Gastroenterology & Hepatology — Flashcards

Flashcard 521: Hepatitis A resolution phase lasts up to _____ & can presents with malaise & hepatic tenderness

Answer: 6 months

Flashcard 522: Hepatitis A presents with _____ pain

Answer: RUQ

Flashcard 523: What initial investigations should be done for hepatitis B? _____

Answer: Hepatitis B serology, LFTs, & ultrasound

Flashcard 524: There are 3 main types of hepatitis B; _____ & Fulminant, Chronic

Answer: Acute

Flashcard 525: Hepatitis A usually lasts < _____

Answer: 3 months

Flashcard 526: _____ may be considered in patients who have had at least two recurrences of C.diff infection (i.e. 3rd episode or more)

Answer: Faecal transplant

Flashcard 527: C. diff is a gram-_____

Answer: positive rod

Flashcard 528: Aside from antibiotics, what other medication increases risk of C. diff? _____

Answer: PPIs

Flashcard 529: People who have had a C. diff infection should stay away from work or school until they have been diarrhoea free for _____

Answer: 48 hrs

Flashcard 530: What is the management of recurrent C. diff within _____? Stop current ABX if possible & Oral fidaxomicin

Answer: 12 weeks

Extra: According to IDSA/SHEA guidelines, the first recurrence of C. diff (within 8-12 weeks) is ideally managed with Fidaxomicin (200 mg BID for 10 days) if Vancomycin was used for the initial episode. If Fidaxomicin was used initially, Vancomycin in a tapered/pulsed regimen is an alternative.