A 52-year-old man has intractable non-bloody diarrhoea and fever for 2 days while taking amoxicillin-clavulanate, with diffuse abdominal tenderness. What is the diagnosis?
سؤال مجاني 2 من 10 اليوم · اشترك وكمّل بدون حد
اعرض الإجابة
الإجابة والشرح
ادخل لحسابك عشان نحفظ إجاباتك ونوريك أخطاءك.
الإجابة: B. Pseudomembranous colitis
Fever and diarrhoea developing while on an antibiotic (amoxicillin-clavulanate) is antibiotic-associated C. difficile infection - pseudomembranous colitis. C. diff is listed as an important side effect of penicillins, and antibiotic-associated diarrhoea is due to C. difficile toxin. Simple gastroenteritis lacks the antibiotic link; pancreatitis and ischaemic colitis do not fit.
ليش كل خيار صح أو غلط
-
A
ليش غلط
Acute pancreatitis causes epigastric pain that can radiate to the back, worse lying flat and better leaning forward. This man instead has fever and diarrhea that began while taking an antibiotic.
✓ 13• Pancreatitis [Notes].pdf · p. 2 -
B
ليش صح
C. difficile is the most common cause of diarrhea after antibiotic use and causes pseudomembranous colitis. It rarely causes bloody diarrhea, which fits this non-bloody picture.
✓ Gastrointestinal 🍽.pdf · p. 9 -
C
ليش غلط
Diarrhea that starts while taking an antibiotic is antibiotic-associated diarrhea caused by C. difficile toxin, rather than ordinary infectious gastroenteritis.
✓ Diarrhea & GI malabsorption.pdf · p. 5
- المصدر
- Diarrhea & GI malabsorption.pdf · p. 5
Gastrointestinal 🍽.pdf · p. 9 - المحاضرة
- Antimicrobials · Infectious Diseases · Module B
- ظهر في
- MED41 ♂ EOM B