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17 Cards in this Set
- Front
- Back
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4 causes of infectious "outbreaks"?
#1,2,3 cause of non-bloody diarrhea in pediatric pts: Most worrisome type of diarrhea in pediatrics? Why? |
person-person, Abx use, traveling, immunosuppressed
Rotavirus, Giardia, HeEp-2 cell adherent E.Coli Bloody, afebrile diarrhea possibly severe causes (intussusception, Hem uremic syndrome, pseudomembranous colitis) |
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most likely cause of
1. febrile, non-bloody diarrhea: 2. febrile, bloody diarrhea: |
1. infection- most often viral
2. . infectious enteritis, amebiasis - travel, IBD |
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afrebrile bloody most likely cause
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Intussception, Hemolytic Uremic Syndrome, Psuedomembranous colitis
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3. afebrile, non-bloody diarrhea:
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3. viral GE, food intolerance, overfeeding, Abx use
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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 |
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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 |
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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 Barium Enema? |
intussusception
coiled spring |
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common causes of GI bleeds, neonate?
common causes of GI bleeds in children <2 y/o? common causes of GI bleeds, > 2 y/o? |
ingested Maternal blood, allergic colitis (lactose intolerance)
intussussception, Meckel's bacterial enteritis NSAID's, baceterial enteritis, Meckel's, Mallory-Weiss |
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Treatment of intussusception in Peds?
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Radiologic hydrostatic reduction if unsuccessful surgery
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1. What is a risk factor for intussusception?
2. Specific for > 2yrs? |
1. or old rotatvirus, Gastroenteritis (Peyer patches)
2. Polyp – Meckel diverticulum – Neurofibroma – Hemangioma • CF |
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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 |
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8 y/o, frequent loose stools, pungent yellow-green stools, winter months:
#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 |
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7 mo. infant, intermittent diarrhea, recent bloody stools, mucusy, 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 |
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from salads, cool foods, person-person, often at daycare, small # for infection:
What is common finding? |
Shigella- seizures, <4 yrs, major at daycare
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Which bacteria has shigella toxin?
What is it also responsible for? |
Enterohemorrhagic Escherichia coli (0157:H7) (EHEC)
60% under age 10, visibly bloody diarrhea with no fever - Responsible for hemolytic uremic syndrome |
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Most common cause of acute renal failure in US peds, recurrent diarrhea, *little or no fever*, generalized tenderness:
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EHEC- enterohemorrhagic Escherichia coli
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recurrent diarrhea, not bloody, initially watery, foul smelling, now bloating, cramps, weight loss, fever, other kids at school/daycare sick WBC+:
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Giardia
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