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Clin Med 4 > GI- diarrhea > Flashcards

GI- diarrhea Flashcards

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1
Q

inflammatory or non-inflammatory?

staph aureus

A

non

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2
Q

yersinia enterocolitica source

A

undercooked pork

unpasteurized milk

fecally contaminated water

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3
Q

norovirus source

A

prepared foods

cruis ships

kids

close quarters

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4
Q

norovirus age

A

older kids

adults

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5
Q

rotavirus source

A

poopy food/ water

daycare

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6
Q

bacillus cereus source

A

food borne- grains

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7
Q

persisistent diarrhea presentation

A

14-30 days

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8
Q

vibrio cholerae source

A

dirty food and water

travel

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9
Q

vibrio parahemolyticus source

A

raw seafood

shellfish

travel

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10
Q

c-diff source

A

recent hospitalization/ abx

community acquired

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11
Q

yersinia enterocolitca tx

A

supportive

abx if severe

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12
Q

profound weight loss

A

chronic giardiasis

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13
Q

campylobactor source

A

undercooked poultry

unpasteurized milk

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14
Q

norovirus prevention

A

handwashing

environmental cleaning

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15
Q

inflammatory or non-inflammatory?

rotavirus

A

non

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16
Q

B. cereus tx

A

supportive

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17
Q

inflammatory or non-inflammatory?

vibrio parahemolyticus

A

inflammatory

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18
Q

cyclospora source

A

imported fruits and veg

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19
Q

inflammatory or non-inflammatory?

yersinia enterolticia

A

inflammatory

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20
Q

giardia lamblia source

A

waterborne

foodborne

fecal oral

camping, lakes, streams, ponds, daycares, pools

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21
Q

norovirus tx

A

self limiting-

supportive

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22
Q

salmonella source

A

poultry

livestock

reptiles

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23
Q

yersinia enterocolitica source

A

undercooked pork

unpasterized milk

poop contaminated water

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24
Q

inflammatory or non-inflammatory?

bacillus cereus

A

non

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25
classic dysentery
shigella
26
diagnostics to consider with infectious chronic diarrhea
stool studies scope with bx
27
shigella tx
abx- FLQ, macrolide, bactrim
28
abx associated w/ causing C. diff
FLQ clindamycin cephalosporins
29
inflammatory or non-inflammatory? clostridium perfringens
non
30
campylobactor tx
supportive FLQ or macrolide if severe
31
is osmotic diarrhea relieved by fasting
yes
32
bacillus cereus: V/D predominant
vomit
33
inflammatory or non-inflammatory? campylobactor
inflammatory
34
rice water diarrhea
vibrio cholerae
35
salmonella tx
supportive abx for severe pts
36
inflammatory or non-inflammatory? cryptosporidium
non
37
vibrio cholerae tx
supportive if severe: doxy/ macrolide/ tetracycline/ FLQ
38
staph aureus onset
within hours of exposure
39
diagnostics to consider with metabolic chronic diarrhea
thyroid studies glucose
40
inflammatory or non-inflammatory? E. histolytica
inflammatory
41
zollinger ellison and neuroendocrine tumors are examples of
secretory diarrhea
42
diagnostics to consider with malabsorptive chonic diarrhea
CBC CMP celiac serologies fecal fat small bowel imaging scope with bx
43
is secretory diarrhea relieved by fasting?
no
44
risk of HUS
e. coli
45
mimic appendicitis
yersinia enteroclitica
46
clostridium perfringens source
food borne inadequately cooked/ reheated meats home canning
47
is cryptosporidium severe?
normally self limiting but serious in AIDS
48
cyclospora tx
bactrim
49
severe afebrile bloody diarrhea
E. coli
50
inflammatory or non-inflammatory? shigella
inflammatory
51
inflammatory or non-inflammatory? norovirus
non
52
inflammatory or non-inflammatory? giardia
non
53
E.coli tx
NO ANTIDIARRHEAL NO ABX- risk of HUS
54
C. perfringens tx
supportive
55
inflammatory or non-inflammatory? E.coli
inflammatory
56
rotavirus tx
self limiting- supportive
57
inflammatory or non-inflammatory? vibrio cholerae
non
58
E. coli source
undercooked beef unpasteurized products
59
shigella source
poop contaminated food/ water
60
chronic diarrhea duration
\> 30 days
61
toxin associated w/ E.Coli
shiga toxin
62
inflammatory or non-inflammatory? cyclospora
non
63
lactose intolerance is an example of
osmotic diarrhea
64
inflammatory or non-inflammatory? c. diff
both
65
inflammatory or non-inflammatory? salmonella
inflammatory
66
what type of diarrhea? weight loss streatorrhea anemai
malabsorptive | (chronic)
67
what should you be concerned about w/ rotavirus
can progress to dehydration
68
norovirus duration
1-3 days abrupt onset and self limiting
69
staph auerus enterotoxin souce
food borne creamy foods potato salad processed meats
70
staph aureus: V/D predominant
vomit
71
S. aureus tx
supportive
72
vibrio parahemolyticus tx
supportive FLQ/ doxy if severe
73
bacillus cereus onset
w/in hours of exposure
74
**what type of diarrhea?** frequent loose stools abdominal pain/ cramping bloating urgency no red flags
IBS-D | (chronic)
75
bacteria linked to guillain barre
campylobactor
76
c. diff tx
D/C inciting abx vanco fidaxomicin metronidazole
77
what type of diarrhea? fever bloody diarrhea abdominal pain
IBD microscopic ischemic radiation NSAID induced colitis malignancy
78
diagnostics to consider with inflammatory chronic diarrhea
CBC CMP ESR/CRP fecal leukocytes fecal calprotectin small bowel imaging scope with bx
79
**what type of diarrhea?** exposures
giardia E. histolytica cytomegalovirus
80
what metabolic disorders are associated with chronic diarrhea
hyperthyroidism DM
81
medications that can cause medication induced diarrhea
Mg antacids metformin reglan laxatives abx PPI colchicine
82
rotavirus age
6 mo- 2 y/o
83
cryptosporidium source
recreational water daycares
84
giardia lamblia tx
metronidazole | (or tinidazole/ albendazole)
85
cryptosporidium tx
supportive tx if immunocompromised
86
acute diarrhea duration
less than 14 days

Clin Med 4 (9 decks)

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