CanadiEM Podcasts: CRACKCast, ClerkCast, CarmsCast, First Year Diaries

CRACKCast E173 – Infectious Diarrheal Disease and Dehydration

April 30, 2018

Core Questions:

1) What are three pathophysiologic types of diarrhea? Give an example of a cause for each.

2) List 6 common causes of childhood infectious diarrhea in developed countries.

3) List 5 important differential diagnoses of diarrhea in children.

4) List 5 important differential diagnoses of vomiting in children.

5) When should you initiate a medical evaluation of children with acute diarrhea?

6) Describe the typical presentation of:

  • Rotavirus
  • Norovirus
  • Salmonella
  • Shigella
  • Yersinia
  • E. Coli
  • C. Difficile

7) List routine and high risk treatment recommendations for common bacteria causing acute infectious diarrhea in children:

  • Salmonella non-typhi
  • Salmonella typhi
  • Shigella
  • Campylobacter jejuni
  • Yersinia enterocolitica
  • C. Difficile
  • Vibrio cholerae
  • Vibrio parahaemolyticus
  • E. Coli

8) List the presenting features and treatments for three common protozoa causing infectious diarrhea in children.

9) Define and describe your diagnosis and management approach to dehydration that is:

  • Mild
  • Moderate
  • Severe
  • Associated with Hypo/Hypernatremia

Wisecracks:

1) Name 5 causes of bloody diarrhea.

2) Other than vomiting and diarrhea from infectious gastroenteritis, list 6 causes of volume depletion.

3) Name the components of the Gorelick scale.

4) What’s the 4-2-1 rule?

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