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56 Cards in this Set
- Front
- Back
- 3rd side (hint)
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gram-positive
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blue/purple
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gram-negative
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red
(sadly i forgot this in the middle of step 1) |
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G+cocci in clusters
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staph
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G+cocci in pairs
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strep
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G-rods
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Haemophilus
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G-diplococci
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neisseria or moraxella
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G-rod that is fat, haha and capsulated
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Klebsiella
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G+rods that form spores
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Clostridium, Bacillus
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Pseudohyphae
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candida
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G+ with sulfur granules
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Actinomyces (PID with IUDs)
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silver-staining
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pneumocystis jiroveci, cat-scratch disease
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positive india ink prep
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cryptococcus
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spirochetes
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trepenoma and leptospira can only be seen in dark-field
borrelia can be seen with regular microscope |
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Pt stuck with a thorn
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Dx - Sporothrix schenckii
Tx - itraconazole, fluconazole |
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spleenless people killers!
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Dx - S. pneumo, H. flu, N. meningitidis cuz they're encapsulated. haven't killed me once.
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PNA in the Southwest
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Dx - Coccidioides immitis
Tx - itraconazole, fluconazole, amphotericin B |
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PNA after cave exploring or exposure to bird droppings in Ohio/Mississippi river valleys
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Dx - histoplasma capsulatum
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PNA after being near some stupid exotic bird
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Dx - Chlamydia psittaci
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Fungus ball or hemoptysis after TB cavitary dz
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Dx - Aspergillus
this better show up on the test |
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PNA with Hx of silicosis
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Dx - TB
this too |
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Diarrhea after drinking from a stream
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Dx - Giardia lamblia
Si/Sx - cysts in stool Tx - metronidazole |
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B12 deficiency and abdominal sx
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Dx - Diphyllobothrium latum
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Seizures with ring-enhancing brain lesion
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Dx - Taenia solium (cysticerosis)
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pork
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Bladder cancer in Middle East/Africa
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Dx - Schistosoma haematobium
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Worm infxn in kids
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Dx - Enterobius (pinworm, vomit)
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Fever, muscle pain, eosinophilia, periorbital edema after eating raw meat
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Dx - Trichinella spiralis (trichinosis)
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Food poisoning after eating raw seafood
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Dx - vibrio parahaemolyticus
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Cellulitis after cat or dog bite
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Dx - Pasteurella multocida
Tx - prophylactic ampicillin |
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Slaughterhouse worker with fevers
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Dx - Brucella
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PNA after being in a hotel, AC or water tower.....
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Dx - Legionella pneumophila
Tx - azithromycin, fluoroquinolone |
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Bronchitis bugs and empiric tx
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virus, h.flu, moraxella
Tx - amoxicillin, erythromycin |
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Cellulitis bugs and empiric tx
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strep, staph
Tx - antistaph PCN (eg. methicillin, dicloxacillin) will cover both |
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Endocarditis bugs and empiric tx
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Staph, strep
Tx - antistaph PCN (or vanco) PLUS aminoglycoside (...micin ie gent) |
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Meningitis (child/adult) bugs and empiric tx
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S. pneumo, N. meningitidis
Tx - 3rd gen ceph. (ceftriaxone) or meropenem PLUS vanco |
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Meningitis (neonate) bugs and empiric tx
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Strep B, E. coli, Listeria
Tx - ampicillin PLUS aminoglycoside, 3rd gen cephalosporin |
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Osteomyelitis bugs and empiric tx
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S. aureus, Salmonella
Tx - antistaph PCN, vancomycin |
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PNA (classic) bugs and empiric tx
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S. pneumo, H. flu
Tx - 3rd gen. cephalosporin, azithromycin |
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PNA (atypical) bugs and empiric tx
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Mycoplasma, Chlamydia
Tx - macrolide (azithro, erythro, clarithro) or doxycycline |
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Septic arthritis bugs and empiric tx
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Suspect S. aureus?
Tx - antistaph PCN, vancomycin Suspect gonorrhea? Tx - ceftriaxone, fluoroquinolone |
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Sepsis bugs and empiric tx
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Gram negatives, strep, staph
Tx - 3rd gen. PCN or cephalosporin PLUS aminoglycoside, imipinem |
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UTI bugs and empiric Tx
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E. coli
Tx - TMP-SMX, nitrofurantoin, amoxicillin, quinolones |
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Bacteriodes empiric Tx
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1 - metronidazole
2 - clindamycin (gut anaerobes) |
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Borrelia empiric Tx
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1 - doxy, amox
2 - erythromycin |
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Chlamydia empiric Tx
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1 - azithro, doxy
2 - erythromycin, fluoroquinolone |
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Enterococci empiric Tx
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1 - PCN OR ampicillin + aminoglycoside (gent)
2 - vanco + aminoglycoside |
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Gonococci empiric Tx
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1 - ceftriaxone, fluoroquinolone
2 - spectinomycin always add tx for chlamydia with azithro or doxy |
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Haemophilus empiric Tx
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1 - 2nd or 3rd gen cephalosporin
2 - ampicillin |
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Klebsiella empiric Tx
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1 - 3rd gen cephalosporin, fluoroquinolone
2 - 3rd gen PCN + aminoglycoside |
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Meningococcus empiric Tx
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1 - ampicillin
2 - cefotaxime, chloramphenicol |
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TB empiric Tx
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1 - isoniazid-rifampin
2 - ethambutol, pyrazinamide |
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Pseudomonas empiric Tx
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1 - extended-spectrum PCN + aminoglycoside
2 - imipenem |
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Mycoplasma empiric Tx
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1 - azithro, fluoroquinolone
2 - doxy |
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Strep A or B empiric Tx
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1 - PCN, cephazolin
2 - erythromycin |
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Strep pneumo empiric Tx
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1 - 3rd gen cephaolosporin, fluoroquinolone
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Treponema
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1 - PCN
2 - doxy |
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Staph empiric Tx
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1 - antistaph PCN
2 - vanco |
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