Term
3 or more loose stools/day
More than 200g of stool/day
Increase in frequency and fluidity of stool
All indicate what? |
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Definition
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Term
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Definition
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Term
What did you eat?
Bacillus cereus |
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Definition
Reheated Rice
(remember, fried rice is premade and reheated) |
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Term
What did you eat?
Staph aureus |
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Definition
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Term
What did you eat?
Clostridium perfringens |
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Definition
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Term
What did you eat?
C. botilinism |
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Definition
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Term
What did you eat?
E. coli O157:H7 |
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Definition
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Term
What did you eat?
Salmonella |
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Definition
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Term
| Recent antibiotic use causing diarrhea points to which bug? |
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Definition
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Term
Your patient presents with diarrhea (obviously), abdominal tenderness. Sigmoidoscopy reveals pseudomembranous colitis.
What tests would you perform?
What would be the expected diagnosis?
What would be a good treatment? |
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Definition
Stool reveals C. diff toxins; therefore, that is your causative agent.
Stop antibiotics, fluid replacement, oral vanco/bacitracin |
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Term
| What is the triad for Reactive Arthritis aka Reiter's Syndrome. |
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Definition
1. Urethritis
2. Conjuctivitis & Anterior uveitis
3. Arthritis |
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Term
| What percentage of body weight loss is considered to be severe dehydration? |
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Definition
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Term
| See if you can picture the diarrhea decision wheel |
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Definition
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Term
| How would you expect a patient with Ingestive Diarrhea to present? |
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Definition
They're usually not very sick.
Caused by Megnesium, sorbitol, disaccharides |
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Term
How does a patient with Toxic Diarrhea present?
What are some usual causes of this? |
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Definition
Fever, chills, nausea, pain.
Vibrio, E.coli, shigella, Staph, bacillus |
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Term
| Traveler's diarrhea is usually caused by... |
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Definition
ETEC
Also salmonella, campylobacter, shigellae, vibrio, etc. |
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Term
Child, watery diarrhea, South America, dehydration.
What is the causative agent? |
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Definition
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Term
Non-bloody "rice-water" stool after travel.
What is the bug? |
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Definition
Vibrio cholera
Recall that this is a comma-shaped bacteria. |
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Term
Water, explosive, cramps, N/V
later: fatty stool, bloating, flatulence, weight loss
What is the bug? |
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Definition
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Term
| List 4 bugs that cause bloody diarrhea. |
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Definition
EHEC
Shigella (mucous + pus)
Campylobacter (pus)
Entamoeba hystolitica (liver) |
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Term
| Very little diarrhea, feer, headache, bradycardia, lymphadenopathy, splenomegaly, rose spots on chest, reactive arthritis. |
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Definition
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Term
| What are three malabsorptive diarrheas? |
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Definition
| Whipples, Ciliac sprue, tropical sprue |
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Term
| Carcinoid tumors, medullary carcinoma of the thyroid, VIPoma, ZE, parathyroid adenoma, and small cell carcinoma of the lung can all cause... |
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Definition
| Hormonal diarrhea: watery stool with moderate to high volume. |
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Term
| Bloody diarrhea WITHOUT steatorrhea can by caused by...? |
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Definition
| Colonic diarrheas such as ulcerative colitis, diverticulitis, ischaemic colitis, carcinoma of the colon, radiation colitis. |
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Term
| Cobblestone mucosa with creeping fat |
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Definition
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Term
| Friable (easy to crumble or break apart) mucosal pseudopolyps |
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Definition
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Term
| Picture the AIDS Diarrhea Chart |
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Definition
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Term
| Woman with diarrhea worse in the morning with crampy pain. Alternating diarrhea and constipation. |
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Definition
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Term
| What is common between Giardiasis, Cryptosporidum, Entamoeba Hystolitica and Cyslopora? |
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Definition
They all cause Persistent duration diarrhea.
Rota virus is acute
Ulcerative colitis is chronic |
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Term
| Your patient comes into the ER exhibiting Kussmaul breathing. A family member says that the patient has had severe diarrhea for several days. What is causing the change in breathing? What is the treatment? |
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Definition
During diarrhea, you lose bicarbonate which leads to metabolic acidosis. Your body tries to compensate by producing respiratory alklyosis aka Kussmaul breathing.
Tx: replace exlyctrolytes and water. |
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