218 - Amebiasis and Infection with Free-Living Amebae Flashcards Preview

Harrison's Principles of Internal Medicine 20 > 218 - Amebiasis and Infection with Free-Living Amebae > Flashcards

Flashcards in 218 - Amebiasis and Infection with Free-Living Amebae Deck (19)
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1
Q

Invasive amebiasis manifestations usually include intestinal __ (__/__).

A

colitis
diarrhea
dysentery

2
Q

Extra intestinal amebiasis is the formation of __, mostly in the __, but also in the __ and __.

A

abscess
liver
lungs
brain

3
Q

Amebiasis is common in __, __ and south-central __.

A

Africa
Asia
America

4
Q

Amebiasis is more common in __.

A

men

5
Q

The drug of choice for amebiasis is __

A

metronidazole

6
Q

Intestinal amebiasis is usually ___ with __ secretion in the stool.

A

asymptomatic

cystic

7
Q

Symptomatic amebiasis signs include slowly developing ___, and light __, followed by: 3.

A
lower abdominal pain
diarrhea
weakness
weight loss
diffuse abdominal pain
8
Q

If the cecum is involved- __ imitations are possible.

A

appendicitis

9
Q

__ is a risk factor for severe amebiasis.

A

steroids

10
Q

Hepatic abscess can cause __, RUQ abdominal pain with __ radiation.

A

low fever

shoulder

11
Q

The most common complication of liver abscess is the involvement of __ and __.

A

pleura

lungs

12
Q

The worse prognosis is for patients with hepatic abscess which penetrated the __. It will require __ involvement.

A

pericardium

surgical

13
Q

The most important diagnostic tools in amebiasis areL

A

stool examination
serological tests
liver imaging

14
Q

Amebiasis stool test may reveal __, __, and __/__.

A

heme
neutrophils
cysts/troostites

15
Q

If the stool test are negative but there is still high suspicion- preform __ with __ to the __ borders.

A

sigmoidoscopy
biopsy
ulcer’s

16
Q

What is the treatment for asymptomatic carriage?

A

luminal agents (iodoquinol, paromomycin)

17
Q

What are the luminal agents used to treat amebiasis?

A

iodoquinol

paromomycin

18
Q

What is the treatment for acute colitis?

A

Flagyl (metronidazole) / tinidazole
plus
luminal agents

19
Q

What is the treatment for liver abscess?

A

metronidazole / tinidazole / ornidazole
plus
luminal agents

Decks in Harrison's Principles of Internal Medicine 20 Class (163):