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14 Cards in this Set
- Front
- Back
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Albert was a building contractor. His symptoms started abruptly, and included vertigo, nausea, fatigue, fevers, chills, weakness, anorexia, poor concentration, agitated feelings, “electrical shock” feelings in his brain (right side only), depression, and anxiety. After 6 months, some of his symptoms resolved, but he still battles terrible fatigue, nausea, depression, and has a strange sensation he describes as his brain feeling “waterlogged”. He still gets intermittent electrical shocks in the right side of his brain.
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viral encephalitis
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what is the vector of la crosse virus?
host? |
vector: mosquito
host: chipmunk/squirrels |
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if a pt is thought to have encephalitis what drug will they be put on?
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Acyclovir
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Most common global
Arbovirus encephalitis? |
West Nile
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what is Now most common U.S.
cause of encephalitis ? |
West Nile virus
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humans are gaining herd immunity to west nile..as time goes on what population is likely to be affected?
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kids!
immature immune system |
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when people are infected with viruses that can lead to encephalitis, how often do you see pts that are symptomatic?
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1%
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are epidemics of la crosse virus common? why or why not
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No human-human, human-mosquito
transmission, therefore epidemics unlikely. |
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what antibody will be increased in arbovirus encephalitis?
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IgM
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natural host for rabies?
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Bats
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most cases of rabies in the US are due to what?
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Most U.S. cases due to
being bitten by wild animals, bats, skunks, raccoons, coyotes, etc. (Worldwide – stray dogs, mainly urban) |
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if a pt gets bit by a rabid dog, can you give a post-infection vaccination? why or why not
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Incubation period several days
to avg. 2-3 months depending on site of bite. allows for post - infection vaccination w/o tx Death 3 to 5 days after onset of symptoms (excitation, convulsions, nervous hydrophobia, respiratory paralysis, etc.). |
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Negri bodies=
**** |
Rabies
give human rabies immune globulin (HRIG) Tissue culture vaccine - 4 doses: days 0, 3, 7, 14. |
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mom calls and says my daughter found a stray cat and it nibbled hear hand...what do you say
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get her in and
Administer vaccine immediately Stop treatment if animal remains healthy throughout an observation period of 10 days or if animal is proven to be negative for rabies by a reliable laboratory using appropriate diagnostic techniques |
