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14 Cards in this Set

  • Front
  • Back
What is the primary consideration for the etiology of meningitis in an AIDS pt?
crypotococcus neoformans
Does successful recovery from tetanus confer immunity to the disease? What is the primary cause of death in pts with tetanus?
No, need boosters.
pna
Clinical presentation: Elderly man has history of prostate dz with UTIs. He presents with fever, SBP <100, and rash. Lesions are erythematous with necrotic centers. What is the most likely organism?
Pseudomonas. The rash is called ecthyma gangrenosum. The same presentation could occur in a patient with PNA or COPD. THINK PSEUDOMONAS WHEN THERE'S GRAM NEG SEPSIS WITH THIS RASH.
Clinical presentation: a neutropenic pt develops sepsis assoc with nonproductive cough, fever, rales at both bases. He also has an infected sacral decubitus ulcer. What is the most likely offending organism?
Pseudomonas
Name the MC species to cause septic shock
Gram neg
Which tick borne illness is characterized by severe retroorbital h/a and photophobia and requires only supportive tx?
Colorado tick fever
Which one of the common childhood dz is a cause of aseptic meningitis?
Mumps
Clinical Presentation: a pt presents ill with fever and rash. The rash began as discrete red maculopapular lesions on the wrists and ankles. It then spread to the trunk. Early on, the lesions were blanched but later became petechial. What dz characteristically does this?
Rocky Mountain Spotted Fever
Cicular skin lesions with a bright red to blue-red border and a pale center are characteristic of ___ ___ ___, which is the hallmark of early ___.
erythema chronicum migrans

Lyme Dz
Abx tx for adults (nonpreg and nonlactating) and children older than 8yrs for Lyme dz stage I is ____.
Doxycycline
Which animals are most likely to harbor the rabies virus? Which animals are least likely vectors for rabies?
Dogs cats skunks raccoons cows foxes

Least common: rodents and lagomorphs.
What is the MC organism causing septic arthritis in pts <50yrs, particularly teens and young adults?
N Gonnorhea
Concerning pts suspected of cryptococcal meningitis: which studies should be ordered on the CSF exam?
India ink and cryptococcal antigens
In early stage of this illness, sx are indistinguishable from nonspecific URI with rhinorrhea, fever, cough, conjunctivitis and anorexia. As the dz progress, the cough becomes the dx and dominant clinical feature. what is this dz?
Purtussis.
Be wary of children who are not immunized and people who were immunized >12yrs ago (susceptible)