Topical GI and STI's Flashcards

1
Q

how is acute traveller’s diarrhoea described

A

3 loose stools in 24 hours when travelling with low levels of fever

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2
Q

what normally causes traveller’s diarrhoea

A

E. coli

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3
Q

where do you typically get enteric fever and what causes it

A

India and SE fever, typhoid or paratyphoid caused by salmonella

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4
Q

what symptoms are associated with enteric fever

A

headache, dry cough, constipation/ diarrhoea

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5
Q

if patient unstable with enteric what antibiotic do you give

A

ceftriaxone

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6
Q

what is a cause of prehepatic fever and jaundice

A

malaria, HUS, sickle cell

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7
Q

what can cause hepatic liver disease

A

Hep A-E, leptosprosis, malaria, enteric fever

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8
Q

what investigations would you do for malaria

A

blood film

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9
Q

what causes ameobiasis

A

faecal-oral spread, protozoa

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10
Q

what are the symptoms of ameobiasos

A

abdo pain, fever, bloody diarrhoea, fever, sweats, tender liver (stool microscopy)

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11
Q

what antibiotics are given to ameobioasis

A

metronidazole

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12
Q

what is giardiasis

A

giardia intestinalins, invades duodenum causing watery diarrhoea, bloating and abdo cramps (stool microscopy)

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13
Q

what parasites are common

A

worms, round worms, flukes, tape worms (stool microscopy)

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14
Q

what causes gonorrhoea

A

neisseria gonorrhoea

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15
Q

how can you get gonorrhoea

A

direct contact of mucosal surfaces with infective secretions

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16
Q

where can gonorrhea affect

A

mouth, anus, vagina

17
Q

what are symptoms of gonorrhea

A

pus from anal/ urethral discharge, low abdo pain, diarrhoea +/- bleeding

18
Q

how would you identify gonorrhea

A

proctoscopy, cultures , PCR

19
Q

what gives chlamydia

A

Chlamydia trachomatis

20
Q

what are symptoms of chlamydia

A

anal itch/ discomfort but 70% asymptomatic

21
Q

what are the investigations of chlamydia

A

proctoscopy, bloods PCR

22
Q

how is chlamydia spread

A

same as gonnorhea

23
Q

what areas does syphilis affect

A

everywhere - liver, brain, mouth, anus

24
Q

what are symptoms of syphilis

A

lone painless ulcers on genitals, anus, mouth, rashes and swollen glands

25
Q

where is herpes HSV 1 and 2 commonly found

A

HSV 1 on mouth, HSV 1+2 on genitals, HSV 2 on anus

26
Q

how does HIV make you immunocomprosed

A

lymphoid tissue on gut is lost very quickly and is irreplacable

27
Q

what is Lymphogranuloma venerum (LGV)

A

often in HIV gay men, causes ulcers, fistulas and genital elephantiasis