Gi Infections Iii

Front 1

a. Why do we vaccinate against mumps?

Back 1

i. It can cause:
1. Orchitis
2. Oophoritis
3. Meningitis
4. Encephalitis
5. Deafness

Front 2

b. How can mumps present in preschool children?

Back 2

i. Lower respiratory tract infection

Front 3

i. When does parotitis tend to occur with mumps?

Back 3

1. First 2 days

Front 4

ii. What is the presentation of mumps?

Back 4

1. Earache
2. Tenderness of palpation of angle of the jaw

Front 5

i. What is the most common complication of mumps in postpubertal males?

Back 5

1. Orchitis

Front 6

ii. Does orchits/oophoritis impair fertility?

Back 6

1. No

Front 7

iii. When will mumps lead to fetal death?

Back 7

1. 1st trimester

Front 8

i. How do you dx mumps?

Back 8

1. Clinically→ parotitis is NOT warm
2. Isolate virus from saliva, urine, and CSF
3. EIA for IgM and IgG

Front 9

ii. When will a mumps patient be IgM positive?

Back 9

1. In first couple of days

Front 10

iii. How will you know if a mumps patient is IgG positive?

Back 10

1. Requires 2 samples 2 weeks apart

Front 11

a. What causes acute bacterial parotitis?

Back 11

i. S. aureus

Front 12

b. What are the manifestations of acute bacterial parotitis?

Back 12

i. Swelling of salivary glands
ii. Chewing increases pain
iii. Skin is WARM
iv. Purulent saliva following massage

Front 13

a. What is the most common cause of infectious esophagitis?

Back 13

i. C. albicans

Front 14

b. What are the common causes of infectious esophagitis?

Back 14

i. C. albicans
ii. CMV
iii. HSV
iv. HIV
v. VZV

Front 15

c. What are the manifestations of infectious esophagitis?

Back 15

i. Dysphagia
ii. ODYNDOPHAGIA
iii. Heartburn, retrosternal discomfort or pain
iv. Nausea, vomiting

Front 16

d. How do you dx infectious esophagitis?

Back 16

i. Odynophagia→ unique to esophagitis
ii. EGD to see and biopsy the esophagus

Front 17

e. What does C. albicans cause in infectious espophagitis?

Back 17

i. Plaques in esophagus→ creamy white or pale yellow
ii. Usually presents with thrush
iii. Get on slide, look for yeast

Front 18

f. How would you diagnose infectious esophagitis caused by HSV?

Back 18

i. ABRUPT ONSET
ii. Early lesions→ small vesicles middle to distal esophagus
iii. Later lesions→ ulcers with raised edges-- “volcano lesions”
iv. Biopsy edge of lesions→ giant cells

Front 19

g. How would you dx infectious esophagitis caused by CMV?

Back 19

i. GRADUAL ONSET OF SYMPTOMS
ii. Only occurs in IC hosts
iii. Large shallow ulcer or multiple discrete lesions at distal end of esophagus
iv. EGD biopsy to culture

Front 20

h. How would you dx infectious esophagitis caused by HIV?

Back 20

i. Multiple thrush-like lesions
ii. Occurs during primary HIV infection
iii. Later→ giant deep ulcers
iv. Fistula formation

Front 21

i. How would you dx infectious esophagitis caused by VZV?

Back 21

i. Skin lesions consistent with chickenpox or shingles

Front 22

a. What is the most common cause of chronic active gastritis and peptic ulcer disease?

Back 22

i. H. pylori

Front 23

i. What are the manifestations of chronic active gastritis?

Back 23

1. Pain or discomfort in pit of stomach
2. Pain felt in upper abdomen
3. Pain travels from belly to back
4. Belching, nausea, vomiting
5. Burning, gnawing, sore, vague discomfort

Front 24

ii. What will a critically ill patient with chronic active gastritis look like?

Back 24

1. Pale and sweaty
2. Possible tachycardia
3. Hematemesis
4. Bloody or dark sticky, foul smelling stools

Front 25

i. What are the manifestations of peptic ulcer disease?

Back 25

1. Gnawing or burning pain in the epigastrium
2. Bleeding→ anemia, weakness, fatigue
3. Hematemesis, melena

Front 26

ii. How can you identify a gastric ulcer?

Back 26

1. Pain made worse by eating

Front 27

iii. How can you identify a duodenal ulcer?

Back 27

1. Pain relieved by eating or antacids

Front 28

d. How do you dx disorders caused by H. pylori?

Back 28

i. Common signs and symptoms
ii. Serological test
iii. Urea test
iv. Endoscopy and biopsy
v. Stool EIA antigen test