September 15, 2015 - SG - Diarrhea

Question 1

Small vs Large Bowel - Volume

Answer 1

Small +++

Large +

Question 2

Small vs Large Bowel - Frequency

Answer 2

Small +

Large +++

Question 3

Small vs Large Bowel - Blood

Answer 3

Small -

Large +

Question 4

Small vs Large Bowel - Pain

Answer 4

Small -

Large +

Question 5

Small vs Large Bowel - Steatorrhea

Answer 5

Small +

Large -

Question 6

Small vs Large Bowel - Weight Loss

Answer 6

Small +++

Large +

Question 7

Small vs Large Bowel - Effective of Fasting

Answer 7

Small - Improves

Large - Unchanged

Question 8

Small vs Large Bowel - Nutritional Deficiency

Answer 8

Small +++

Large +/-

Question 9

Ciprofloxacin

Answer 9

Antibiotic used with broad gram-negative coverage.

Question 10

Stool Sample - Bacteria Tested

Answer 10

E. coli 0157

• Campylobacter*
• Yersinia*
• Salmonella*
• Shigella*

Question 11

Treatment for C. difficile

Answer 11

1. Metronidozale
2. Vancomycin
3. Fidaxomicin

Question 12

Campylobacter

Answer 12

Transmission: chicken, raw milk, raw cheese

Organ attacked: large bowel

Symptoms: 1. watery diarrhea, 2. myalgia, 3. bloody diarrhea

Treatment: ORT. Ciprofloxacin if needed.

Complications: arthritis

Question 13

Clostridium difficile

Answer 13

Transmission: disruption of normal flora or contact

Organ attacked: large bowel

Symptoms: diarrhea (usually non-bloody)

Treatment: metronidazole, vancomycin, fidaxomicin

Complications: sepsis, toxic megacolon

Question 14

Enterotoxic E. coli (ETEC)

Answer 14

Transmission: Travelling

Organ attacked: Large bowel

Symptoms: watery diarrhea

Treatment: ORT / ciprofloxacin

Complications: dehydration

Question 15

Yersina

Answer 15

Transmission: Contaminated meat, pets

Organ attacked: Large bowel

Symptoms: bloody diarrhea

Treatment: ORT / ciprofloxacin

Complications: arthritis

Question 16

Salmonella

Answer 16

Transmission: undercooked poultry and eggs

Organ attacked: large bowel

Symptoms: bloody diarrhea

Treatment: ORT / ciprofloxacin

Complications: bacteremia, osteromyelitis

Question 17

Shigella

Answer 17

Transmission: daycare, veggies

Organ attacked: large bowel

Symptoms: bloody diarrhea

Treatment: ORT / ciprofloxacin

Complications: arthritis, toxic megacolon, sometimes HUS

Question 18

EIEC (chicken) / EHEC (beef)

Answer 18

Enteroinvasive E. coli and Enterohemorragic E. coli

Transmission: undercooked meat

Organ attacked: large bowel

Symptoms: pain, tenismus

Treatment: ORT / ciprofloxacin

Complications: HUS, hemolysis