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34 Cards in this Set
- Front
- Back
- 3rd side (hint)
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Bacillus Anthracis
G+ Rod |
Pulmonary Anthrax
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DOC:
Ciprofloxaxin Levofloxacin Clindamycin Doxycycline |
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Borrelia burgdorferi
Spirochete |
Lyme Disease
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DOC
Doxycycline Amoxicillin Ceftriaxone ALTERNATIVES Pen G, Cefotaxime, Azithromycin, clarithromycin |
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Bordetella pertussis
G- Rod |
Whooping Cough
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DOC
Macrolide (Azithro, Clarithro, Erythro) Alternative TMP/SMX |
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Brucella sp
G- Rod |
Brucellois
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doxy + either streptomycin or gentamicin
Alternative (doxy, cipro + RIFampin) |
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Campylobacter Jejuni
G- Rod |
Diarrhea
and Guillian barre |
DOC:
Erythromycin, Ciprofloxacin |
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Chlamydia Trachomatis
Obligate Intracellular (G-) |
Urethritis
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DOC:
Doxycycline, Azithromycin, Alternative Erythromycin |
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Clostridium Difficile
G+ anaerobic |
pseudomembranous Colitis
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DOC
Metronidazole Alternative Vancomysin |
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Clostridium perfringens
G+ anaerobic |
ellulitis or myonecrosis
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DOC
penicillin + clindamycin Alternative (doxycycline) |
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Enterococcus sp
G+ Cocci |
UTI, sepsis, endocarditis
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DOC
penicillin, vancomycin, ampicillin + Amino Glycoside |
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Enterococcus sp
(vancomycin resistant) G+ Cocci |
UTI, sepsis, endocarditis
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DOC
linezolid, quinupristin/dalfopristin |
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Francisella tularensis
G- Rod |
tularemia
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DOC
Streptomycin, gentamycin, tobramycin Alternatives Doxycycline, Ciprofloxacin |
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Gardnerella vaginalis
G variable Rod |
vaginosis
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DOC
metronidazole Alternative Clindamycin |
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Haemophilus influenzae
G- Rod |
meningitis and other life threatening illness
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DOC
Ceftriaxone, Cefotaxime ALTERNATIVE CIPROFLOXACIN |
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Helicobacter pylori
G- |
peptic ulcer
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DOC
PPI + clarithromycin + amoxicillin or metronidazole [many multi-drug regimens] |
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Klebsiella Pneumoniae
G- Rod Enteric |
Pneumonia Red Currant Jelly
_______________________ UTI (UNCOMPLICATED) |
DOC PNEUMONIA:
CEFTAZIDIME ALTERNATIVE Ciproflaxacin UTI DOC: FLouroquinolones |
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Listeria Monocytogenes
Gram + Rod (Motile) non spore forming |
Meningitis
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DOC
Ampicillin+Gentamicin Alternative TMP/SMX |
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Mycobacterium tuberculosis
•acid fast , obligate aerobe |
Tuberculosis
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DOC
rifampin + isoniazid + pyrazinamide + (ethambutol) |
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Mycoplasma pneumoniae
•Lack cell wall peptideglycan •Cholesterol in membrane |
Pnuemonia
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DOC
Macrolides(azith,clarith,eryth) Floroquinolones (cipro,moxi,Levo) Alternative Doxy |
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Neisseria gonorrhoeae
diplococcic Kidney bean shaped • Catalase (+) • Oxidase (+) • IgA Protease |
STD
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DOC
Ceftriaxone alternative DOXYcycline |
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Neisseria meningitidis
diplococcic Kidney bean shaped • Maltose Fermenter and Glucose Catalase (+) • Oxidase (+) • IgA Protease |
Meningitis
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DOC
Pen G Alternative Cefotaxime |
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Pseudomonas aeruginosa
G- Rod |
sepsis (serious)
burn victims, pneumonia- CF pt osteomyelitis diabetics |
DOC
AntiPsuedamonal Pencillin, 3rd gen ceph, imipenem, tobramycin, aztreonam, cipro |
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Rickettsia rickettsii
•Obligate intrcellular bacteria dermacantor tick |
•Rockymountin spoted fever
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DOC
Doxycycline alternative Chloramphenicol |
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Salmonella sp
• Non lactose fermenting •Motile and H2S producing •OSTEOMYELITIS Sickle Cell Pts |
Enteric Fever
Typhoid fever |
DOC
Ceftraixone, FLoroquinolones Alternative TMP/SMX |
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Shigella sp
• Non Lactose fermenting Non motile Non hydrogen sulfide producing Can Propel itself inside the cell by stealing actin polymerization |
dysentery
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DOC
FloroQuinolones, azithromycin Alternative (TMP-SMX) |
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Streptococcus, Group
A or B |
Pharyngitis
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Pen G or V
(all beta-lactams or macrolides) |
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Streptococcus pneumoniae
(Penicillin sensitive) |
pneumonia
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pen G, amoxicillin, ceftriaxone, cefotaxime
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Streptococcus pneumoniae
(Penicillin resistant) |
pneumonia
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levofloxacin, moxifloxacin, vancomycin, linezolid |
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Treponema pallidum
Spirochetes |
syphilis
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benzathine penicillin
Alternative (doxy or tetracycline) |
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Yersinia enterocolitica
G- Rod |
gastroenteritis
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TMP-SMX, FQ
ALTERNATIVE (3rd Ceph) |
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Yersinia pestis
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PLAGUE
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streptomycin or gentamicin
Alternative (chloramphenicol, cipro, doxy) |
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Antibiotics TO AVOID In Pregnancy
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Sulfanomides--> Kernicterus
Aminoglycosides-->Ototoxicity FlQuinos--> Cartilage Damage Erythromycin--> acute Cholestatic hematitis in mom ... Clarithro--> Embyotoxic Metronidazole--> Mutagenisis Tetracyclines--> discolor teeth, inhibitiion of bone growth Ribivarin (antiviral) Teratogenic Grisofulvin(afungal) Teratogenic Chloramphenicol--> Gray baby |
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Sporothrix Shecknii
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The patient presents with ascending lymphangitis along the arm after yard work.The classic presentation is pustules and or ulcers at the site of injury with nodules along draining lymph nodes (ascending lymphangitis). Culture of the lesions shows cigar-shaped budding yeasts.
DOC : ITRACONAZOLE |
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Pregnant patient with UTI
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DOC : Amoxicillin
Sulfa --> in fetus leads to kernicterus Floro--> cartilage damage tetras- --> avoided does damage to growing bones |
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This patient presents with the serologic markers of chronic hepatitis B. His liver enzyme levels also indicate a viral hepatitis. In viral hepatitis ALT>AST, and in alcoholic hepatitis AST > ALT. Patients with viral hepatitis B and C have an increased risk of developing hepatocellular carcinoma. Alpha-fetoprotein is a marker for hepatocellular carcinoma therefore (D) is the correct answer. Alpha-fetoprotein is also a tumor marker for yolk sac tumors. (A) is a tumor marker for hydatidiform moles, choriocarcinomas, and gestational trophoblastic tumors. (B) is a tumor marker for cancer that has metastasized to bone, obstructive biliary disease, and Paget’s disease of bone. (C) is a tumor marker for neuroblastoma. (E) is a tumor marker for colorectal, gastric, and pancreatic cancers.
Bottom Line: Hepatitis B and C predispose to hepatocellular carcinoma. α-fetoprotein is a tumor marker for hepatocellular carcinoma. |
alpha fetoprotein
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