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51 Cards in this Set
- Front
- Back
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3 most common causes of FUO
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infection,cancer,autoimmune
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4 signs or sx of streptococcal pharyngitis
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Fever, pharyngeal erythema, tonsillar exudate,lack of cough
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Non-suppurative complication of streptococcal infection that is not altered by tx of primary infection
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PSGN
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Most common predisposing factor for acute sinusitis
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Viral URI
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Asplenic pts particularly susceptible to these orgs
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Encapsulated orgs (Pneumonococcus,meningococcus,H.influ,klebsiella)
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# of bacteria needed on clean-catch specimen to dx UTI
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100,000 bacterial/ml
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Which healthy pop is susceptible to UTIs?
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Pregnant women. Treat this group aggressively b/c of potential complications.
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Pt from CA or AZ presents with fever,malaise,cough,and night sweats. Dx? Tx?
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Coccidiomycosis. Amphotericin B
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Nonpainful chancre
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Primary syphilis
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"Blueberry muffin" rash is characteristic of what congenital infection?
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Rubella
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Meningitis in neonates. Dx? Tx?
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GBS, E coli, Listeria. Tx w/ gentamicin and ampicillin.
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Meningitis in infants. Dx? Tx?
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Pneumococcus, meningococcus, H influenzae. Tx with cefotaxime and vancomycin.
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What should always be done prior to LP?
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Check for INC ICP; look for papilldemia, confusion, focal neuro deficit.
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CSF: low glucose, PMN 1000s
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Bacterial meningitis
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CSF: nl glucose, lymphocytic predominance
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Aseptic (viral) meningitis
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CSF: numerous RBCs in serial CSF samples
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SAH
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CSF: INC gamma globulins
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MS
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Initially presents with pruritic papule with regional lymphadenopathy; evolves into black eschar after 7-10 days. Tx?
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Cutaneous anthrax. Tx with penicillin G or ciprofloxacin.
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Findings in tertiary syphilis.
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Tabes dorsalis, general paresis, gummas, Argyll robertson pupil, aortitis, aortic root aneurysm
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Characteristics of secondary lyme dz
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Arthralgias, migratory polyarthropathies, Bell's palsy, myocarditis
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Cold aggulitins
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Mycoplasma
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24 y/o man with soft white plaques on his tongue and back of his throat. Dx? Workup? Tx?
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Candidal thrush. Workup should include an HIV test. Tx with nystatin oral suspension.
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CD4 count PCP ppx should be started? MAC ppx?
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<200 for PCP with bactrim; <50-100 for MAC with clarithromycin/azithromycin
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RFs for pyelonephritis
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Pregnancy, vesicoureteral reflux, anatomic anomalies, indwelling catheters, kidney stones
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Erythema migrans
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lesion of primary lyme dz
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neutropenic nadir post-chem
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7-10 days
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Classic physical findings for endocarditis
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Fever, heart murmur, Osler's nodes, splinter hemorrhages, janeway lesions, roth's spots
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Aplastic crisis in sickle cell dz
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P B19
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Ring enhancing brain lesion on CT with seizures
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Taenia solium (cysticercosis)
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branching rods in oral infxn
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actinomyces israelii
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weakly gram +, partially acid-fast in lung infection
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nocardia asteroides
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painful chancroid
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haemophilus ducreyi
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dog or cat bite
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pasteurella multocida
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gardener
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sporothrix schenckii
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raw pork and skeletal muscle cysts
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Trichinella spiralis
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Sheepherders with liver cysts
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Echinococcus granulosus
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perianal itching
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enterobius vermicularis
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pregnant women with pets
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toxo gondii
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meningitis in adults
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n meningitis
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meningitis in elderly
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s pna
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meningoencephalitis
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cryptococcus neoformans
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Alcoholic with PNA
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klebsiella
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Currant jelly sputum
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Klebsiella
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Malignant external otitis
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Pseudomonas
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Infection in burn victims
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Pseudomonas
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Osteomyelitis from a foot wound puncture
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Pseudomonas
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Osteomyelitis in a sickle cell pt
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Salmonella
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55 y/o M smoker, heavy drinker with new cough and flu-like sx. Gram stain shows no organisms; silver stain of sputum shows gram - rods. Dx
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Legionella PNA
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Middle aged man with acute onset monoarticular joint pain and b/l bell's palsy. Dx? how'd he get it? Tx?
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Lyme dz, Ixodes tick, doxycycline
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Pt develops endocarditis 3 weeks after receiving prosthetic heart valve. Org?
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S. aureus or S epidermidis.
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Pt develops endocarditis in native valve after dental cleaning
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s. viridans
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