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11 Cards in this Set
- Front
- Back
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Patient comes in with severe watery diarrhea. The bacteria have colonized the intestinal epithelium and are releasing exotoxins causing less reabsorption of Na and Cl and secreting Cl and HCO3 into the intestine. No fever. Cause?
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ETEC
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Patient comes in with bloody diarrhea with severe abdominal cramps. Bacteria also produces Shiga-like toxin inhibiting the 60S ribosome. Cause?
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EHEC
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Patient coming in with fever, white blood cells in the intestinal wall, and bloody diarrhea. Symptoms are similar to shigellosis. Cause?
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EIEC
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Patient comes in with cramps, diarrhea, a fever. Inflammation by white cells in the intestines. There are some signs of bright red blood and pus in the stool. Cause?
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Shigella
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Patient coming in with fever, headache, and abdominal pain in the right lower quadrant. Said two weeks ago, ate some uncooked meat. There are also rashes on the belly and signs of splenomegaly. Cause?
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Salmonella
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Patient comes in with fever, diarrhea, lymph swelling, and pain in the right lower quadrant. It looks like appendicitis but patient says he ate some bad food. Refrigeration not killing this organism. Cause?
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Yersinia enterocolitica
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Weakness/dizziness 3 months, Microcytic, hypochromic, icterus, pallor, glossitis, spoon shaped nails, hemoccult positive
Serum iron low, ferritin low, TIBC high |
Iron deficiency anemia (blood loss)
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Hematemesis. 30 year old man with >10 episodes/24 hrs. Brown blood on vomiting with dark stools. Occasional hearthburn but no epigastric pain and no NSAIDs. Tachycardic, blood in stool. Anemic, BUN elevated. Lymphocyte infiltration in stomach.
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H. pylori
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Weakness/dizziness 3 days, history of thrombocytopenia, jaundice, spherocytes, bite cells, different shapes/sizes of cells, indirect bilirubin high, low haptoglobin, high LDH, DAT positive.
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Immune hemolytic anemia
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Elevated Hct/Hb/WBC/Platelet. Headache/dizzy for a year. Body itching for months. Splenomegaly. Decreased EPO. JAK2 V617F mutation. Plethoric and cyanotic. Peptic ulceration and heartburn.
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Polycythemia Vera (can lead to bleeding or thrombotic episodes)
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Chronic fatigue, elevated Hb/Hct, smoking, high lipids/BP. EPO elevated (leading to secondary erythrocytosis).
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Polycythemia - Smoking causes pulmonary disease (ie sleep anea possibly) causing appropriate increase in EPO.
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