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58 Cards in this Set

  • Front
  • Back

thick grey pseudomembranes in throat

Diphtheria (toxin)

Where do you get botulism from?

soil, canned foods, honey (no honey for 1st yr of life)


Spores

Floppy babies

botulism--causes flaccid paralysis


in adults: wound manifestations

continuous motor neuron activity

tetanus (neurotoxin)

gonorrhea bacteria

gram negative diplococci

Gonorrhea tx

Ceftriaxone 125mg IM

Chlamydia bacteria

gram negative bacillus

most common bacterial STD

Chlamydia

Most common STD

HPV

Chlamydia tx

Azithromycin 1g PO

Rice water stools, dehydration can lead to death

Cholera (enterotoxin)

Dx of Cholera

No WBCs


darting curved rods in stool

Cholera tx

fluids and electrolytes


Doxy can shorten illness

Source of salmonella

chicken, uncooked eggs, pet turtles

Typhoid fever cause and presentation

Salmonella


fevers, HA, abd pain, splenomegaly, diarrhea, rose spots on adbdomen

Salmonella tx

Cipro

type of diarrhea from salmonella

watery


tx with fluids and electrolytes b/c abx does not shorten illness

diarrhea from Shigella

Bloody, with fever and abd pain

Colonoscopy with shigella infxn

shallow ulcers

Shigella tx

fluoroquinolones

manifestation of neurosyphilis

Argyll-Robertson pupils


dementia, dysarthria, seizures


tabes dorsalis

Syphilis tx

PCN G

Dx of Lyme dz

bx of leading edge of erythema migrans

Tx lyme dz

Doxy


If neuro involvment: IV ceftriaxone x2 wks

Rocky Mountain spotted fever presentation

flu like


fever, macular rash on wrists, ankles, spreads to palms and soles


conjunctival erythema

RMSF tx

Doxy

Ghon complex and caseating granulomas

on CXR of TB

TB tx

Rifampin


Isoniazide


Pyrazinamide


Ethambutol

CMV epi

more common in immunocompromised

CMV presentation

similar to Mono (EBV)

CMV tx

IV ganciclovir

at what CD4 level is PCP at higher risk

<200

What is higher risk with CD4<100

Toxo, CMV, MAC

what is higher risk with CD4 200-500

Histo, TB, Cryptococcus

diarrheas that occur within 6 hours

staph


B. cereus

C dif colonoscopy

pseudomembranes

Stages of Pertussis

Catarrhal: 1-2 weeks low-grade fever.


Paroxysmal: 2-4 wks of Whooping cough

Pertussis tx

can only use abx (macrolide) during catarrhal stage

Ground glass infiltrates on CXR

PJP

fatty, foul smelling stool, from contaminated water

Giardia

Giardia tx

Metronidazole

Ring enhancing lesion on head CT

Toxoplasmosis

toxo tx

Bactrim

Positive india ink stain

cryptococcus

cause of erysipelas

GABHS-- tx with PCN

Bacteria from human bites

Eikenella corrodens

Top presenting sx of acute HIV infxn

Fever, adenopathy, pharyngitis, rash, myalgias

How to dx a pt with acute HIV infxn

ELISA will be negative in acute stages. Need to assess viral load (HIV RNA using PCR)--will be near 100,000

what CD4 for cryptococcus

<50

Cryptococcus tx

Ampho B

CD4 for toxoplasmosis

<100

Which vaccines are live?

MMR, varicella, and zoster, also rotavirus


Can only give to HIV pts if CD4<200

MAC PPX for HIV pts

Azithromycin

At what CD4 count do you automatically dx AIDS

200

what valve is affected by rheumatic fever

mitral

Chancroid dx

painful ulcer
negative RPR and HSV


Legionella tx

erythromycin

Burkitt's lymphoma

"starry sky" pattern on bx


associated with EBV