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1. What are common Alcohol, NSAIDs, ASA, ABX, and illicit substances
causes of N/V asso-
ciated with gastritis?
2. What is the most Acute Gastroenteritis (AGE)
common cause of
nausea and vomit-
ing?
3. What are some Nausea, vomiting, and diarrhea, fever, abdominal pain. May also include
manifestations of fatigue, malaise, anorexia, tenesmus and borborygmus.
AGE?
4. How is the severity Dehydration secondary to profuse watery diarrhea, fever greater than 101ºF
of AGE gauged? (38.3ºC), vomiting, or dysentery.
5. What are important Travel, dining locations, ABX history..
parts of a patient's
history when AGE is
suspected?
6. What happens to High pH can make it easier for bacteria to survive and cause and infection.
the pH of the stom-
ach when antacids
are taken and how
does this affect bac-
teria?
7. How does motility Small bowel stasis as a result of obstruction, diverticulitis, or blind loop
of the GI tract af- syndrome frequently develop an overgrowth of bacteria within the stagnant
fect bacteria colo- segment.
nization?
, Chamberlain NR 511 Midterm
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8. Which im- IgA...may also help protect against a future attack by the same pathogen.
munoglobulin may
protect the GI tract
against invading or-
ganisms?
9. Onset of N/V begin Bacterial: time frame suggests food poisoning resulting from the ingestion
within 6 hours af- of a preformed toxin such as that of Bacillus cereus.
ter exposure. Is this
bacterial or viral?
10. What two indica- Incubation periods greater than 14 hours and the initial symptom of vomiting.
tions are highly sug-
gestive of viral AGE?
11. If a patient presents Mucosal damage and inflammatory process secondary to invasive pathogens.
with AGE and re-
ports bloody stools,
what can be under-
stood about the rea-
son for blood in the
stool/
12. What do frothy Malabsorption problem.
stools and flatus
suggest?
13. Patients with pro- Hypoalbuminemia
longed AGE illness
who are malnour-
ished may present
with edema. What is
the reason?
, Chamberlain NR 511 Midterm
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14. T or F: Chronic di- True
arrhea usually has a
noninfectious etiol-
ogy.
15. T or F: Acute di- True
arrhea usually is
caused by infectious
agents or toxins
16. What is the Norovirus
most common vi-
ral pathogen caus-
ing AGE in adults?
17. What is the Rotavirus. This has been greatly reduced since the introduction of the ro-
most common vi- tavirus vaccine.
ral pathogen caus-
ing AGE in pedi-
atrics?
18. T or F: Stool studies False
are indicated in the
absence of bloody
diarrhea or systemic
disease
19. T or F: A CBC will False
help distinguish be-
tween viral and bac-
terial AGE
, Chamberlain NR 511 Midterm
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20. When are stool Severe or prolonged diarrhea, a fever > 38.5ºC, bloody stools or stools that
studies warranted? test positive for leukocytes or occult blood.
21. What are common Shigella, Campylobacter, and E. coli.
pathogens involved
in Traveler's Diar-
rhea?
22. What should the Test for C. diff.
clinician do if the pa-
tient develops diar-
rhea after initiation
of completion of an-
tibiotic therapy?
23. What are some DDx IBS, IBD, ischemic bowel disease, partial bowel obstruction, small bowel
of AGE, particularly diverticulosis.
in patients with per-
sistent or chronic di-
arrhea and severe
abdominal pain?
24. What are some red Hypovolemia, dehydration, abnormal electrolytes, decreased renal function,
flag symptoms that bloody stool/rectal bleeding, weight loss, severe abdominal pain, prolonged
may indicate the symptoms greater than 1 week, pregnancy, advanced age, history of hospi-
need for hospitaliza- talization or antibiotic use in the last 3-6 months.
tion?
25. What is the usual Only supportive treatment is initiated since AGE is usually self-limiting and
course of treatment resolves within 1 week after onset of symptoms.
for AGE?
26.