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40 Cards in this Set
- Front
- Back
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Toxoplasma is a... Cause... Imaging found... |
Protozoa Brain abscess in aids Multiple ring enhancement |
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PCP Present Film |
AIDS chronic cough dyspnea hypoxemia ★ Diffuse bilateral symmetrical interstitial infiltration early bat/butterfly wing appearance |
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Treat GC and non GC |
Cef3 250mg IM *I or cefixime 400 1 tb o *I Azithromycin 1g oac *I or Doxycyclin 100 opc bid *14 days |
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Lung abscess Alcoholic Film Pathogen Rx |
Mass c fluid level at lower lung Gram neg or anaerobes Augmentin |
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Tinea corporis finding |
Multiple ring form c white scales |
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On TPN risk infn of |
Candidamia |
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Candida Rx Cutaneous vulvovaginal thrush Esophageal |
Cutaneous Azole topical nystatin topical vulvovaginal Fluconazole 150 or azole topical/vg suppo nystatin Vgsuppo thrush Clotrimazole troches Nystatin fluconazole Esophageal Fluconazole 100-200mg/d Itraclonazole solution 200mg/d AmphoB |
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Strep suis present |
Raw pork consumption Acute meningitis hearing loss |
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Rabies Pre Post |
Pre IM 0 3 7 14 28 ID 0 3 7 28 0.1ml/ข้าง Post เคยได้>6mo IM 0 3 ID 0 |
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Chickenpox Rx....for... |
Acyclovir 800 5-7d Adult c chickenpox «24hr |
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โรคต้องห้ามในใบรับรองแพทย์ |
เรื้อนระยะติดต่อ หรือปรากฏอาการเป็นที่น่ารังเกียจ TBระยะอันตราย โรคเท้าช้าง ระยะปรากฏอาการ |
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Suspected meningitis Who must CT before LP? |
Imm comp Hx CNS dz New onset seizure Papilledema AOC Focal neuro deficits |
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Cutaneous antrax Lesion |
Small pruritic papule at inoculation site then turn Vesicle: painless marked swelling, thin roof, easily rupture Turn to Dark brown black eschar at base of shallow ulcer |
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Smear neg pulmo TB Minimal infil at apex Rt lung Mx |
Stat HRZE short course |
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Leptospirosis Present Tx |
Fever flu-like Jx conjunctiva suffusion myalgia, pretibial rash c raised erythematous patch Hepato+-splenomegaly |
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Capillaria Present |
Chronic diarrhea c weight loss |
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OV Rx |
Praziquantel 25mg/kg o tid *days |
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S. Sterocoralis Rx |
Ivermectin 200mcg/kg/d o 2days Albendazole 400 o bid *days |
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Chikungunya present |
Acute polyarthritis myalgia fever |
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EBV Present Ix for Dx |
Exudative tonsils LN liver involvement Heterophile Ab |
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Acute retroviral syndrome Present |
Hx unsafe sex Flu like symptom |
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Diphtheria present Tx |
Pseudomembrane can bleed Rx of choice penG 600k u IM q 12hr 2nd line erythromycin |
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Pneumococcal vaccine Ind Goal How to Mx |
Age》65 Asplenia chronic dz exc HT Imm def Prevent invasive pneumococcal infection S.pneumo septicemia meningitis PCV 13 sti B&T cell Then 1 yr later Boost c PSV 23 |
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Atyp pnmn Pathogen film |
Chlamydia mycoplasma resp virus: flu rsv adeno, corona sars mers Patchy non-segmental opacity Bilat lower lobe infiltration |
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Mycoplasma Present extrapulmonary manifestation |
ข อ น
Neuro Meningoencephalitis Gullain Barre synd
Dermato MP rash vesicle urticaria typical=erythema multiforme
Heart Myocarditis pericarditis
Rheumato septic or reactive arthritis
Hemato Hemolytic anemia cold agglutination aplastic anemia DIC hypercoagulation |
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Pnmn Def CAP HAP VAP |
Ingn of lung parenchyma
Commu exc imm comp After admit 48 hr After ETT 48-72 hr |
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CURB 65 |
Confuse BUN>19 RR>30 BP<90/60 Age>65
《1 opd case Macrolide doxy resp FQ
>1 ipd
If resp fail/septic shock, icu
ATBs IV beta lactam+Azithromycin/resp FQ beta lactam+Azithromycin/resp FQ
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Resp FQs |
Gemifloxacin
moxifloxacin levofloxacin For atyp pathogen |
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Severe comm acq pnmn No need for atbs cover pseudo excp in...
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structural lung dz Recur bronciec |
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Commu IE MC vv Pathogen by host Emperical atbs |
1. Native vv Commu strep HCA Staph 2. Prosthetic vv s/p <1yr Coag neg staph >1yr Strep 3. IVDU Staph Ampi cloxa genta IE fail his heart Three times so he Amputate his Clox Gently |
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Steroid related pulmo infn |
Nocardiasis lung abscess mAFB O2sat nor exc severe Tuberculosis no dyspnea exc very severe PCP O2 sat drop Dissemination strongy g neg septicemia |
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CA lung Risk at smoking...pk yr Hoarseness from |
20 Inv recur laryngeal n |
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Infected bronchiectasis Sputum g neg pleomorphic coccobacilli can be? |
Commu H. Influ Hosp Acinetobacter |
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Exudative tonsilitis c leukopenia Dx |
EBV |
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Pnmn c RAPID parapnmn eff Pathogen Mx |
Strep gr A Penicillin-amoxy + thoracocentesis |
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G neg bacilli Large rod c capsule Medium size Small/slender |
Kleb E. Coli Pseudo mellioid |
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Chancroid Wound Pathogen |
Shacky border dirty base no vesicle G neg coccobacilli in parallel chain School of fish |
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Lepto 1st phase 2nd phase ATBs of choice |
Early non spe flu-like myalgia conj.itis Later High fever jx>orange eye ecchy renal fail Pulmo edema ARDs GIb Penicillin1.2 g iv or im q 4-6hr 2nd line cef 3 |
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Suspected bact meningitis CT before LP in |
Imm comp Hx of CNS dz New onset seizure AOC★ Focal neuro deficit |
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IRIS Mx |
Do not stop ARV Will risk hiv resistance new OIs recur iris If mild, symp treat-nsaids, inhaled steroids If severe, corticosteroids |
