uremia

Answer 3

Bactrim BID 3 days, adults-Cipro

Question 4

campylobacter
severe: fever, dizzy, delirium
contaminated food, stool cx
comps: guillian barre, reactive arthritis

Answer 4

Erythromycin 4xDay 5 days or Cipro BID 7days

Question 5

Giardia
foul smell, flatulence
fecal-oral, contaminated water

Answer 5

metronidazole 250mg TID 5-7 days

Question 6

Cdiff
RF:hospitalization, ppi, >65
PCR to dx, dc abx, aggressive hydration
leukocytosis, wbc in stool, tenesmus
ulcers/inflammation of colon

Answer 6

10-14 days; metronidazole 500mg TID/250mg 4x/day

vanc 125mg 4x/day

Question 7

Gastroenteritis rehydration

Answer 7

mild (3-5%) 50mL/kg ir 5tsp/lb over 4 hours

moderate (6-9%) 100 mL/kg or 10tsp over 4 hours