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21 Cards in this Set

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What organism is the main cause of and what type of empiric antibiotic would be used for: UTI?
Escherichia coli

Trimethoprim-sulfamethoxazole, nitrofurantoin, amoxicillin, quinolones
What organism is the main cause of and what type of empiric antibiotic would be used for: Bronchitis
Virus, Haemophilus influenzae, Morexalla spp.

Amoxicillin, erythromycin
What organism is the main cause what type of empiric antibiotic would be used for: Pneumonia (classic)
Streptococcus pneumoniae, H. influenzae

3rd-gen cephalosporin, azithromycin
Which type of empirical antibiotic would be used for: Gonococcus
Ceftrtiaxone or fluoroquinolone
The antibiotic of choice for treatment of Sepsis is:
Antistaphylococcal penicillin
What organism is the main cause and what type of empiric antibiotic whould be used for: Osteomyelitis
Staph aureus, Salmonella spp

Antistaphylococcal penicillin, (ex. dicloxacillin, methicillin, vancomycin
What organism is the main cause and what type of empiric antibiotic would be used for: Meningitis (neonate)
Streptococci B, E. coli, Listeria spp.

Ampicillin + aminoglycoside, 3rd-gen cephalosporin
What organism is the main cause and what type of empiric antibiotic whould be used for: Meningitis (child/adult)
S. penumoniae, Neisseria meningtidis

3rd-gen cephalosporin OR meropenenem + vancomycin + dexamethasone
In a child with no history of immunizations, what organism is the most likely cause of meningitis?
H. influenzae
What organism is the main cause of and what type of empiric antibiotic whould be used for: Septic arthritis
S. aureus

Antistaphylococcal penicillin, vancomycin

ALSO Gonococci

Ceftriaxone, penicillin, spectinomycin
What organism is the main cause of and what type of empiric antibiotic whould be used for: Atypical pneumonia
Mycoplasma, Chlamydia spp

Macrolide antibiotic, doxycycline
What organism is the main cause of and what type of empiric antibiotic whould be used for: Endocarditis
Staphylococci, streptococci

Antistaphaylococcal penicillin (or vancomycin) + aminioglycoside
Enterococcus is best treated with
Penicillin or ampicilling + aminoglycoside

Others: Vancomycin + amnioglycoside
Strep A and B is best treated with
Penicillin, cephazolin

OTHERS: Erythromycin
Lyme disease is best treated with
Ceftriaxone, doxycycline

Others: Erythromycin, amoxicillin
Pseudomonas is best treated with
Antipseudomonal penicillin + amnioglycoside
What is the gold standard for diagnosis of pneumonia?
Sputum culture
How do you recognize measles (rubeola)infection in a child?
FIRST, fever, cough, runny nose, and conjuntivitis.

THEN 3 days later--Koplik's spots (tiny white spots on buccal mucosa.)

THEN the next day maculopaular rash begins on the head and neck and goes down to the trunk.
How do you recognize rubella infecion in child?(German measles)
(Milder than measles)

FIRST--low grade fever, malaise, swelling of the suboccipital and postauricular nodes (arthragias are common)
THEN a faint maculopatular rash appears on face, neck and spreads to trunk.

Complications include encephalitis and otitis media.
How do you recognize roseola infantum (exanthum subitum)?
FIRST--High fever (can be > 40 C)with no apparent cause for 4 days (May result in febrile seizures)

THEN return to normal temp as a diffuse macular/maculopapular rash appears on the chest and abdomen.

Rare after 3 years--

Caused by the human herpesvirus type 6.
How do you recognize erythema infectiousum (fifth disease)?
FIRST--looke for "slapped cheek" rash with low fever and malaise

THEN 1 day later a maculopapular rash appears on the arms, legs and trunk.

Caused by parvovirus B19