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11 Cards in this Set

  • Front
  • Back
4 causes of infectious "outbreaks"?

#1 cause of non-bloody diarrhea in pediatric pts:

Most worrisome type of diarrhea in pediatrics? Why?
person-person, Abx use, traveling, immunosuppressed

Rotavirus

Bloody, afebrile diarrhea
possibly severe causes
most likely cause of febrile, non-bloody diarrhea:

febrile, bloody diarrhea:

afebrile, non-bloody diarrhea:
infection

infectious enteritis, amebiasis - travel, IBD

viral GE, food intolerance, overfeeding, Abx use
Chronic diarrhea:
delayed meconium plug, abd distension, constipation:

delayed meconium plug, abd pain, poor weight gain, recurrent respiratory problems:

Thrush, poor growth, recurrent serious infections:
Hirschprung's

CF

HIV
normal growth, high intake of concentrated carbohydrates (fruit juices), may be related to minor viral syndromes:

Can lead to short term _________ or __________ deficiency.
Toddler's diarrhea

lactase
fructase
11 mo. infant, irritability/vomiting, non bilious emesis; dry oral mucosa, poor turgor, cap refill > 3 sec., oval-shaped mass, RUQ, currant-jelly stools, occult blood +:

classic sign on BE?
intussusception

coiled spring
common causes of GI bleeds in children <2 y/o?

common causes of GI bleeds, > 2 y/o?
intussussception, Meckel's bacterial enteritis

NSAID's, baceterial enteritis, Meckel's Mallory-Weiss
6 y/o pt, fever, diarrhea, decreased appetite, vomiting this am, 102 temp, sits w/ R leg flexed, R side rebound tenderness, CBC elevated w/ left shift:

Rovsing's sign?

Obturator sign? Iliopsoas sign?
appendicitis

RLQ pain w/ L side palpation

hips flexed, internally rotated causes pain

pain on extension of R hip
8 y/o, frequent loose stools, pungent yellow-green stools:

#1 tx for diarrhea?

How to prevent rotavirus?

S/S of rotavirus?
Rotavirus

fluid replacement

HANDWASHING!

emesis, smelly watery diarrhea, elevated AST, possible intestinal cell damage
7 mo. infant, intermittent diarrhea, recent bloody stools, 102 fever, multiple small stools, family been sick:

Which bacteria responsible for Guillain-Barre syndrome?

can get by eating eggs, poultry, H2O, exotic pets (like turtles)
Campylobacter

C. jejuni

Salmonella
Most common cause of acute renal failure, recurrent diarrhea, *little or no fever*, generalized tenderness:

recurrent diarrhea, not bloody, initially watery, foul smelling, now bloating, cramps, weight loss, fever, other kids at school/daycare sick:
EHEC O157:H7

Giardia
from salads, cool foods, person-person, often at daycare, small # for infection:
Shigella