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21 Cards in this Set
- Front
- Back
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Patient ate at a salad bar and has been showing the following symptoms for 4 weeks: high fever, severe headache, vomiting, diarrhea. What is your diagnosis? |
Typhoid Fever- caused by Salmonella Typhi. |
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Patient has been experiencing a fever, headache, some vomiting, and diarrhea for about two weeks but has no abdominal cramping. Remembers eating raw seafood prior to getting sick. What is your diagnosis? |
Enteric fever- caused by Salmonella Paratyphi. |
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Patient has nausea, aggressive vomiting, diarrhea and abdominal cramping. They just returned from a Caribbean cruise three days ago. What is your diagnosis? |
Norovirus/Norwalk Virus |
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Patient has nausea, vomiting, abdominal cramping, sweating and some diarrhea. Admits they got sick while picnicking with friends that same day. What is your diagnosis? What diagnostic tool could you use to confirm? |
Staphlyococcal gastroenteritis. Caused by Staphylococcus aureus. *Check fibrinogen levels in blood. |
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Vegetarian patient who eats mainly plant-based diet (leafy greens, sprouts, in-season fruit and ciders) is concerned with bloody stool and severe abdominal cramping they have been experiencing for the last 5 days. What is your diagnosis? What should you monitor them for? |
Hemorrhagic colitis caused by Escherichia coli (probably E. coli O157:H7).
Need to monitor RBC levels, and test for Shigatoxin in blood- 5-10% of patients develop Hemolytic Uremic Syndrome, which is fatal. |
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Patient presents with severe GI issues- diarrhea, abdominal cramping, chills, fever, vomiting, a headache and dehydration. Has been symptomatic for 2 days. Thinks they might have ate questionable slow-cooker chicken a few days ago. What is your diagnosis? What is the most common M/O? |
Salmonellosis with gastroenteritis. Most commonly caused by Salmonella Enteritidis |
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Patient comes in to be treated for flu-like symptoms. Admits they were sick a week earlier with nausea, vomiting and a fever and that the fever never went away. What is your diagnosis? What diagnostic method do you use to confirm? |
Listerosis by Listeria monocytogenes. Need to do a cell culture of blood or cerebrospinal fluid to confirm. |
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Young child comes in with a severely distended stomach and cramps- parent complains of rapid onset of watery diarrhea. Child hasn't been sick for more than a day but parent concerned with symptoms. What is your diagnosis? What reassurance can you offer the parent? |
Clostridium perfringens gastroenteritis -reassure parent that symptoms will go away within 24hours :) |
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Japanese man comes to doctors' office after beginning to vomit profusely a few hours earlier after eating a lunch consisting mainly of cooked rice and meat. What is your diagnosis? |
Emetic type Bacillus cereus illness.
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Older gentleman comes in complaining of nausea, fatigue, blurred vision and constipation. He doesn't think its a foodborne illness though because his diet is based on things he grows in his garden or cans himself. What is your diagnosis? Why is rapid treatment important? |
Classic Botulism- caused by Clostridium botulinum (Group I or Group II- can't tell unless food indicated- eg: was it shelf-stable? (group I), refrigerated (group II). *Rapid treatment with antisera or enema/emetic substances necessary because neurological damage is permanent and loss of respiratory function leads to death. |
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Wheat farmer is complaining of burning and tingling in his fingers like they are on fire. What could be wrong? |
Gangrenous ergotism from Claviceps purpurea contamination of wheat. |
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Patient comes in after a Halloween Party with severe GI issues (vomiting, diarrhea, etc), but also is complaining of feeling tired, headaches and odd bruising. They remember eating homemade pumpkin pie and sprouted grains at the party. What is your diagnosis? Why is immediate treatment necessary? |
Patient has Alimentary Toxic Aleukia (gastroenteritis, anemia and hemorrhagic bruising). Caused by Type A trichothecene T-2 Toxin, found on brown rot of citrus and grains exposed to humidity. *Immediate treatment is necessary because its fatal 80% of the time. |
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Person comes in with their pet dog- dogs abdomen is swollen and owner noticed a large amount of blood in the dog's feces. Patient hasn't changed the dog's food and only feeds them the highest quality grain-based diet. Whats wrong with the dog? |
Dog has eaten aflatoxin-containing dog food- probably produced by Aspergillus flavis. |
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Serbian patient is complaining of kidney pain when urinating. What disease could be causing their symptoms? |
Ochratoxin A- causes Balkan Endemic Nephropathy. Produced by Aspergillus ochraceus. |
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Patient comes in a few days after returning home from backpacking through India. They have severe diarrhea, gas, cramping and embarrassingly noticed that their stool seems to float. What is wrong with this world traveler?? What advice would you offer them? |
Giardiasis caused by Giardia intesinalis. Don't drink the local water. |
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A mother brings in her daughter whose been experiencing severe watery diarrhea, abdominal cramping, nausea and vomiting, fever for the past week. The child is losing weight. The mother thinks she caught something from their public pool. What do you tell the mother? What does the daughter have? |
Child has Cryptosporodiosis- caused by Cryptosporodiosis infection of the epithelial lining of the small intestine. Daughter probably caught it by accidentally swallowing infected water at public pool. |
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Patient comes in with the worst diarrhea of their life. It just started about 8 hours ago and the only thing they have had to eat was a pudding in the morning. What could the patient have? |
Bacillus cereus Diarrheal type illness. Caused by the ingestion of vegetative cells in foods (meat, soup, puddings, milk..) and toxin formation in the intestine. |
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Your patient earlier diagnosed with Typhoid Fever isn't responding to their treatment.. this leads you to realize the infection was caused by what? |
Salmonella Typhimurium DT-104 or DT-204, multidrug resistant strain. |
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You decide to give your pet rat Rufus some apple juice for his birthday. To your horror Rufus begins to convulse uncontrollably and seems to be having difficultly breathing. What did you just feed Rufus? |
Patulin mycotoxin- formed by Penicillium expansum and associated with apple juice. |
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MoonStar, the hippie, comes into the office complaining of experiencing hallucinations after her weekly foraging trip into the woods for "natural foods". What did MoonStar ingest? |
The alkaloid mycotoxin Ergot and is now experiencing Convulsive ergotism. |
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Patient comes in with kidney pain and admits that they recently started taking a "Red Yeast Rice" Traditional Chinese Medicine supplement. What mycotoxin could they have ingested? Why the kidney pain? |
Citrinin formed by Penicillium citrinum and some Monascus spp. Monascus spp. added to fermented rice products including "Red Yeast Rice" supplements. -Citrinin is acutely toxic to the kidneys- nephrotoxin. |
