Diarrheal diseases Flashcards Preview

Clin Med 1 Test 3 > Diarrheal diseases > Flashcards

Flashcards in Diarrheal diseases Deck (23):
1

What types of foods are most at risk for Salmonella contamination

eggs and dairy

2

How long do Salmonella gastroenteritis inf's last

3-5 days (self-limiting)

3

who gets treated for Salmonella

no one- except high-risk folks

4

DOC for Salmonella

ciprofloxacin

5

2nd line treatments for Salmonella (2)

Bactrim (Septra) or Ampicillin

6

symptoms of Salmonella (4)

bloody diarrhea, N/V, fever, ABD cramping

7

invasive bowel diseases

Shigella, Salmonella, Camphylobacter

8

what is tenesmus

symptom of Shigella- anal spasm feel like you "need to go," but not able to

9

symptoms of Shigella (4)

ABD tenderness, fever, HA, abrupt onset diarrhea

10

what exam is indicated in Shigella

sigmoidoscope - engorged mucosa c ulcerations visible

11

DDX for Shigella (5)

enterotoxic E coli, Camphylobacter, Yersenia enterocolitica, UC, and amebic dysentery

12

what may happen to Shigella pt's that become dehydrated

HTN

13

What is the DOC for Shigella

Bactrim (BID 7-10 days)

14

2nd DOC for Shigella

FQ

15

What is the MCC of traveler's diarrhea

enterotoxigenic E coli

16

Bloody diarrheal dz's

Salmonella, enteroinvasive E coli

17

Caused by undercooked hamburger and develops into HUS or TTP

enterohemorrhagic E coli (O157-H7)

18

what will happen to Cholera patients that become dehydrated

they become hypotensive

19

How to rehydrate a Cholera pt

oral: 1 clean liter water + 1 tsp salt + 1 tsp sugar
IV: Ringer's Lactate

20

what is DOC for SHORTENING the length of Cholera infection

tetracycline (FQ, Bactrim, chloramphenicol, amp)

21

what is causative org of Cholera

Vibrio cholera

22

organism that causes diarrhea in oyster-consumers

Vibrio parahemolyticus

23

marine organisms that cause skin infections (2)

Vibrio vulnificus, Vibrio alginolyticus