shigella Flashcards

1
Q

tx shigella under 18

A

AZM

if sick use CRO

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2
Q

MC shigella in US

A

sonnei

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3
Q

can shigella be transmitted sexually

A

yes, sexually

but mc fecal oral

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4
Q

pathophys shigella

A

invades mucosal cells
intense inflammatory response
creates ulcerations and abscesses

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5
Q

presenting sx shigella

A

fever

abdominal pain, fever, mucoid or bloody diarrhea, and tenesmus

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6
Q

how long shigella last

A

8-10 days

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7
Q

shigella have significant fluid loss

A

no

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8
Q

lab id

A

NLF
non motile
facultative

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9
Q

tx shigella adult

A

FQ

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10
Q

complications of shigella

A
rectal prolapse
intestinal obstruction
colonic perforation
bacteremia 
electrolyte imbalance
leukemoid rxn
HUS
seizure
reactive arthritis
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11
Q

MC shigella in developing countries

A

flexneri

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