Lisa Id 1- 13 - Diarrhea, Etc

Front 1

HIV pts, immunocompromised, Tachpnea, desats, fever, diffuse b/L pulm infiltrates
-cz, How dx, tx ?

Back 1

PCP; BAL!!!-definiftve: opene lung biopsy, transbronchial biopsy Bactrim IV -2 weeks, for no HIV pts; 3 wks for HIV pts

Front 2

Hemolytic anemia (microangiopathic, nonimmune so NEG coombs), Acute renal failure; Thrombocytopenia
Preceded by gastroenteritis!/bloody diarrhea
-oliguria/anuria; blood smear : schistocytes, burr cells; UA: hematuria/proteinuria

Back 2

HUS; tx pRBC, anemia, plt, fluids
-

Front 3

? cz of HUS?

Back 3

cz: E.coli O157:H7: neutrophils transport shiga toxin to renal endothelial cells: where cellular injury occurs/shiga toxin binds to receptor->injury→ sx;
-sometimes cz by antbx started for E.coli Gastro

Front 4

tx of head lice

Back 4

1) permethrin
2) resistance: malathion

Front 5

“strep like infection “ w/ neg strep results
-F, pharyngeal exudate, cervical lymphadenopathy
-scarlatinfiorm/maculopapular /pruritic rash
-spares, hands, palms, face; Grm + bacillus; neg strep
-cz and tx?

Back 5

Arcanobacterium haemolyticum
tx: erythromcyin

Front 6

Gm positive bacillus
-unimmunized pts Grey exudate – back of throat;
- ? Cz/tx?

Back 6

C. diphteriae;
tx- antiserum; antitoxin
 Erthromycin
 -PCN x 14 days or PCN

Front 7

Cz of osteoarticular infx kids < 5; most common kids < 2 yo -grm negative coccobacillus; distal femur-most affected bone; knee, hip, ankle-diskits, bacteremia, endocarditis in those w/ underlying cardiac, diz, mengitis,"", PNA
-cz, tx?

Back 7

Kingella Kingae; cefotaxime

Front 8

-FTT, short stature, anemia due to chronic blood loss, inability to absorb iron;
1+ protient (Vs. nephroic 3+ protein)
-Hypoproteinuria: → swollen hands/feet Eggs in stool 5-10 wks after infx

Back 8

Hookworm infx; Anylostoma duodenale, necator americanus

Front 9

list Watery Diarrhea – Nonbloody;

Back 9

GNCCSERVB: Norovirus
Giardia, Cryptosporidium,Staph aerues.
C. Perfringes, E. coli (enterotox), Rota
Vibrio cholera,Bacillus Cereus

Front 10

no fever, small bowel, upper abd pin, few stool wbc; nl wbc;

Back 10

Watery Diarrhea

Front 11

Older kids, adults: >5 y
Incub: 1-2 days Epidemics: schools, cruise shipts, est; ~ ~shellfish, salad; winter vomiting diz;

Back 11

Norovirus

Front 12

Water, travel; daycare; Flatulence, foul smelling
cz tx?

Back 12

Giardia; metronidazole

Front 13

cz tx?-recreational water use; summer
incub:7 days, mo. Watery diarrhea x wks, F, V, anorexia, abd pain; Immunocompromised: HIV (mo-yrs)
*oocytes in stool
**avoid swimming? long ;

Back 13

Cryptosporidium; Nitazoxanide
avoid swimming 2 wks after diarrhea stops

Front 14

1-6 hr incub; Egg, potato sald, pastries, ham ;dairy maynoise

Back 14

Staph aerues.

Front 15

8-16 hr incub Severe diarrhea; cramps; contam meat/poultry gravies Mexican style food;
NO vomiting; prominent cramps!!

Back 15

C. Perfringes

Front 16

cz, tx?Traveler’s diarrhea

Back 16

E. coli (enterotox); Quinolones, azithro

Front 17

Most common <2!! Incub 2-4 d; daycare; oct-april; prominent vomiting

Back 17

Rota

Front 18

cz, tx? Rice water, voluminous

Back 18

Vibrio cholera; Cipro, azth, doxy, bactrim

Front 19

Reheated rice, meat, veg Brief illness

Back 19

Bacillus Cereus

Front 20

cz of Bloody diarrhea

Back 20

(*yeesscc) Yersinia
E.coli; 051H7,Entobmeaba histolytic
Salmonella non typhoid/s. enteriditis, Salmonella. tyhpi
Shigella
C. difficile
campylobacter

Front 21

+ fever, mucousy, lower abd cramps; many stool WBC; peripheral Leukocytosis

Back 21

bloody diarrhea ; (*yeesscc) Yersinia
E.coli; 051H7,Entobmeaba histolytic
Salmonella non typhoid/s. enteriditis, Salmonella. tyhpi
Shigella
C. difficile
campylobacter

Front 22

Inc: 4-6 d; food (pork); animlas./pet farm; older “appy”; arthritis older kids; ? else at risk

Back 22

Yersinia; ubjects w/ excess iron stores: thal;hemochromastosis,

Front 23

Daycare, pet zoo;; dairy farms, swim; ~intussuception; toxin→HUS: microangiopathic hemolytic anemia, low plt, acute RF; cz, tx?

Back 23

E.coli; 051H7; NO ANTBX-worsenes case, risk

Front 24

Tzmt: eggs, chickns, red meat, unpas milk, veg; eptiles Bacteremia, osteo; meningitis, abscesses Hi risk: sicklecle, asplenia HIV
0-cz, tx?

Back 24

Entobmeaba histolytic;metroninadozale

Front 25

Tx: eggs, chickns, red meat, unpas milk, veg; eptiles Bacteremia, osteo; meningitis, abscesses Hi risk: sicklecle, asplenia HIV

Back 25

Salmonella non typhoid/s. enteriditis

Front 26

when and how tx salmonella non typhoid

Back 26

Only tx if immnocompr, < 3mo, hemoglobinapathies: bactrim, 3rd cephalosporin; quinolones;

Front 27

-7-14 d; humans-resoivor; transm by food/water contam by carrier; travel
-F-pulse dissoc: low pulse, high fever; typhoid F: gradual onset, F, HA, abd pain, HPM, SPM; rose spots
-cz/tx?

Back 27

Salmonella. tyhpi;
-tx : Quinolones, azithro; 3d cephalosporin;

Front 28

- Inc:1-4 d; pers-person;daycare, travel; 1-5 yo Watery diarrhea→seizures;

Back 28

Shigella;
tx: Quinolones, azithro, ceftriaxone

Front 29

Hx meds: clinda, cephalsopronis, pcn Bloody D, F, Cramps; Psuedomembranous colitis
-cz, dx, tx?

Back 29

C. difficile; Stop meds tx: metronidazole/vanc
-Dx: toxin

Front 30

Inc: 1-7 d; poultry, unpas milk; day care; farm animals, cats; dogs ~GBS,

Back 30

campylobacter

Front 31

what diarrhea does bactrim treat?

Back 31

shigella, salmonella, E.coli!!