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325 Cards in this Set
- Front
- Back
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what is the organism that causes Lyme disease
|
Spirochete Borrelia burgodoferi
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what animals are the host for carrying the tick that transmits the lyme disease
|
deer
mice |
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does tick need to be attached to cause infection
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yes- for 36-48 hrs
|
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what are the states where majority of cases of lyme dz occur
|
NY
NJ CT RI MN WI VA OR CA |
|
|
how long does it take for the local manifestation of lyme disease
|
it takes WEEKS after infection
shows up as target lesion in groin or axilla with LAD and flu like illness |
|
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what are the common things that you might see with early disseminated lyme disease
|
fatigue, malaise, LAD
ECM migratory arthritis Bells palsy Heart block |
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what are some neurological manifestation of lyme disease
|
Bells palsy
aseptic meningitis transverse myelitis |
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what disease may give you false positive for lyme disease if checking on ELISA
|
SLE
RA EBV HIV |
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how can you confirm the ELISA test for Lyme disease
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Western blot
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when do you need to start prophylaxis
|
within 72 hrs of FINDING partially engorged tick attached. and the start Doxy 200 BID
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when can you use ceftriaxone for lyme disease
|
If neurological manifestaion other than Bells palsy, cardiac and chronic arthritis
|
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when can you use doxycycline for the treatment of lyme disase
|
derm manifestaions
early arthritis without cards or neuro involvement |
|
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anatomically what are the lower UTI
|
urethritis
cystitis prostatis |
|
|
anatomically what are the upper urinary tract infections
|
Pyelo
renal abscess |
|
|
what are uncompiacted UTI
|
cystitis in nonpregnant women
|
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what are complicated UTI
|
upper tract UTI
UTI in men UTI in preg woman UTI with underlying structural neurological dz |
|
|
what are some cathter associated UTI
|
yeast
ecoli |
|
|
what are some causes for urethritis
|
N gonnorhea
Chlamydia |
|
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how is urethritis present different from cystitis
|
urethirits has some sx as cystits except with urethral discharge
|
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what should be the txt for asx pregnant women with UTI
|
3 day of abx
|
|
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what is the txt for neisseria urethritis
|
ceftriaxone 15mg Im X 1 or levaquin 500 X1
|
|
|
When treating for neiserria what else needs to be treated
|
Chlamydia
Doxy 100mg po 7 days or azithro 1g PO x1 |
|
|
what test you want to order initially for Syphillis
|
FTA-ABS
|
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how do make the dx of priamry syphillus
|
dark field microscopy
|
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how do u make the dx of secondary syphillis
|
serological tests and clinical picture- signs and sx of syphillis
|
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when do you need to check CSF in latent syphillis
|
NEURO OR optho sx
other e/o active syphillis before retreatment of relapse HIV pt |
|
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how do you follow txt for syphllis
|
VDRL
|
|
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what is the preventive txt for HIV and TB
|
INH X 12 mos
|
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side effects of INH
|
Hepatitis
peripheral neuropathy Lupus |
|
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How do you prevent peripheral neuropathy due to INH
|
Pyridoxine
|
|
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Side effects of Rifampin
|
orange disocloration of tears
Hepatitis Hypersenstaivity |
|
|
Side effects of Pyrazinamide
|
Hepatitis
Hyperuricemia--GOUT Arthritis |
|
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side effect of ethambutol
|
Optic neuritis
|
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latent TB txt for HIV positive Pt
|
INH with pyridoxine X 12 mos
|
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COPD pneumonia what s a common bug
|
H influenza
|
|
|
young healthy adults pneumonia...whats the bug
|
Mycoplasma
Chlamydia |
|
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elderly, smokers, decreased immunity pneumonia...whats the bug
|
Leoginella
|
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alcoholics PNA
|
GNR
especially Klebsilla |
|
|
jarisch-Herxheimer reaction
|
12-24 hr after inital start of ABx for syphillis
abrupt fevers, chills, tachy, hyperventiltion and vasodilation with mild hypotension TXT with ASA |
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what is the txt for Jrisch-Herxhiemer for neurosyphillis or pregnanct women
|
Prednisone with ASA
|
|
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what are common predisposing conditions for community acquired menengitis
|
acute otitis media
altered immune status alcoholism pneumonia DM2 sinusitis CSF leak |
|
|
what are most common organisms causing bacterial meningitis
|
s. pneumoniae
N. meningitis H flu Listeria |
|
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what two types of baterial menegitis that dexamethaosone is recomnded
|
penumococcal in adults
H flu in kids |
|
|
when do we need to consider listeria meningitis
|
immunocompromised hosts
pregnant woman elderly |
|
|
what group of pt are increased risk for mengococcal meningitis
|
complement def
carrier of mengicoccal in nasopharynx |
|
|
mengiococcal meningitis is assocaited with..
|
waterhouse friderichsen syndrome
DIC |
|
|
who need prophylaxis after exposure to meningococcal meningitis
|
substantial respiratory exposure
roomates household contacts day care members persons exposed to oral secretions |
|
|
what is the ppx for mengococcal meningitis
|
cipro
ceftriaxone rifampin |
|
|
what type of infections can neiseeria gonorrhea can cause
|
urethritis
cervicitis pharyngitis proctitis |
|
|
which sex is more commonly assocaited with asx carrier of gonorrhea
|
female
|
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how does disseminated gonnorrhea present and what type of test need to run
|
tenosynovitis, skin lesions, arthralgias
cultures specimen from urethera, cervix, rectum, pharynx |
|
|
what is the most common cause for non gonococal urethritis and cervicitis
|
chlamydia
|
|
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what are possible organisms responsible for pelvic inflammatory disease
|
n. gonnorrhea
chlymdia mycoplasma homnis |
|
|
what is fitz-high-curtis syndorme
|
acute perihepatitis caused by direct extension of gonoorhea or chlamydia to liver capsule
|
|
|
IUD causing PID what is the organism
|
actinomyces israelii
|
|
|
vaginal discharge
vaginal itch odor irritation strawberry cervix |
Trichomonas vaginalis
|
|
|
clue cells on wet mount
|
gardnerella vaginalis
|
|
|
risk factors for gardnerella
|
multiple sex parterns
douching lack of vaginal lactobacillus |
|
|
fishy smell when vaginals ecretions mixed with KOh prep
|
bacterial vagnosis
|
|
|
do partners need to be treated for trichomonas
bacterial vaginosis |
trichomonas--Yes
Bacterial vaginosis---No |
|
|
what are 2 most common pathogens assocaited with epidydamitis in
1. young men 2. older men |
1. Neisseria gonorrhea and chlaymydia
2. Ecoli |
|
|
what condition needs to be ruled out if considering epidydamitis
|
testicular torsion
|
|
|
humoral def in MM, CLL, and AIDs put you at increased risk for what type of infections
|
encapsulated organisms such as pneumococcus
mengiococcus H. Influenza |
|
|
what are 2 intra RBC paracitic infections that occur more frequenlty in splenectomozed pt
|
Malaria
Babesiosis |
|
|
pt with IgA def what kind of infections do they get
|
atopic rhinitis
atopic asthma giardias |
|
|
early onset of SLE
|
complement def C2 def
|
|
|
pt with late complement def like C5-C9 what are they at inc risk for
|
encapsulated organisms--especially menengococcimia
|
|
|
in the first post op month after organ transplant what infxn are at increased risk
|
usual post op nosocomial infxn and pneumonias
|
|
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what is the viral infxn we have to worry about with first 6 weeks of post op transplant pt
|
HSV- give acyclovir as ppx
|
|
|
what infections we need to worry about in first 4 months of post op organ transplant
|
PCP
Toxo Fungi CMV Mycobacterium Listeria Hep B Nocardia |
|
|
what infections we need to worry about in 2-6 months after post op organ transplant
|
VZV
EBV Hep C |
|
|
when do need to worry about cryptococcus neoformans after post op transplant pt
|
4 or more months later
|
|
|
Red skin
Hypotension fever diarrhea Hypocalcemia |
TSS
|
|
|
What are 2 possible bacteria involved in TSS
|
Staphylococcus
streptococcus pyogenes |
|
|
what bacteria do you see if any foreign body was left post op and cause bacteremia
|
Staph. epi
|
|
|
what bacteria is assocaited with colon cancer
|
strep bovis
|
|
|
what bacteria need to be considered if pt get endocarditis after TURP
|
enterococcus faecalis
|
|
|
how does diphtheria presents
|
caused by cornybaterium diphtheriae
URI gray white pharyngeal membrane horseness sore throat low grade fever |
|
|
what are some toxic effects of diphtheria
|
myocarditis
cardiomyopathy poluneurtits |
|
|
How do you treat diphtheria
|
erythromycin
antitoxin for diphtheria |
|
|
what cause anthrax
|
bacillus anthracis
large gram positive rods |
|
|
what are cutaneous manifestation of anthrax
|
starts as painless papule
then forms a painless ulcer then forms an eschar |
|
|
how does pulmonic anthrax forms presents
|
malaise
fever myalgias hypoxia hypotension MEDIASTINAL WIDENING |
|
|
how do you treat anthrax
|
quinolones for txt and ppx
|
|
|
how does bubonic palgue presents
|
localized LAD
pneumonic can spread through coughing |
|
|
what casues rocky mountain spotted fever
|
rickettsia rickettsii
|
|
|
what are classic signs of riskettsiia--rocky mountain spotted fever
|
rash
fever HA arthralgias |
|
|
what does a pleural fluid from Tb shows
|
lymphocyte count of 1000-6000
low glucose elevated protein elevated LDH |
|
|
fish tank bacillus
|
Mycobacterium marinum
non healing skin ulcers in people workingin fish tanks |
|
|
weakly acid fast
beaded, branching filamentous |
Nocardia
|
|
|
what organ system can nocardia can affect
|
lung infection
thin walled cavitary leison focal brain abscess |
|
|
how do you treat nocardia
|
high dose bactrim
OR amikacin and Imipenem |
|
|
what is the ddx for pneumonia and splenomegaly
|
C.psittaci
histoplasmosis |
|
|
what are 2 type of test for syphillis
|
non treponemal --VDRL, RPR
treponemal-- FTA-ABS |
|
|
-RPR
+FTA-ABS |
succeful txt for syphillis in past
early infection- RPR is negative false positive- repeat RPR in 6 wks |
|
|
+ RPR
- FTA-ABS |
early infection
|
|
|
what can give you a false positive for FTA-ABS but not RPR
|
Lyme disease
|
|
|
what test need to be run for syphillis screen in pregnant pt
|
RPR or VDRL
|
|
|
what is the test to see if succefull txt has been done for syphillis
|
VDRl or RPR
|
|
|
what is the txt for primary syphillis or early latency period of secondary syphillis
|
benzathin PCN
or Doxy100mg BID X 14 days |
|
|
what is the txt for late secondary syphillis or tertiary syphilis with cardio problems
|
Benzathine PCN q week X 3 weeks
or Doxy 100mg BID X 4 weeks |
|
|
what is the txt for neurosyphillis
|
PCN G IV qd X 10-14 days then q weekly x 3 weeks
if PCN allergic desensatize |
|
|
how do we treat newborn and pregnant women
|
PCN
|
|
|
what is weil syndrome
|
severe hepatitis
renal failure hem compliacation pulmoanry sx |
|
|
what can cause weil syndrome
|
leptospirosis
|
|
|
clues to leptospirosis
|
contact with dog or rat urine
|
|
|
when do you expect the tick to transmit lyme disease
|
after being attached for 2 or more days
|
|
|
how do you make the dx for stage I lyme dz
|
clinical dx
Clinical dx: Do not order serologies erythema migrans--target leions myalgias arthralgias fever HA LAD |
|
|
how does neuritis presents in lyme dz
|
peripheral neuropathy
foot drop CN palsy bells palsy |
|
|
pt with skin manifestation of lyme dz..what to do
|
treat with doxy no serologies needed
|
|
|
recurrent oligoarthitits in non lyme dz endemic area
|
only treat if western blot is positive
|
|
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how do you treat early lyme dz or bells palsy
|
oral doxy or amoxicillin
|
|
|
how do you treat neurological and cardiac sx of lyme dz
|
ceftriaxone or PCn for 21 days
|
|
|
cotton wool patch on retina
|
disseminated candidiasis
|
|
|
chronic mucocutaneous cadidiasis
|
bad, chronic oral and facial rash
alopecia esophageal stricture |
|
|
what dz are assocaited with chronic mucouctaenous candidiasis
|
polyglandualr deficiency
hypoparathyroidism addison dz DM Hypothyroidism Vitiligo |
|
|
what 3 deadly syndrome you wanna know with candidemia
|
septic peripheral thrombophlebitis
septic thrombosis of the great central veins with central lines hepatosplenic candidiasis- get CT |
|
|
when do you suspect septic thrombosis of the great central veins
|
edema of the upper body 2 days after removing central line
|
|
|
what are the risks of candidemia--and what drugs are used to treat
|
vertebral OM
hepatic abscess endopthalmitis TXT with ampho and diflucan |
|
|
HOW DO YOU TREAT CANDIDEMIA ASSOCAITEDW ITH INFECTED CATHETER
|
REMOVE THE CATHETER AND TXT WITH AMPHO OR DIFLUCAN
|
|
|
CAVITARY PULMONARY LESIONS AND PERIPHERAL CANNON BALL SKIN LESIONS
|
CRYPTOCOCCUS
|
|
|
WHAT IS THE MOST COMMON PRESENTATION OF CRYPTOCOCCUS
|
CRYPTOCOCCUS MENINGOENCEPHALITIS
|
|
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HOW DO YOU TREAT CRYOTCOCCUS MENGITIS
|
5 FLOUROCYTOSINE AND AMPHO
|
|
|
Pt in Arizona with flu like and sx and sarcoid like sx
|
cocci
|
|
|
how do you treat cocci
|
diflucan
|
|
|
bat and bird droppings
|
histo
|
|
|
missisispi and ohio river valley
|
histo
|
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|
interstial pna
palate ulcers splenomegaly |
histo
|
|
|
what presenattaion of histo is similar to TB
|
cavitary pna
|
|
|
skin crusted lesion
arkansas and wisconsin hunters bone lesions |
Blastomyces
|
|
|
black necrotic spot on the nose
DM pt necrotizing cavitating pneumonia |
Mucor
|
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|
what infection acquired during pregnancy can cause fetal mental retardation and nectrotizing chorioretinitis
|
Congenital toxo
|
|
|
how do you treat toxo in AIDs pt
|
pyrimethamine + Sulfadiazine and leukovorin
|
|
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ACID FAST..SMALL AND ROUND WITH DIARRHEA
|
CRYPTOSPORIDIUM
|
|
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ACID FAT--LARGE AND ROUND WITH DIARRHEA
|
ISOSPORA
|
|
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HOW DO YOU TREAT ISOSPORA AND CYCLOSPROA
|
BACTRIM
|
|
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BANANA GAMETOPHYTE
|
PLASMODIUM FALCIPARUM
|
|
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WHAT TYPE OF MALARIA IS ASSOCAITED WITH NEPHROTIC SYNDROME
|
PLASMODIUM MALARIAE. BUT ANY MALARIA CAUSE NEPHRITIS
|
|
|
how do you treat non falciparum malaria
|
cholorquine or primaquine
|
|
|
what is a sideeeffct of primaquine
|
hemolytic anemia with G6PD deficiency
MUST SCREEN FOR G6PD def |
|
|
what is the ppx against malaria especially when considering falciparum regions
|
Mefloquine or malarone
|
|
|
how do you treat chloroquine resistent malaria
|
quinine
|
|
|
pancytopenia and tick bute what disease
|
Ehrlichia
|
|
|
Intra RBC maltese cross
|
Babesia
|
|
|
fever
hemolytic anemia Hemoglobulinemia |
babesia
|
|
|
how do you treat babesia
|
quine
clinda azithro \may do plasmapharesis |
|
|
how do you check for liver amebic abscess
|
Do Serologies..aspirate do not show ameba
|
|
|
how do u trat liver abscess due to ameba
|
Flagyl
|
|
|
what kind of paracitic infection cause EOSINOPHILIA
|
Helminth
|
|
|
clonorchis sinensis
|
chinese liver fluke
Biliary obstruction |
|
|
Schistosoma haematobium
|
infects baldder and cause urinary sx
|
|
|
fever
LAD Diarrhea cirrhossi esophageal varices |
Schistosomiasis
|
|
|
diarrhea
hepatosplenomegaly marked eosinophilia |
Schistosomiasis
|
|
|
Tzank smear
|
HSV
|
|
|
Multinucleated giant cells
|
HSV
|
|
|
most common casue of neonatal HSV
|
intrapartum
|
|
|
foscarnet
|
used to treat those with HSV resistent to acyclovir
|
|
|
what causes herpes zoster and chickenpox
|
VZV
|
|
|
what is the rec for pregnant women exposed to chickenpox
|
recieve zoster immune globulin within 4 days of exposure
DONOT GIVE VZV vaccine to pregnant women its an alive virus |
|
|
how would you treat adults and adolescents with chickenpox
|
acyclovir 800mg TID X 5 days
|
|
|
name post transplant CMV infection
|
encephalitis
hepatitis retnitis colitis adrenalitis- causes adrenal insuff |
|
|
inclusion bodies on biopsy
|
CMV
|
|
|
what are some major toxicities assocaited with gancyclovir
|
granulocytopenia
thrombocytopenia |
|
|
EBV is associated with
|
nasopharyngeal ca
Burkitts lymphoma hairy cell leukoplakia |
|
|
what causes hairy cell leukoplakia
|
EBV
|
|
|
heterophil antibody titer
|
Mnospot test
|
|
|
DDX for mononucleosis.. monsopt negative
|
CMV
|
|
|
what should be offered to pregnant woman exposed to rubella during 1st trimester
|
theraputic abortion due high risk of birth defect
|
|
|
cough
coryza conjunctivitis with photophobia |
Measles
|
|
|
whitish blue spots on white base
|
koplick spot
|
|
|
treatment for influenza A and B
|
Tamiflu
Relenza |
|
|
what animals rabies is found in
|
bats
Raccoons Skunks Foxes |
|
|
what should be done for rabies if animal is not available for rabies and vaccine was given more than 6 yrs ago
|
give the vaccine and immune globulin
|
|
|
parotid gland enlargement
|
Bulemia
Mumps |
|
|
Parvovirus B19 can cause
|
Erythema infectiosum-fifth disease
arthritis Aplastic anemia |
|
|
slapped cheek rash
|
Parvovirus B19
|
|
|
AIDs and chronic hemoltyic anemia pt with parvovirus can cause
|
Aplastic anemia
|
|
|
earliest detectable sign of HIV
|
HIV PCR DNA
|
|
|
side effect of didanosine
|
pancreatitis
peripheral neuropathy |
|
|
which HAART med is associated with hypersensativity reaction
|
Abacavir
|
|
|
what are sideffects of protease inhibitors
|
fat redistribution
lipid abnormalaties DO NO USE STATINS TO TREAT THIS |
|
|
side effect of zidovudine
|
bone marrow suppression and myelopathy
|
|
|
what are SE of Sustiva
|
CNS side effects-bad dreams
teratogen |
|
|
Whata re SE of Indinavir
|
Kidney stone
|
|
|
when to start HAART
|
Symptomatic AIDs or severe Sx no matter what CD4
Asx and CD4 less than 200 |
|
|
what to do when finger stick from infected needle
|
start 3 drug regimen for 4 weeks
|
|
|
whata re some signs of HIV disease
|
seborrheic dermatitis
taenia infections psoriasis Molluscum folliculitis hairy cell leukoplakia herpes oral or vaginal candidiasis |
|
|
what 2 meningitis can give you CN palsies
|
TB and Lyme dz
|
|
|
what is the work up for genital ulcer and LAD
|
Syphillis
HSV H ducreyi LGV |
|
|
how does haemophoilus ducreyi presents and how do you treat it
|
tender genital papules with purulent ulcers
painful LAD treat with 1 does of ceftriaxone |
|
|
what is the treatment for LGV
|
doxy x 21 days
|
|
|
what bacteria found in shell fish can cause large hemm bullae, necrosis, LAD and septicemia
|
Vibrio vulnificus
watch out liver pt |
|
|
fish tank bacillius
non healing ulcer acid fast bacilli |
mycobacterium marinum
txt with ethambutol, rifampin |
|
|
what is the usual presentation of Actinomyces
|
Cervicofacial involvement caused by dental infection
|
|
|
Actinomyces is asscaited with
|
IUD
Appenditcitis |
|
|
How do you treat actinomyces
|
PCN or ampicillin
|
|
|
which abx can lower the sz threshold
|
Imipenem
|
|
|
drug used for invasive aspergillosis
|
Caspofungin
|
|
|
drug used to treat schistosomiasis
|
Praziquantel and albendazole
|
|
|
what drug levels are increased with levaquin
|
Cyclosporine
Coumadin Theophyilline |
|
|
causes of TSS
|
Staph aureus
Strep pyogenes |
|
|
tell me about blood cultures in staph and strep related TSS
|
In staph- BCx Negative
In Strep Bcx Positive |
|
|
what are CNS
|
S. Epidermidis
S. saprophyticus |
|
|
what kind of ppl do you see strep pneumonia
|
splenectomized pt
SSD very young very old leukemia pt |
|
|
what does S pyogenes cause
|
strep pharynigtis
TSS Rheumatic fever scarlet fever |
|
|
post TURP endocardritis ans sepsis..what the bug
|
Enterococcus faecalis
|
|
|
how do you dx a brain abscess
|
CT with contrast
aspirate ans cx |
|
|
emperic txt for brain abscess
|
ceftriaxone
Flagyl Vancomycin |
|
|
what bugs do you expect in brain abscess if frontal lobe dz
|
paranasal sinus--pneumococcus, h influenza, anerobes
|
|
|
what bugs do you expect to find in temporal-cerebellar brain abscess
|
s. aureus
GNR H FLu Pneumococcus THINK OF MIDDLE EAR INFECTIONS |
|
|
which HIV med is a teratogen
|
SUSTIVA--EFAVIRRENZ
|
|
|
WHAT ARE INDICATION FOR STARTING HAART
|
Patients with a history of an AIDS-defining illness
Patients with a CD4 cell count <350/µL Patients with HIV-associated nephropathy Patients with co-infection with chronic hepatitis B that requires treatment Patients who are pregnant |
|
|
SUBACUTE DIFFUSE ENCEPHALITIS
|
caused directly by HIV
|
|
|
what to do when you see ring enahancing lesion in AIDs pt
|
start emperic therapy with Pyramethamine and sulfonamide
or Clinda or trimetrexate |
|
|
when can you d/c PCP ppx
|
CD4 > 200 for 3 months on HAART
|
|
|
when can u d/c MAC ppx
|
when CD4>100 for 3 months on HAART
|
|
|
how do you treat LIsteria
|
Ampicillin
serious or resisitent--Ampicillin + gent for PCN allergy use vanco or Bactrim |
|
|
side effect of kEtaconazole
|
hepatitis
Gynocomastia nasues |
|
|
how do u treat cocci
|
diflucan
|
|
|
txt for histo
|
acute pul gen no therapy
severe --itracanazole disseminatedz with ampho and then itracanazole |
|
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how do u treat blastomyces
|
itracanzole
|
|
|
what is the use of itracanazole
|
histo
blasto cocci esophageal candida aspergillosis crypto sporotrichosis |
|
|
when do u use diflucan
|
esophagela candida
candidemia good for CNS crypto after ampho chronic cocci |
|
|
when can u use vori
|
aspergillus
fusarium Pseudallesscheria |
|
|
what are toxic effects of Vori
|
visual distarbance
|
|
|
how do u treat invasive aspergillosis
|
Cansidas
|
|
|
what drug is used to decrease the pain asocaited with PHN
|
Famciclovir and Valacyclovir
|
|
|
what 3 drugs can be use to treat shingles
|
oral acyclovir
famciclovir oral valcyclovir |
|
|
what is the work up for genital ulcer and regional LAD
|
check for syphillis
culutre or ag test for HSV H.ducreyi on choclate agar LGV titers or biopsy the node to look for granulomas and donovan bodies |
|
|
chancroid
tender genital papules which become painful purulent ulcers painful LAD lymphnodes may rupture |
hAEMOPHILUS DUCREYI
|
|
|
How do you treat H. Ducreyi
|
Ceftriaxone 25o mg Im X1 or
azithromycin 1g PO X1 or Cipro 500mg po bid X 3 days or erythromycin 500mg po tid x 7 days |
|
|
painless papule which ulcerate and he disappear in 1-3 weeks
then Inguinal LAD |
LGV- Chlamydia trachomatis
|
|
|
how do you treat LGV
|
Doxy 100mg po BID X 21 days
or Erthromycin 500m po TID |
|
|
what can casue PID
|
N. gonorrhea
Chlamydia normal vaginal flora |
|
|
what is the out p txt for PID
|
Ceftriaoxne 250mg Im X1 then Doxycycline 100mg po BID X 14 days +/- Flagyl 500mg po X 14 days
OR Leaquin |
|
|
what is the in pt txt for PID
|
Cefotetan 2g Iv Q12 hr and doxy 100mg IV or PO q12 OR
Clindamycin/Gentamycin OR |
|
|
how do u treat non gonococcal urethritis
|
azithromycin1g Po X 1
or Doxy 100mg po bid X 7 d Erythromycin for pregnant w |
|
|
how do you treat GC urethritis
|
1 dose of ceftriaxone then 7 days of Doxy or azithro X1
Cipro or levaquin for if cetriazone allergy |
|
|
early onset SLE what dz need to be consdiered
|
C2 complement def
|
|
|
recurrent sinopulmonary infections caused by encapsulated organism
|
complement def
|
|
|
C5-C9 complement def
|
caues infections simliar to those in humoral deficiencies or splenectomoies--H flu, pneumococci, gonococci, and mengococcemia
|
|
|
what test do you run for testing C1-C8 complement def
|
CH50
|
|
|
what are 2 different casues of urethritis
|
gonococcal
non gonococcal |
|
|
how do u dx gonococcal urethritis
|
purulent discharge BUt need to positive culture results or finding gram negative intracellular diplococci on gram stain
|
|
|
what does non gonoccal urtherirtis looks like
|
if no gram neg intracellualr diplococci is seen on gram stain consider it non gonococcal.
|
|
|
how do u treat gonococcal urethritis
|
ceftriaoxne,IM X 1 then 7 dasy of doxy or azithro X 1 dose.
|
|
|
how do u treat non GC urethritis
|
azithromycin x 1 dose or
doxy 100mg po bid x 7 dasys |
|
|
how do u dx histo
|
sputum cx in chronic histo
urinary ag in acute histo bronch in cases where we cant decide blood testing no that specific |
|
|
with Babesia what other infections can occur consurrently
|
Lyme dz- txt with doxy --borrelia
Ehrlichia--txt with doxy |
|
|
txt for malaria p. falciparum chlorquine resistant
|
quinine plus doxy or clindamycin
OR mefloquine single dose Or Malarone x 3 days |
|
|
reurrent giardia
|
Ig A def
|
|
|
t cell deficiency what kind of infections
|
nocardia
listeria fungi protozoa |
|
|
in post txt pt when do you expect crypto infxn
|
post 4 mos
|
|
|
severe resistent ifection seen in bone marrow trsnplt unit
|
corynebacterium diphtheriae
|
|
|
clostridium septicum
|
Gi cancer
|
|
|
most common bug in IVDU and HD pt
|
s. aureus
|
|
|
strep pyonegens
|
M protein
GN TSS |
|
|
pleural effusion with high lymphocyte count and no bacteria and low glucose
|
TB
|
|
|
common casue of diarrhea in AIDs pt long and oval
|
isospora
|
|
|
lymphadenitis in kids
|
MAC
|
|
|
thin walled cavitary lung leison and brain lesion
|
nocardia
|
|
|
non healing ulcer over lymph channels
|
m. marimun
|
|
|
carrier of this dz has seeding into gallbaldder
|
typhoid fever
|
|
|
hunter get const sx , localized suppartive LAD and no skin changes
|
plague
|
|
|
hunter gets cont sx, localized lad, localized ulcers, diffuse rash
|
Tularemia
|
|
|
leptospirosis
|
hepatitis with the bili super high compared to rest of the enzymes
|
|
|
bartonellosis
|
rapid onset of febrile hemolytic anemia
|
|
|
in sphyliis when do u see mucocuatenous lesions
|
2 syphillis
|
|
|
syphillis CNS lues
|
3 syphliis
|
|
|
when do u see aortitis in syphillis
|
3 syphillis
|
|
|
when do u see argyl roberts pupil in syhpills
|
3 syphillis
|
|
|
pulmoanry infiltrates
const sx crusted skin lesion |
blastomycosis
|
|
|
cotton wool patches on retina
|
candidaiasis
|
|
|
skin nodules along lymphatic channels
|
sporotrichossi
|
|
|
missispi and ohio river valley
|
histo
|
|
|
trypanosoma
|
mega colon
|
|
|
Treponema cruzzi
|
megacolon
mega esophgagus achalsia |
|
|
string test
|
giardia
|
|
|
schistosoma haematobium infects
|
bladder
|
|
|
rectal itching
|
enterobius
|
|
|
which worm replicates insdie body
|
strongolidies
|
|
|
Wuchereria bancrofti
|
elephanitits
|
|
|
terrible looking painless ulcer
|
granuloma inguinale
|
|
|
what casues granuloma inguinale
|
calymmatobacterium granulomatosis
|
|
|
frequent camper present with rash, arthralgias, fever
|
RMSP
txt with doxy or tetracycline |
|
|
plasmaodium malariae
|
neohrotic syndrome
|
|
|
how do you dx german measle --rubella
|
hemagglutination inhibition test
|
|
|
what two type of catheters can be remained in place even bcx shows positive staph-epidermidis
|
hickman
broviac |
|
|
late complement def
|
recurrent low gade menengococcemia
|
|
|
what prior infections might reactivate in pt with imparied cell mediated immunity
|
nocardia
TB Crypto blasto histo strongyloides |
|
|
M protein
|
strep pneumonia
|
|
|
strep agalactiae
|
alcoholic
diabetic |
|
|
how do u treat TURp related enterococcus
|
amp/gent
|
|
|
hoarsenss, sore throat, low grade fever
white gray pharyngeal membrane |
Diphtheria
txt with erythromycin |
|
|
Clostridia toxin?
|
alpha toxin
|
|
|
salmonella thyphi===thyphiod seeds to
|
GB
|
|
|
Moraxella catarrhalis
|
COPD pt
immunodeficient pt |
|
|
what syphillis test are positive in neonate if omom had syphillis
|
both rpr and ftabs
|
|
|
septic peripheral thromobphilibits and septic thrombosis fo central veins
|
candida albicans
|
|
|
ring worm how do u treat
|
ampho
|
|
|
protozoa or helminths which causes eosinophilia
|
helminiths
|
|
|
how do u dx acute toxo
|
elevated igM or ring enhancing lesion in aids pt
|
|
|
duffy RBC antigen
|
site of attachment for P. vivax
|
|
|
ixodes tick can transmit what 2 diseases
|
borrelia and babeesia
|
|
|
how d o u treat schistosoma
|
praziquantel
|
|
|
cervical ca what tyoe of HPV ?
|
16, 18, 31
|
|
|
what virus casues PML and in what type of pt
|
papovirus gets reactivated in AIDs pt
|
|
|
sid effect of pentamidine
|
hypoglycemia or hyperglycemia
|
|
|
namr organisms that may cause acute bacterial endocarditis
|
staph aureus
pneumococci group A strep enterococci gram neg s. epidermidis |
|
|
what organisms can casue prosthetic valve endocarditis and can be txt with abx alone
|
s. viridans
|
|
|
what organism do u expect in chronic meningitis with a neutrophilic CSF
|
nocardia
actinomyces fungus |
|
|
what is the emperic abx for persumed bacterial brian abscess
|
ceftriaxone and flgyl
if post nsg pt can add vanco |
|
|
how do u dx neurosyphillis
|
CSF-VDRL
|
|
|
why dont u use FTA-ABS to dx neuro syphiils
|
its way t oo sensative and can be contaminated due to periphreral blood
|
|
|
how do u chekc for c diff
|
check for alpha toxin
|
|
|
diarrhea aftre oysters or clams
|
norwalk virus
|
|
|
how is sx of mensturation sx relate to GC infection
|
increased sx of mensturation
|
|
|
yeast vagnitis PH of vaginal fluid
|
less than 4.5
|
|
|
IVDA and osteo whats the bacteria
|
pseudomonads
|
|
|
does a neg pyrophosphate excluse osteo
|
yes
|
|
|
what els ecan cause positve pyrophospahte scan..
|
cellultus
fx |
|
|
methicicllin can casue
|
AIN
|
|
|
txt for native valve ABE
|
naf + Gen or vanc/naf/gent if MRSA
|
|
|
TXT FOR sbe NATIVE VALVE
|
AMP/GENT
|
|
|
PROSTHETIC VALVE ENDOCARDITIS
|
VAN/GEN/RIFMAPIN
|
