Brainscape's Knowledge GenomeTM

Browse over 1 million classes created by top students, professors, publishers, and experts.


See full index

GI > Tropical Gastroenterology > Flashcards

Tropical Gastroenterology Flashcards

1
Q

What history should be taken in a patient presenting with fever upon returning from travel?

A 
Where did they go (urban or rural) 
When did they go/get back 
When did the symptoms start
Any insect bites 
Any other symptoms
Anyone else unwell they were travelling with 
What did they do whilst away (swimming, animal contact, bat caves, walking, sex, work) 
What precautions did they take?`
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

What examination should be undertaken in a returned traveller?

A 
Fever
Rash
Hepatosplenomegaly 
Lymphadenopathy
Insect bites
Wounds
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

What can cause a fever in a returned traveller?

A 
Respiratory tract infections - pneumonia/infleunza
Traveler's diarrhoea
Malaria
Enteric fever
Arboviruses
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

What is acute traveller’s diarrhoea?

A

3 loose stools in 24hours

Associted with self-reported fever

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

What can cause traveller’s diarrhoea?

A 
Enterotoxigenic E.coli
Campylobacter
Salmonella
Shigella
Norovirus
Rotavirus
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

How should traveller’s diarrhoea be investigated?

A

Stool culutre

Stool wet prep on recently passed stool for amoebic trophozoitez

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

How should traveller’s diarrhoea be treated?

A

Supportive - fluid rehydration

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

What can cause enteric fever?

A

Typhoid or paratyphoid fever

Salmonella typhi

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

What is the incubation period for typhoid fever?

A

7-18 days

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

What are the symptoms of enteric fever cuased by typhoid?

A 
Fever
Headache, constipation or diarrhoea 
Dry cough 
GI bleeding
GI perforation 
Encelopathy
Bone and joint infections
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

When should enteric fever be treated (salmonella)?

A

If the patient is unstable treat emperically with IV ceftriaxone, ciprofloxacin or azithomycin

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

What can cause pre-hepatic fever and jaundice?

A

Malaria

HUS as a complication of darrhoeal illness (E.coli 0157 or shigella)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

What can cause hepatic fever and jaundice?

A 
Hep A and E 
Leptospirossi (weils diseases) 
Malaria
Enteric fever
Rickettsia 
Viral haemorrhagic fever
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

What can cause post-hepatic jaundice and fever?

A

Ascending cholangitis

Helminths

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

How should jaundice and fever be investigated?

A 
Malaria blood film and rapid antigen 
Blood film for red cell fragementation 
FBC/UE/LFT/coagulation 
Blood cultures
USS abdomen
Serological testing for viruses
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

How should jaundice and fever be managed?

A

Appropriate isolation and infection control procedures

Supportive

17
Q

What is chagas disease?

A

Transmitted by the kissing bug

Causes parasymp denervation affecting the colon and/or oesophagus

18
Q

How is aemoebiasis spread?

A

Faecal-oral spread, strong association with poor sanitaion

Sheds cysts in stools chronologically

19
Q

What are the symptoms of amoebic dysentry?

A

Abdominal pain
Fever
Bloody diarrhoea
Toxic and unwell, abdominal tenderness, peritonism

20
Q

How should amoebic dysentry be investigated?

A

Stool microscopy for trohozites or cysts
AXR - toxic megacolon
Endoscopy for biopsy

21
Q

What is the presentation of amoebic liver abscesses?

A 
Fever, sweats
Upper abdominal pain
History of GI upset
Hepatomegaly 
Point tenderness over right lower ribs
22
Q

How should amoebic liver abscesses be investigated?

A 
Abnormal LFTs
CXR - raised right hemi-diaphragm 
USS/CT scan
Serology 
Stool microscopy
23
Q

How should amoebic liver abscesses be treated?

A

Metrondiaole

24
Q

What is giardia?

A

A giardia intestinalis, flagellated protozoa

25
Q

Where does giardiasis affect?

A

Duodenum and proxminal jejunum `

26
Q

`How does giargia spread?

A

Faecal-oral with an incubatino of 7 days

27
Q

How does giargia present?

A

Watery, malodorous diarrhoea
Bloating, flactulence
Abdominal cramps
Weight loss

28
Q

How is giargia investigated?

A

Stool microscopy for cycsts

OGD for duodenal biopsy

29
Q

How is giardiasis treated?

A

Metrondiazole

30
Q

Where do helminth infections present?

A

In the gut tissues

Often associated with eosinophlila

31
Q

What is the most common common helminthic infection?

A

Ascariasis

GI (42 decks)

Brainscape helps you reach your goals faster, through stronger study habits.
© 2024 Bold Learning Solutions. Terms and Conditions