Diarrheal Diseases Flashcards

1
Q

treatment for Cyclospora

A

TMP-SMX

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2
Q

Treatment of choice for Giardia

A

Tinidazole

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3
Q

watery diarrhea without vomiting, incubation time <24 hours

A

clostridium perifringens

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4
Q

causes of acute gastroenteritis (+ vomiting) < 24 hours

A

bacillus cereus and staph aureus

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5
Q

when should campylobacter resolve by

A

7 days, no treatment necessary

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6
Q

clinical presentation of s. aureus and bacillus cereus

A

watery diarrhea and vomiting

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7
Q

incubation period of norovirus and rotavirus

A

1-2 days

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8
Q

clostridium perifringens incubation time

A

8-16 hours

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9
Q

clostridium perifringens can be acquired rom

A

meat, poultry, canned foods

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10
Q

GI bug that is a mimic of appendicitis

A

yersenia enterocolitica and yersinia pseudotuberculosis

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11
Q

management of ETEC/STEC

A

supportive care
no anti motility agents
no antibiotics

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12
Q

two post infectious complications of campylobacter

A

GBS
reactive arthritis

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13
Q

two countries with high rates of macrolide resistance to campylobacter

A

thailand and ireland

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14
Q

treatment of campylobacter

A

azithromycin
cipro or levo

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15
Q

antibiotics to treat salmonella

A

FQ
TMP-SMX
Azithromycin
Ceftriaxone

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16
Q

indications for treatment of shigella

A

IC
HIV
Bacteremia
Food handlers, HCWs, Childcare workers, SNF residents

17
Q

treatment of shigella

A

FQ or Ceftriaxone

18
Q

type of meat associated with yersinia

A

pork

19
Q

GI disease that can present with pharyngitis

A

yersinia

20
Q

treatment of yersinia

A

only indicated for severe disease or underlying IC condition

21
Q

yersinia treatment

A

FQ or Ceftriaxone

22
Q

treatment of vibrio cholera

A

fluid resuscitation
macrolides, FQ, tetracyclines

23
Q

risks for invasive disease with vibrio vulnficus

A

hemochromatosis
cirrhosis

24
Q

treatment of vibrio vulnificus

A

Tetracycline plus Ceftriaxone
OR
FQ alone

25
Q

gram stain of aeromonas

A

gram negative

26
Q

treatment of listeria diarrhea in pregnant women

A

Amoxicillin

27
Q

criteria for severe CDI

A

SCR >1.5 and WBC >15k

28
Q

clostridium perifringens treatment

A

supportive, no antibiotics

29
Q

risk factor for development of scombroid

A

not storing fish 4C or lower, causes bacterial overgrowth and build up of histamine and other biogenic amines

30
Q

flushing, hives, headache, diarrhea, tachycardia, palpitations after eating dark fish

A

scombroid

31
Q

severe features of scombroid poisoning

A

bronchospasm, arrhythmias

32
Q

treatment of scombroid

A

antihistamines

33
Q

ciguatera toxin is found in which types of fish

A

reef fish

34
Q

where does ciguatera toxin come from

A

dinoflagellates

35
Q

diarrhea, vomiting, weakness, paresthesias, bradycardia, hypotension following eating fish

A

ciguatera toxin

36
Q

reversal of ciguatera toxin with neuro effects

A

mannitol, gabapentin, amitriptyline, pregabalin