USMLE Forum Archives - USMLE Step 2 CK - infectious q
infectious q
HIV - 01-13-08 21:04
33) A 19-year-old woman Amisha Katel presents with a 2-week history of frequent episodes of loose stools. The symptoms are accompanied by severe fecal urgency, and she has awoken with diarrhea several nights weekly. Over the past week, the stools have become increasingly bloody. A sigmoidoscopy reveals continuous, symmetric inflammation from the anal verge to the proximal sigmoid colon. Which of the following infections is most likely causing this patient's symptoms?
A. Campylobacter jejuni
B. Cryptosporidium
C. Giardia lamblia
D. Herpes simplex
E. Yersinia enterocolitica
HIV - 01-13-08 21:04
33) A 19-year-old woman Amisha Katel presents with a 2-week history of frequent episodes of loose stools. The symptoms are accompanied by severe fecal urgency, and she has awoken with diarrhea several nights weekly. Over the past week, the stools have become increasingly bloody. A sigmoidoscopy reveals continuous, symmetric inflammation from the anal verge to the proximal sigmoid colon. Which of the following infections is most likely causing this patient's symptoms?
A. Campylobacter jejuni
B. Cryptosporidium
C. Giardia lamblia
D. Herpes simplex
E. Yersinia enterocolitica
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#2
Re: infectious q laparotomy - 01-14-08 15:33 A. Campylobacter jejuni. It has sigmoidoscopic findings similar to pseudomembranous colitis caused by C diff.
#3
Re: infectious q laparotomy - 01-14-08 15:33 It cannot be Giardi lambliar because that does not cause bloody diarrhea...
#4
Re: infectious q TheOne - 01-14-08 20:04 
posted by laparotomy on 01-14-08 15:33
It cannot be Giardi lambliar because that does not cause bloody diarrhea...
It cannot be Giardi lambliar because that does not cause bloody diarrhea...
Yup..
#5
Re: infectious q radhamesramos - 01-29-08 13:06 A and E are the only cause ofbloody diarrhea, but this case is typical of C. jejuni which is the most common cause of bloody diarrhea in the U.S
#7
Re: infectious q babbu5508 - 07-07-10 21:59 the clinical picture looks like ulcerative colitis..Proctosigmoiditis. This form involves the rectum and the sigmoid colon. Bloody diarrhea, abdominal cramps and pain and tenesmus are common problems associated with this form of the disease.
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