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  #1  
Old 01-27-2013
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Default GIT question 2

A 82-year-old woman is in the surgical intensive
care unit after a carotid endarterectomy.
She has been taking clindamycin and ciprofl
oxacin for the past 13 days. On postoperative
day 2 the patient is febrile and tachycardic with
a high WBC count and a low RBC count. She
is also noted to be dehydrated and hypotensive.
On physical examination she is distended and
has abdominal tenderness with rebound and
guarding. Barium enema reveals colonic dilatation
of 8 cm. Stool is sent for Gram stain and
analysis for fecal leukocytes, fecal occult blood,
and Clostridium diffi cile toxin. Which of the
following is most likely present in the stool
sample?
(A) Clostridium diffi cile toxin
(B) Gram-negative rods
(C) Gram-positive cocci
(D) No fecal occult blood
(E) Spores and hyphae
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Old 01-27-2013
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(A) Clostridium difficile toxin
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  #3  
Old 01-27-2013
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Looks like C.Dif to me too
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Old 01-27-2013
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(A) Clostridium difficile toxin

Common side effects of Clindamycin use is pseudomembranous colitis, diarrhea, fever
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  #5  
Old 01-28-2013
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Answer is (A) Clostridium difficile toxin
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Old 01-28-2013
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Quote:
Originally Posted by aknz View Post
Answer is (A) Clostridium difficile toxin
but can it manest so fast like in 2 days after adminstering clindamycin?
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  #7  
Old 01-28-2013
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She has been taking Cipro and clindamycin for 13days.
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