GI Exam Flashcards

(37 cards)

1
Q

small bowel obstruction on imaging

A

dilated small bowel (>3 cm), dilated stomach, decompressed large bowel, differential air fluid levels on upright film, gasless abdomen

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2
Q

ileus imaging findings

A

dilated large and small bowel, colon air, +/- air fluid levels

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3
Q

when to CT small bowel obstruction

A
  1. if plain films are suggestive of uncomplicated SBO (must rule out complication that is not seen on x-ray)
  2. If clinical findings are suggestive of SBO but it is not seen on plain films
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4
Q

when can there be a dilated small bowel with a large bowel obstruction

A

if there is ileocecal valve incontinence

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5
Q

staph is present in

A

meat, dairy, bakery products

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6
Q

staph aureus incubation period

A

1-8 hours

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7
Q

staph aureus presentation

A

intense N/V followed by diarrhea x 24-48 hours

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8
Q

staph aureus tx

A

supportive care

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9
Q

campylobacter locations

A

raw poultry, pasteurized milk, daycare, contaminated water

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10
Q

most common bacterial diarrhea cause

A

campylobacter

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11
Q

campylobacter location of infection

A

jejunum/colon

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12
Q

campylobacter presentation

A

resembles surgical abdomen, shigella, salmonella (But lasts longer)

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13
Q

most common infectious diarrhea in adults cause

A

norovirus

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14
Q

do you give abx to e coli 0157:87

A

no - can cause HUS and TTP if abx are given

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15
Q

campylobacter incubation

A

2-7 days

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16
Q

campylobacter duration

17
Q

campylobacter treatment

18
Q

complication of campylobacter

A

guillain-barre

19
Q

which bacteria is in rice

A

bacillus cereus

20
Q

onset/presentation of b cereus

A

acute onset severe N/V x 24 1 hour after exposure

21
Q

b cereus tx

22
Q

vibrio sources

23
Q

ricewater stools

A

vibrio cholera

24
Q

vibrio cholera diagnosis

A

stool culture

25
vibrio cholera treatment
IV fluids, doxycycline
26
vibrio cholera fluid loss and stool culture
1 L/hour, nonbloody, no fecal leukocytes
27
leading cause of parasitic diarrhea worldwide
giardia
28
how many cysts of giardia causes infection
10-15
29
giardia stool examination
cysts visible, antigen assay
30
giardia treatment
metronidazole
31
giardia presentation
gas, frothy/foul-smelling diarrhea with mucus, nonbloody
32
entamoeba histolytica route
fecal-oral
33
entamoeba histolytica presentation
bloody diarrhea with lower abdominal cramping
34
entamoeba histolytica onset of symptoms due to
invasion of colonic wall due to disruption of commensal relationship between amoeba and host
35
entamoeba histolytica higher prevalence in
men who have sex with men
36
entamoeba histolytica complications
distant abscesses (liver, heart, kidney, brain)
37
entamoeba histolytica treatment
metronidazole