September 9, 2015 - Acute Diarrhea Flashcards Preview

COURSE 1 > September 9, 2015 - Acute Diarrhea > Flashcards

Flashcards in September 9, 2015 - Acute Diarrhea Deck (11):
1

Acute Diarrhea

Less than 3 weeks in duration.

2

Chronic Diarrhea

Greater than 3 months.

3

Bloody vs Non-Bloody Diarrhea

The #1 most important question to ask. Narrows down the differential.

4

Bloody Diarrhea

Commonly caused by...

Campylobacter

E. coli 0157

Salmonella

Shigella

Yersinia

C. difficile (sometimes)

5

Indications for Antibiotic Treatment of Diarrhea

- C. difficile

- At the extremes of age. This can kill old people, and in young children it can be bad if E. coli is present.

- "Toxic" patient

6

Oral Rehydration

Sugar and salt in the proper concentration. Even if everything else is screwed up in the gut, the glucose / Na+ channel will still work and you will be able to rehydrate your body.

7

Clostridium difficile

Anaerobic, gram-positive bacilli of the clostridium genus.

Spore forming bacteria. This is important because it is hard to completely get rid of.

5-15% of healthy adults carry C. difficile.

8

Treatment of CDI

Empiric treatment if high index of suspicion.

For mild-moderate disease, treat with metronidazole.

For severe disease, use vancomycin.

 

If recurrence, pulse vancomycin. If it recurs again, then you need to use a fecal transplant which is very successful.

9

Borborygami

Very loud rumbling sounds of the stomach.

10

Approach to Chronic Diarrhea

A image thumb
11

Malabsorption of Fat Causes

Issues with...

1. Bowel

2. Pancreas

3. Bile

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