Answer Dehydration secondary to profuse waterydiarrhea, fever greater than 101ºF
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(38.3ºC), vomiting, or dysentery.
5. What are important parts of a patient's history when AGE is suspected?
Answer -
Travel, dining locations, ABX history..
6. 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 andcause and infection.
7. How does motility of the GI tract affect bacteria colonization?
Answer Small bowelstasis as a result of obstruction, diverticulitis, or blind loop
syndrome frequently develop an overgrowth of bacteria within the stagnant
segment.
8. Which immunoglobulin may protect the GI tract against invading organ-
isms?
Answer IgA...may also help protect against a future attack by the same pathogen.
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9. 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 apreformed toxin
such as that of Bacillus cereus.
10. What two indications are highly suggestive of viral AGE?
Answer Incubation peri-ods greater than 14 hours and the initial symptom of
vomiting.
11. 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 andinflammatory process secondary to invasive
pathogens.
12. What do frothy stools and flatus suggest?
Answer Malabsorption problem.
13. Patients with prolonged AGE illness who are malnourished may present
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with edema.What is the reason?
Answer Hypoalbuminemia
14. T or F
Chronic diarrhea usually has a noninfectious etiology.
Answer True
15. T or F
Acute diarrhea usually is caused by infectious agents or toxins
Answer True
16. What is the most common viral pathogen causing AGE in adults?
Answer -
Norovirus
17. What is the most common viral pathogen causing AGE in pediatrics?
Answer Ro-tavirus.This has been greatly reduced since the introduction of the
rotavirus vaccine.
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