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10 Cards in this Set
- Front
- Back
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Histologic characteristics of Aspergillus
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septated braching of 45 degrees
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Nonseptated, branching at 90 degrees
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Mucormycosis
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Most significant risk factor for invasive pulmonary aspergillus?
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EXTENT and DURATION of NEUTROPENIA (e.g. BMT)
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Sputum culture to dx Invasive Pulmonary Aspergiollosis can be diagnostic in what patient population?
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BMT and Leukemics (PPV 80-90%, NPV 70%)
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1st line treatment for patients with invasive pulmonary aspergillosis
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Voriconazole (BETTER THAN AMPHO - Hebrecht study)
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Follow what in patients with ABPA
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IgE
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Dx criteria for ABPA
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Infiltrates (can be intermittent or persistent)
Peripheral blood eosinophilia Asthma (+)ve Ab to A fumigatus Elevated total IgE (>1000 typically) Elevated specific IgE and IgG to A. fumigatus Bronchiectasis (not required but often present) |
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Tx for Mucormycoses
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Ampho + Debridement
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Diagnosing disseminated histoplasmosis
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Think of tapping the Bone Marrow
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Candida in the urinary and respiratory tracts usually represents...
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colonization --- don't treat in asymptomatic patients!!!
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