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49 Cards in this Set
- Front
- Back
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Tx of candidia |
Azoles: fluconazole MOA: inhibit formation of cell wall membrane |
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Cryptococcus |
Encapsulated budding yeast found in soil |
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What does cryptococcus cause |
pulmonary infx and meningitis |
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HIstoplasmosis |
Bat droppings, soil and bird droppings |
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Tx of histoplasmosis |
intraconazole- severe is Amphotericin B |
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WHen to PPx for PJP |
CD4 <200 or history of PJP Bactrim |
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Botulism bacteria |
Gram positive rod Found in canned foods and honey |
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S/Sx of Botulism |
diplopia, loss of accomadation, dry mouth, dysphagia, respiratory paralysis, floppy |
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Tx of botulism |
Antitoxin within 24 hours |
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Cholera BActeria |
gram neg flagellated rod |
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Tx of cholera |
FLUIDS!!!!!! Abx may shorten course only given if really sick there is a vaccine- not given to general pop only to people coming in to help |
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Diptheria bacteria |
Gram positive bacillus respiratory transmission |
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S/sx of diptheria |
nasal laryngeal pharengeal: a lot of problems- tenaceous gray membrane covers tonsils and pharynx |
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Dx of diptheria |
culture |
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Tx of diptheria |
antitoxin and remove membrane Abx: penicillin, erythro |
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Tx of pertussis |
erythromycin x 7 days |
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Description of pertussis |
Whooping cough |
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Tetanus bacteria |
Gram positive rod found in soil |
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TX of tetanus |
tetanus immune globin, penicillin for toxin producing bacteria, vaccine, sedation to help with seizures |
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Salmonella |
Gram neg falcutative anerobic rod fecal oral route |
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Salmonella diarrhea |
bloody diarrhea |
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Shigella bacteria |
gram neg non-spore forming rods |
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SHigella diarrhea |
bloody |
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Tx of shigella |
hydration, bactrim or fluroquinolones |
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Rash in lyme disease |
erythema migrans |
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PPX for lyme |
200 doxy once |
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screening for syphilis |
VDRL or RPR |
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Tx of syphilis |
PENICILLIN G if allergic to PCN then Tetracycline |
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CMV Sx/s |
Immunocompromised: Fever, malaise, like mono, |
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CMV in <100 CD4 |
retinitis, esophagitis, IBD sx, pneumonitis, encephalitis |
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Dx of CMV |
Tissue conformation: "owls eyes" |
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Tx of CMV |
Ganciclovir IV + Intravitreal foscarnet |
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EBV |
10-35 y/o Transmission through saliva |
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WHat happens when you give EBV pts PCN |
Maculopapular Rash!!!! |
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Labs for EBV |
Monospot |
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Tx of mono |
symptomatic and supportive- no contact sports. Acyclovir decreases viral shedding ony if they have severe complications |
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Rabies s/sx |
pain at site, fever, malaise, furious encephalitis- delirium spasms hydrophobia , dumb paralytic- ascending paralysis |
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Labs for rabies |
flurescent antibodies in animal brain, SKin bx, CSF PCR |
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Tx of rabies |
you usually die GIve rabies immunoglobulin (HRIG) into wound site plus a different site with different needle GIve rabies vaccine |
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Dx of HIV |
ELISA with western blot to confirm CD4 count Viral load- to see how virulent |
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Tx of helminth infx- like hookworm |
Abendazole |
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Dx of malaria |
Plasmidium Vivax Peripheral smear- shows parasite |
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Tx of malaria |
Chloroquine if resistence add doxy |
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Toxoplasmosis where its found |
Cats and bird feces |
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Dx of toxoplasmosis |
Histology ELiza, western blot CT: multiple ring enhancing lesions |
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TX of toxo |
Pyremethamine pus folic acid |
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PPx of toxo |
bactrim |
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Tx of pinworm |
albendazole or mebenazole treat everyone in household today then in 2 weeks |
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Which form of malaria has worst prognosis |
P. Falciparum |
