Gastroenteritis

Question 1

How does gastritis present?

Answer 1

nausea and vomiting

Question 2

How does enteritis present?

Answer 2

diarrhoea

Question 3

how does gastroenteritis present?

Answer 3

nausea, vomiting and diarrhoea

Question 4

most common cause of gastroenteritis

Answer 4

viral

Question 5

gastroenteritis - what is important to remember?

Answer 5

easily spread
affected family members
isolate if in hospital

Question 6

3 common viral agents

Answer 6

rotavirus
norovirus
adenovirus

Question 7

adenovirus gastroenteritis

Answer 7

less common

subacute diarrhoea

Question 8

How is E.coli spread?

Answer 8

infected faeces
unwashed salads
water

Question 9

what produces shiga toxin?

Answer 9

E coli 0157

Question 10

E coli 0157

Answer 10

abdominal cramps
bloody diarrhoea
vomiting

Question 11

what does shigatoxin lead to?

Answer 11

haemolytic uraemic syndrome

destroys blood cells

Question 12

common cause of travellers diarrhoea and most common bacterial cause of gastroenteritis

Answer 12

campylobacter

Question 13

How is campylobacter spread?

Answer 13

raw poultry
untreated water
unpasteurised milk

Question 14

incubation of campylobacter and symptoms

Answer 14

abdominal cramps
diarrhoea - blood
vomiting
fever

Question 15

antibiotics - campylobacter

Answer 15

azithromycin

ciprofloxacin

Question 16

How is shigella spread?

Answer 16

faeces contaminating drinking water, swimming pools and food

Question 17

Bacilius cerus classical picture

Answer 17

grown well on food not refrigerated after cooking
fried rice
vomiting 5 hours, diarrhoea 8 hours
resolves 24 hours

Question 18

management

Answer 18

good hygiene
faeces - microscopy, culture, sensitivities
fluid challenge
antibiotics

Question 19

possible complications

Answer 19

lactose intolerance
IBS
reactive arthritis
guillian barre syndrome