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PANRE Key Points Quick Flip > Diarrhea > Flashcards

Flashcards in Diarrhea Deck (29)
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1

Child with abdominal pain and currant jelly stool

intussusception

2

'Rice water stools'

Vibrio cholerae; Tx Tetracycline if severe

3

Hospital admission

C. difficile (clindamycin #1 culprit)

4

Camping

Giardia; tx metronidazole

5

Travel, most common- Afebrile, abdominal pain with bloody diarrhea (Travelers diarrhea)

ETEC Enterotoxic E. Coli. If severe tx
Fluoroquinolones

6

Cruise ship diarrhea

Norovirus #1 cause of gastroenteroitis in adults

7

Day care centers

Rotavirus #1 cause of diarrhea in children (vaccine on market for kids.

8

Treatment of C. diff

1st line metronidazole; 2nd line PO vancomycin

9

C. diff complications

Toxic megacolon

10

Staph Aureus diarrhea

Comes on like lightening- < 6 hours incubation; classically from contaminated dairy products, mayonaise.

11

Contaminated fried rice

Bacillus B. Cereus. (Be Serious)

12

Raw shellfish

Vibrio parahaemolyticus

13

Potato salad on hot summer day

Staph Aureus

14

Invasive mucosal diarrhea sx

Damage of mucosa due to cytotoxins; fever, bloody diarrhea, vomiting is NOT common. NEVER give motility agents for invasive diarrhea
1) Campylobacter 2) Shigella 3) Salmonella 4) Yersinia 5) Enterohemorrhagic ecoli (EHEC)

15

Undercooked poultry

Campylobacter

16

post-infectious Guillain-Barré think of this agent

Campylobacter

17

Fecal oral contamination, highly contagious

Shigella (assoc with reiter's syndrome); severe TMP sulfa

18

Reiter's syndrome manifesations

Can see, can't pee, can't climb a tree. Conjunctivitis, urethritis, arthritis

19

Poultry products, pet turtles

Salmonella

20

Who is at high risk for salmonella

Pts who are immune compromised. Post splenectomy, sickle-cell disease, osteomyelitis

21

Pea soup stools, Very high fever, abdominal pain

Salmonella typhi

22

Contaminated pork, contaminated milk and water or TOFU

Yersinia; if severe treat with cipro

23

Undercooked beef, unpasturized milk

Enterohemorrhagic ecoli (EHEC) 01587- Shiga-Toxin E. coli This is the one that can cause bleeding.

24

Diarrhea from entamoebas. Fecally contaminated soil or water

Entamoeba histolytica; Dx ova & paracytes; Tx metronidazole

25

Common in pt with AIDS

Cryptosporidium

26

3 types of protozoan diarrheas

Giardia, Entamoeba histolytica; Cryptosporidium

27

Frothy greasy diarrhea

Giardia

28

osmotic - increased osmotic load- increased particles within the GI lumen- seen in celiac disease, pancreatic insufficiency, bile salt insuficiency, lactose intolerance

Improves with fasting

29

secretory diarrhea- normal osmotic gap - Zollinger-Elson syndrome, laxative use, carcinoid syndrome

Does not improve with fasting