Diarrhea Flashcards Preview

ICM Infectious Disease > Diarrhea > Flashcards

Flashcards in Diarrhea Deck (45):
1

Normal stool volume?

3-7 Bowel movements, less than 1 L per day

2

Normal stool volume loss?

0.1 L

3

Acute infectious diarrhea volume?

20-30 Bowel movements, about 20 liters

4

Diarrhea reflects increased water in stool from? (2)

Inc. intestinal secretion
Dec. intestinal reabsorption

5

What is psuedodiarrhea?

Anal inflammation

6

Problem responsible for fecal incontinence?

Neuromuscular

7

Problem responsible for overflow incontinence?

Leakage of stool

8

Duration of acute diarrhea?

Less than 14 days

9

Duration of persistent diarrhea?

14-30 days

10

Duration of chronic diarrhea?

>30 days

11

In developed countries what is usually the cause of diarrhea?

Viruses

12

Least common cause for diarrhea in developed country?

Protozoa

13

More severe diarrhea indicative of what?

Bacterial infection

14

Salmonella is most likely found where?

Small bowel

15

What does Salmonella cause?

Dysentery

16

Where is E.coli found and what does it cause?

Small bowel
Dysentery

17

Where is campylobacter found and what does it cause?

Colon
Dysentery

18

Where is Shigella found and what does it cause?

Colon
Dysentery

19

How many types in the bristol stool chart?

7

20

Acute infectious diarrhea volume?

20-30 Bowel movements, about 20 liters

21

Diarrhea reflects increased water in stool from? (2)

Inc. intestinal secretion
Dec. intestinal reabsorption

22

What is psuedodiarrhea?

Anal inflammation

23

Problem responsible for fecal incontinence?

Neuromuscular

24

Problem responsible for overflow incontinence?

Leakage of stool

25

Duration of acute diarrhea?

26

Duration of persistent diarrhea?

14-30 days

27

Duration of chronic diarrhea?

>30 days

28

In developed countries what is usually the cause of diarrhea?

Viruses

29

Least common cause for diarrhea in developed country?

Protozoa

30

More severe diarrhea indicative of what?

Bacterial infection

31

Salmonella is most likely found where?

Small bowel

32

What does Salmonella cause?

Dysentery

33

Where is E.coli found and what does it cause?

Small bowel
Dysentery

34

Where is campylobacter found and what does it cause?

Colon
Dysentery

35

Where is Shigella found and what does it cause?

Colon
Dysentery

36

How many types in the bristol stool chart?

7

37

What is the hallmark of inflamatory bowel disease?

Fistula

38

What dietary alteration needs to be made in the treatment of diarrhea?

Avoid dairy, low residue diet

39

Inflammatory cause of Chronic Diarrhea involve what?

IBD
Invasive
Neoplasia

40

IBD such as ulcerative colitis or Crohn's disease manifest via what?

White blood cells
Pus
Blood

41

What can cause maldigestion disorders?

Chronic pancreatitis
Cystic fibrosis

42

Major presenting symptom as vomiting?

S. aureus (Cream pie at picnic)
B. cereus (Leftover fried rice)
Norwalk (Cruise ships)

43

Major presenting symptom as inflammatory diarrhea?

Non-typhoidal salmonella (Hambergers at picnic)
Shiga toxin producing e.coli (Hambergers, spinich)
V. parahemolyticus (Sushi)
V. Vulnificus (Raw oysters)

44

Risk factors for Hep A?

Male sex with males
Shellfish
Food workers

45

How do you treat acute diarrhea?

Oral rehydration
Symptomatic Therapy (Anti-motility agents)
Probiotics
Dietary alterations (Avoid dairy, low residue diets)
Empiric Antibiotics (Metronidazole)