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35 Cards in this Set
- Front
- Back
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nasal congestion 7-10 days, fever, getting worse, no better with decongestants
potential infectious agents |
acute sinusitis
strep pneumo h. flu- non typeable moraxella catarrhalis |
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tonsillar exudates
tender anterior cervican LAN fever no cough |
strep pyogenes: GAS.
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tonsillar exudates
tender anterior cervican LAN fever no cough strep negative persistent |
EBV
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dysuria
urinary frequency urinalysis has leukocyte esterase nitrites no discharge |
cystitis: E. coli
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UTI
struvite stone or staghorn calculus alkaline pH |
proteus mirabilis
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pneumonia: CF or bronchiectasis pt
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pseudomonas aeruginosa
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pneumonia: feeding tube/post stroke/alcoholic/post seizure options
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aspiration pneumonia: anaerobes
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pneumonia: newborn, septic
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GBS group b strep- from mother's vagina
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pneumonia: post-influenza necrotizing pneumonia
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staph aureus
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pneumonia: older person, hyponatremia, GI sx, increased LFT's
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legionella
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HIV pt with CD4 88. Cachectic, thrush, PCR is + for polyomavirus JC, negative for EBV. MRI: periventricular non-enhancing white matter lesions with no mass effects.
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progressive multifocal leukoencephalopathy
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opportunistic infxn in HIV
thrush dysphagia odynophagia |
candidal esophagitis
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opportunistic infxn in HIV
CD4 <200, interstitial pneumonia, high LDH |
pneumocystis jiroveci
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opportunistic infxn in HIV
purplish red-blue skin lesions |
Kaposi's sarcoma from HHV-8
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opportunistic infxn in HIV
chronic diarrhea |
cryptosporidium or isospora or CMV if CD4 <50
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opportunistic infxn in HIV
headache ring-enhancing lesions on MRI |
toxoplasmosis
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opportunistic infxn in HIV
cotton wool spots on fundoscopic exam CD 4 <50 |
CMV retinitis
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opportunistic infxn in HIV |
EBV oral hairy leukoplakia
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24 yo man with 10d sore throat, fever, headache, myalgias. Multiple sex partners, rarely uses condoms.
LAD, rash. HIV immunoassay, Strep screen, throat culture, heterophile antibody testing (monospot) all negative |
acute HIV infxn
HIV immunoassay still negative- the point but now we have better tests |
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5yo boy
1 day diffuse red/splotchy on face and then arms and trunks From bulgaria 3 d runny nose and red eyes, low grade fever cough. 1-2 mm lesions on buccal mucosa with blue-white center and erythematous base. Conjunctivits and maculopapular rash |
measles
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infant, fever for several days, no source, followed by macular rash
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roseola- HHV 6
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slapped check rash on face
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erythema infectiosum; parvovirus b19, hydrops fetalis in pregnant women; aplastic anemia
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fever, sore throat, sandpaper/rough rash
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scarlet fever; strep pyogenes
tx to prevent endocarditis or glomerulonephritis |
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vesicular rash on palms soles, ulcers in mouth
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hand foot mouth dz from coxsackievirus A
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pink maculopapules, head moving down, postauricular LAN
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rubella
congenital with cataracts, deafness, cardiac defects |
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coryza, cough, koplik's spots, rash on face then trunk
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measles
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40 yo truck driver
grey verrucous rash, 1 wk cough fever pleuritic chest pain dysuria broad-based budding yeast forms |
blastomyces dermatitidis
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DM or leukemia pt
rapidly progressive sinusitis with bone/orbit destruction |
mucormycosis: mucor and rhizopus
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pneumonia
ohio valey bird droppings or bats |
histoplasmosis
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southwest travel
flu meningitis, sx for a long while |
coccidioidomycosis
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pneumonia
GU involvement skin, broad-based budding yeast |
blastomycosis
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immunocompromised, large cavitary lesion
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aspergilloma
allergic bronchopulmonary aspergilliosis in asthma/CF with high Eos, bronchiectasis |
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gardener, pustules along draining lymphatics
ascending lymphantitis |
sporothrix schenckii
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different malarias
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plasmodium falciparum: cerebral involvement, hepatosplenomegaly, fever
chronic relapsing ones: vivax |
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man cut hand on shell in mexico swimming
chronic hepatitis C hx temp bp 90/60, pusle 120 asicties hand has cellulitis and hemorrhagic bullae |
vibrio vulnificus
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