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43 Cards in this Set
- Front
- Back
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3 most common causes of fever of unknown origin (FUO)
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infx
CA autoimmune disease |
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four signs and sx of streptococcal pharyngitis
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fever
pharyngeal erythema tonsilar exudate lack of cough |
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non suppurative complication of streptococcal infx that is not altered by treatment of 1* infx
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postinfectious glomerulonephritis
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asplenic pts are particularly susceptible to these bugs
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encapsulated organisms:
pneumococcus meningococcus Haemophilus influenzae Klebsiella |
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the number of bacterial culture on a clean-catch specimen to dx UTI
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100,000 bacteria/ml
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which healthy population is susceptible to UTIs?
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pregnant women. treat this group aggressively because 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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1* syphilis
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a 'blueberry muffin' rash is characteristic of what congenital infx?
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Rubella
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meningitis in neonates. causes? tx?
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group B strep
E. coli Listeria tx with gentamicin and ampicillin |
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meningitis in infants. causes? tx?
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pneumococcus
meningococcus H. influenzae tx with cefotaxime and vancomycin |
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what should always be done before LP? (2 things)
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check for (+) incracranial pressure; look for papilledema
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CSF: low glu, lots of PMNs
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bacterial meningitis
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CSF: nl glu, lots of lymphocytes
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asceptic (viral) meningitis
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CSF: many RBCs in serial CSF samples
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subarachnoid hemorrhage (SAH)
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CSF: lots of gamma globulins
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multiple sclerosis
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first presents with a pruritic papule with regional lymphadenopathy and evolves into a black eschar after 7-10 days. disease? tx?
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cutaneous anthrax
tx with penicillin G or ciprofloxacin |
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findings in 3* syphilis
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tabes dorsalis
general paresis gummas Argyll Robertson pupil aortitis aortic root aneurysms |
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characteristics of 2* Lyme disease
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arthralgias
migratory polyarthropathies Bell's palsy myocarditis |
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cold agglutinins
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Mycoplasma
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24yo male presents with soft white plaques on his tongue and back of his throat. dx? workup? tx?
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candidal thrush
workup includes HIV test tx with nystatin oral suspension |
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at what CD4 count should you start Pneumocystis carinii pneumonia (PCP) prophylaxis in an HIV+ pt? Mycobacterium avium-intracellulare (MAI) ppx? what drugs do you use?
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<or= 200 for PCP (with TMP); <or= 50-100 for MAI (with clarithromycin/azithromycin)
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risk factors for pyelonephritis?
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pregnancy
vesicoureteral reflux anatomic anomalies indwelling catheters kidney stones |
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neutropenic nadir postchemotherapy
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7-10 days
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erythema migrans
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lesions of 1* Lyme disease
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classic physical findings for endocarditis (6 findings)
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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 disease
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Parvovirus 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 infection. bug?
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Actinomyces israelii
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painful chancroid. bug?
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Haemophilus ducreyi
Ducreyi Dolor |
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dog or cat bite. bug?
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Pasteurella multocida
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gardener. bug?
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Sporothrix shenckii
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pregnant women with pets. bug?
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Toxoplasma gondii
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Meningitis in adults. bug?
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Neisseria meningitidis
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Meningitis in elderly. bug?
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Streptococcus pneumoniae
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Alcoholic with pneumonia. bug?
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Klebsiella
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"Currant jelly" sputum. bug?
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Klebsiella
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Infx in burn victims. bug?
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Pseudomonas
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Osteomyelitis from foot wound puncture. bug?
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Pseudomonas
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Osteomyelitis in a sickle cell pt. bug?
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Salmonella
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55yo man who smokes and drinks heavily presents with new cough and flu-like sx. gram stain shows no organisms; silver stain of sputum shows gram-neg rods. dx?
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Legionella pneumonia
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middle-aged man presents with acute onset monoarticular joint pain and bilateral Bell's palsy. what is likely dx and how did he get it? tx?
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Lyme disease
Ixodes tick doxycycline |
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pt develops endocarditis 3 wks after receiving prosthetic heart valve. bug?
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S. aureus or S. epidermidis
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