USMLE Forum Archives - USMLE Step 2 CK - Diarrhoea After A Course of Amoxycillin
Diarrhoea After A Course of Amoxycillin
adonis123 - 01-06-11 09:13
A 65 year-old woman in a nursing home had a course of amoxycillin for 7 days for an upper respiratory tract infection.She developed severe watery and mucoid diarrhoea after 2 days of treatment and these symptoms persist alongwith crampy abdominal pain associated with frequent urgent call to stool,fever and nausea with intermittent vomiting.In addition to cessation of amoxycilin,which of the following is the most appropriate treatment?
A.Monitor progress without further antibiotics.
B.Commence Metronidazole
C.Commoence Vancomycin
D.Commence Chloamphenicol
E.Commence Ciprofloxacin
adonis123 - 01-06-11 09:13
A 65 year-old woman in a nursing home had a course of amoxycillin for 7 days for an upper respiratory tract infection.She developed severe watery and mucoid diarrhoea after 2 days of treatment and these symptoms persist alongwith crampy abdominal pain associated with frequent urgent call to stool,fever and nausea with intermittent vomiting.In addition to cessation of amoxycilin,which of the following is the most appropriate treatment?
A.Monitor progress without further antibiotics.
B.Commence Metronidazole
C.Commoence Vancomycin
D.Commence Chloamphenicol
E.Commence Ciprofloxacin
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#1
Re: Diarrhoea After A Course of Amoxycil babbu5508 - 01-06-11 11:29 hmm...the diagnosis is likely pseudomembranous enterocolitis and the treatment of choice is B.Commence Metronidazole............
#3
Re: Diarrhoea After A Course of Amoxycil babbu5508 - 01-12-11 12:56 please post the answer adonis...
#4
Re: Diarrhoea After A Course of Amoxycil
adonis123 - 01-18-11 06:49 The correct answer is:
B.Commence Metronidazole
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