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56 Cards in this Set

  • Front
  • Back
  • 3rd side (hint)
gram-positive
blue/purple
gram-negative
red
(sadly i forgot this in the middle of step 1)
G+cocci in clusters
staph
G+cocci in pairs
strep
G-rods
Haemophilus
G-diplococci
neisseria or moraxella
G-rod that is fat, haha and capsulated
Klebsiella
G+rods that form spores
Clostridium, Bacillus
Pseudohyphae
candida
G+ with sulfur granules
Actinomyces (PID with IUDs)
silver-staining
pneumocystis jiroveci, cat-scratch disease
positive india ink prep
cryptococcus
spirochetes
trepenoma and leptospira can only be seen in dark-field
borrelia can be seen with regular microscope
Pt stuck with a thorn
Dx - Sporothrix schenckii
Tx - itraconazole, fluconazole
spleenless people killers!
Dx - S. pneumo, H. flu, N. meningitidis cuz they're encapsulated. haven't killed me once.
PNA in the Southwest
Dx - Coccidioides immitis
Tx - itraconazole, fluconazole, amphotericin B
PNA after cave exploring or exposure to bird droppings in Ohio/Mississippi river valleys
Dx - histoplasma capsulatum
PNA after being near some stupid exotic bird
Dx - Chlamydia psittaci
Fungus ball or hemoptysis after TB cavitary dz
Dx - Aspergillus
this better show up on the test
PNA with Hx of silicosis
Dx - TB
this too
Diarrhea after drinking from a stream
Dx - Giardia lamblia
Si/Sx - cysts in stool
Tx - metronidazole
B12 deficiency and abdominal sx
Dx - Diphyllobothrium latum
Seizures with ring-enhancing brain lesion
Dx - Taenia solium (cysticerosis)
pork
Bladder cancer in Middle East/Africa
Dx - Schistosoma haematobium
Worm infxn in kids
Dx - Enterobius (pinworm, vomit)
Fever, muscle pain, eosinophilia, periorbital edema after eating raw meat
Dx - Trichinella spiralis (trichinosis)
Food poisoning after eating raw seafood
Dx - vibrio parahaemolyticus
Cellulitis after cat or dog bite
Dx - Pasteurella multocida
Tx - prophylactic ampicillin
Slaughterhouse worker with fevers
Dx - Brucella
PNA after being in a hotel, AC or water tower.....
Dx - Legionella pneumophila
Tx - azithromycin, fluoroquinolone
Bronchitis bugs and empiric tx
virus, h.flu, moraxella

Tx - amoxicillin, erythromycin
Cellulitis bugs and empiric tx
strep, staph

Tx - antistaph PCN (eg. methicillin, dicloxacillin) will cover both
Endocarditis bugs and empiric tx
Staph, strep

Tx - antistaph PCN (or vanco) PLUS aminoglycoside (...micin ie gent)
Meningitis (child/adult) bugs and empiric tx
S. pneumo, N. meningitidis

Tx - 3rd gen ceph. (ceftriaxone) or meropenem PLUS vanco
Meningitis (neonate) bugs and empiric tx
Strep B, E. coli, Listeria

Tx - ampicillin PLUS aminoglycoside, 3rd gen cephalosporin
Osteomyelitis bugs and empiric tx
S. aureus, Salmonella

Tx - antistaph PCN, vancomycin
PNA (classic) bugs and empiric tx
S. pneumo, H. flu

Tx - 3rd gen. cephalosporin, azithromycin
PNA (atypical) bugs and empiric tx
Mycoplasma, Chlamydia

Tx - macrolide (azithro, erythro, clarithro) or doxycycline
Septic arthritis bugs and empiric tx
Suspect S. aureus?
Tx - antistaph PCN, vancomycin

Suspect gonorrhea?
Tx - ceftriaxone, fluoroquinolone
Sepsis bugs and empiric tx
Gram negatives, strep, staph

Tx - 3rd gen. PCN or cephalosporin PLUS aminoglycoside, imipinem
UTI bugs and empiric Tx
E. coli

Tx - TMP-SMX, nitrofurantoin, amoxicillin, quinolones
Bacteriodes empiric Tx
1 - metronidazole
2 - clindamycin

(gut anaerobes)
Borrelia empiric Tx
1 - doxy, amox
2 - erythromycin
Chlamydia empiric Tx
1 - azithro, doxy
2 - erythromycin, fluoroquinolone
Enterococci empiric Tx
1 - PCN OR ampicillin + aminoglycoside (gent)
2 - vanco + aminoglycoside
Gonococci empiric Tx
1 - ceftriaxone, fluoroquinolone
2 - spectinomycin

always add tx for chlamydia with azithro or doxy
Haemophilus empiric Tx
1 - 2nd or 3rd gen cephalosporin
2 - ampicillin
Klebsiella empiric Tx
1 - 3rd gen cephalosporin, fluoroquinolone
2 - 3rd gen PCN + aminoglycoside
Meningococcus empiric Tx
1 - ampicillin
2 - cefotaxime, chloramphenicol
TB empiric Tx
1 - isoniazid-rifampin
2 - ethambutol, pyrazinamide
Pseudomonas empiric Tx
1 - extended-spectrum PCN + aminoglycoside
2 - imipenem
Mycoplasma empiric Tx
1 - azithro, fluoroquinolone
2 - doxy
Strep A or B empiric Tx
1 - PCN, cephazolin
2 - erythromycin
Strep pneumo empiric Tx
1 - 3rd gen cephaolosporin, fluoroquinolone
Treponema
1 - PCN
2 - doxy
Staph empiric Tx
1 - antistaph PCN
2 - vanco