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38 Cards in this Set
- Front
- Back
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Most common cause of neonatal sepsis?
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pneumonia
meningitis |
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Most common organisms causing neonatal sepsis?
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GBS
E. coli S. aureus Listeria |
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What is used to diagnose neonatal sepsis?
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Blood cultures & urine cultures
CXR |
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What is the treatment for neonatal sepsis?
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Ampicillin and gentamicin
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Types of TORCH infection
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Toxo
Other: Syphilis Rubella CMV Herpes |
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How does Toxo infection present?
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1) Choriorentinitis
2) hydrocephalus 3) multiple ring enhancing lesions on CT |
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How is Toxo infection diagnosed?
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1) Toxo IgM (best initial),
2) PCR (most accurate) |
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How do you treat Toxo infection?
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Pyrimethamine, sulfadiazine
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How does syphilis present
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1) Rash on the palms & soles
2) snuffles 3) frontal bossing 4) Hutchinson 8th nerve palsy 5) saddle nose |
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How is syphilis diagnosed?
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Dx:
1) VDRL or RPR (best initial) 2) FTA ABS or dark field microscopy (most accurate) |
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How is syphilis treated
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Tx: Penicillin
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How does Rubella present?
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1) PDA
2) cataracts 3) deafness 4) hepatosplenomegaly 5) thrombocytopenia 6) blueberry muffin rash 7) hyperbilirubinemia |
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How is Rubella diagnosed
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Maternal IgM status
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How is Rubella treated
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Supportive
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How does CMV present
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1) Periventricular calcifications
2) microcephaly 3) chorioretinitis 4) hearing loss 5) petechiae |
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How is CMV diagnosed
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1) urine or saliva viral titers (best initial),
2) urine or saliva PCR for viral DNA (most accurate) |
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How is CMV diagnosed
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Ganciclovir
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How does Herpes virus present
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Wk 1: shock & DIC
Wk 2: vesicular skin lesions Wk 3: encephalitis |
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How is Herpes virus diagnosed
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Tzanck (best initial),
PCR (most accurate) |
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How is the Herpes virus treated
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Acyclovir & supportive
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What is the cause of Fifth disease
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Parvovirus B19
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How does Fifth disease present
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Starts w/ fever and URI and progresses to rash w/ "slapped cheek" appearance
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What is the treatment for Fifth disease
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Supportive
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What is the cause of Mumps
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Paramyxovirus
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How does Mumps present
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Fever precedes classic parotid gland swelling w/ possible orchitis
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How is Mumps virus treated
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Supportive
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How is the cause of Roseola
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Herpes type 6 & 7
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How does Roseola present
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Fever & URI progressing to diffuse rash
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What is the treatment for Roseola
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Supportive
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What is the cause of Rubeola
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Paramyxovirus
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What is another name for Rubeola
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measles
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How does Rubeola present
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3 C's: cough, coryza, conjunctivitis w/ Koplik spots
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How is Rubeola diagnosed
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Dx: Measles IgM antibodies
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What is the treatment for Rubeola
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Supportive
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What is the cause of Varicella
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Varicella zoster virus
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How does Varicella present
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Multiple highly pruritic vesicular rash that begins on the face, possible fever & malaise
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How is Varicella diagnosed
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1) Tzanck (best initial; multinucleated giant cells),
2) viral culture (most accurate) |
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What is the treatment for Varicella
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Tx: Supportive w/ topical ointments
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