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5 Cards in this Set
- Front
- Back
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A young woman develops a 102 degrees F fever 2 days after menses. She reports using tampons. After several days, the fever is accompanied by dizziness, hypotension, myalgias, and a diffuse rash on the chest. With a penicillinase resistant penicillin and IV Fluids, the symptoms resolve withing 2 weeks. A desquamation of the palms is observed throughout the convalesences.
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A sexually active young woman develops dysuria, pyuria and fever suggestive of uninary tract infection. Urine cultures show Gram + bacteria in clusters that are catalase +, coagulase --. The patient is started on TMP-SMX.
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An IV-drug user presents with a high fever and signs of heart failure. A notable heart murmur prompts an echocardiogram that reveals tricuspid valve vegetations. The patient is immediately begun on IV penicillinase-resistant penicillin which proves to be effective.
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Ten days after undergoing chemotherapy for Non-Hodgkin's Lymphoma, a middle aged man develops a fever. On exam, he has erythema and tenderness at the insertion of the IV catheter. Blood cultures are positive. The original catheter is removed and the patient is started on Vancomycin.
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A young child presents with fever and a skin rash localized around the lips and on his arms. The rash appears pustular with yellow crusts. Cultures from the impetigo show Gram + cocci in chains that are Beta-hemolytic. The doctor administers penicillin G and warns the parents that the child may deveope transient smoky-colored urine soon.
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