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What are common causes of N/V associated with gastritis? - 🧠 ANSWER
✔✔Alcohol, NSAIDs, ASA, ABX, and illicit substances
What is the most common cause of nausea and vomiting? - 🧠 ANSWER
✔✔Acute Gastroenteritis (AGE)
What are some manifestations of AGE? - 🧠 ANSWER ✔✔Nausea,
vomiting, and diarrhea, fever, abdominal pain. May also include fatigue,
malaise, anorexia, tenesmus and borborygmus.
,How is the severity of AGE gauged? - 🧠 ANSWER ✔✔Dehydration
secondary to profuse watery diarrhea, fever greater than 101ºF (38.3ºC),
vomiting, or dysentery.
What are important parts of a patient's history when AGE is suspected? - 🧠
ANSWER ✔✔Travel, dining locations, ABX history..
What happens to the pH of the stomach when antacids are taken and how
does this affect bacteria? - 🧠 ANSWER ✔✔High pH can make it easier for
bacteria to survive and cause and infection.
How does motility of the GI tract affect bacteria colonization? - 🧠 ANSWER
✔✔Small bowel stasis as a result of obstruction, diverticulitis, or blind loop
syndrome frequently develop an overgrowth of bacteria within the stagnant
segment.
Which immunoglobulin may protect the GI tract against invading
organisms? - 🧠 ANSWER ✔✔IgA...may also help protect against a future
attack by the same pathogen.
Onset of N/V begin within 6 hours after exposure. Is this bacterial or viral? -
🧠 ANSWER ✔✔Bacterial: time frame suggests food poisoning resulting
from the ingestion of a preformed toxin such as that of Bacillus cereus.
,What two indications are highly suggestive of viral AGE? - 🧠 ANSWER
✔✔Incubation periods greater than 14 hours and the initial symptom of
vomiting.
If a patient presents with AGE and reports bloody stools, what can be
understood about the reason for blood in the stool/ - 🧠 ANSWER
✔✔Mucosal damage and inflammatory process secondary to invasive
pathogens.
What do frothy stools and flatus suggest? - 🧠 ANSWER ✔✔Malabsorption
problem.
Patients with prolonged AGE illness who are malnourished may present
with edema. What is the reason? - 🧠 ANSWER ✔✔Hypoalbuminemia
T or F: Chronic diarrhea usually has a noninfectious etiology. - 🧠 ANSWER
✔✔True
T or F: Acute diarrhea usually is caused by infectious agents or toxins - 🧠
ANSWER ✔✔True
What is the most common viral pathogen causing AGE in adults? - 🧠
ANSWER ✔✔Norovirus
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, What is the most common viral pathogen causing AGE in pediatrics? - 🧠
ANSWER ✔✔Rotavirus. This has been greatly reduced since the
introduction of the rotavirus vaccine.
T or F: Stool studies are indicated in the absence of bloody diarrhea or
systemic disease - 🧠 ANSWER ✔✔False
T or F: A CBC will help distinguish between viral and bacterial AGE - 🧠
ANSWER ✔✔False
When are stool studies warranted? - 🧠 ANSWER ✔✔Severe or prolonged
diarrhea, a fever > 38.5ºC, bloody stools or stools that test positive for
leukocytes or occult blood.
What are common pathogens involved in Traveler's Diarrhea? - 🧠
ANSWER ✔✔Shigella, Campylobacter, and E. coli.
What should the clinician do if the patient develops diarrhea after initiation
of completion of antibiotic therapy? - 🧠 ANSWER ✔✔Test for C. diff.
What are some DDx of AGE, particularly in patients with persistent or
chronic diarrhea and severe abdominal pain? - 🧠 ANSWER ✔✔IBS, IBD,