8 - Diarrhea And Food Borne Flashcards
(121 cards)
Acute vs chronic diarrhea?
Acute: <3 weeks
Chronic: > 3 weeks
The pt knows what is abnormal
Noninfectious diarrhea?
Malabsorption Milk protein/lactose intol IBS IBD Laxative abuse
Infectious diarrhea
Virus
Bacteria
Fungi
Parasites
Non-invasive toxin mediated diarrhea tends to present?
Afebrile
Abdominal cramping with watery diarrhea
Diarrhea where bacteria invade the mucosa?
Febrile
RBC/WBC in stool
Acute gastroenteritis (AGE)
1-5 days of watery diarrhea with prominent N/V
Can be any number of infections, toxins, drugs, diseases
Food poisoning
Disease caused by toxin present in food
Food poisoning classifications?
Ultrashort - 1-2 hrs
- chemical
Short - 1-6 hrs
- toxin in food
Long - 8-16hrs
- organism in food
- toxin produced after consumption
Who is susceptible to AGE?
Everybody
Especially travelers to “developing” countries
Honestly whoever came up with that term has never been to the countries, they arent developing, they are stagnant at best
Questions for diarrhea
- History
- stool volume
- stool characteristic
- stool consistency
- flatus
- food history
- travel history
- systemic symptoms
- day care
- failure to thrive
- malnutrition
- water exposure
- camping
- animal exposure
- onset and duration
Borborygmi
Borborygmi?
Rumbling or gurgling noise made by the movement of fluid and gas in the intestines
Dairy is associated with?
Campylobacter and salmonella
Eggs are associated with?
Salmonella
Meats are associated with?
C. Perfringes
Aeromonas
Campylobacter
Salmonella
Ground beef are associated with?
Enterohemorrhagic E. Coli
Poultry are associated with?
Campylobcter species
Seafood are associated with?
Astrovirus
Aeromonas
Plesimonas
Vibro
Oysters are associated with?
Calicivirus
Plesiomonas
Vibro species
Vegetables are associated with?
Aeromonas species
C. Perfringins
Underdeveloped tropics are associated with?
C. Perfringes
Africa, S/C america, and India are associated with?
Entamoeba species
Vibro cholera
Mexico is associated with?
Aeromonas
Entamoeba
Plesimonas
Yersinia species
Asia is associated with?
Vibrio cholera
Australia, canada, europe are associated with?
Yersinia species