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Clostridium Difficile Enteritis

by Carlo Raj, MD
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    00:01 Infections of the GI continue.

    00:03 Pseudomembranous colitis is the complication of the bacteria, C. diff.

    00:08 Meaning to say in a hospital setting, the patient was given antibiotics, all the competitors with C. diff. were killed off.

    00:15 The bacteria that ends up on top of the mountain is your C. diff.

    00:19 causing pseudomembranous colitis.

    00:21 Diarrhea, fever, leukocytosis, complications you are worried about, megacolon imperforation. And so therefore, colonoscopy shows pseudomembranes.

    00:35 Your diagnosis based on toxin assay.

    00:37 The treatment for C. diff. would in fact be metronidazole or perhaps oral vanco but your drug of choice even to this day would be metronidazole.

    00:47 Occurs in 15%, requires prolonged antibiotics for Clostridium difficile as our topic.

    00:55 Let?s go ahead and take a look at that pseudomembranous colitis and if you would then take a look at the colon here, you would notice here that it looks like a pseudomembrane and perhaps it looks like a ulcerative colitis and company but it?s not, it?s a pseudomembrane.


    About the Lecture

    The lecture Clostridium Difficile Enteritis by Carlo Raj, MD is from the course Small and Large Intestine Diseases.


    Included Quiz Questions

    1. Abnormally large dilated bowel loops
    2. Twisted bowel
    3. Diverticular shadow
    4. Multiple polypoidal masses
    5. A nodule like area at the junction pylorus and 1st part of duodenum
    1. Clostridium Difficle
    2. Vibrio cholerae
    3. E. coli
    4. Salmonella typhae
    5. Botulinum toxin
    1. Surgical resection is the treatment of choice.
    2. Antibiotics kill all other competitive bacteria and allow clostridium difficle to form pseudomembranes.
    3. Colonoscopy biopsy aids in diagnosis.
    4. Bacterial toxin assay aids in diagnosis.
    5. Prolonged usage of antibiotics causes pseudomembranous colitis.

    Author of lecture Clostridium Difficile Enteritis

     Carlo Raj, MD

    Carlo Raj, MD


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