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61 Cards in this Set
- Front
- Back
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Herpes simplex
Herpes Zoster |
Clear vesicles Acyclovir Valacyclovir Famiciclovir Foscarnet if resistant
oral acyclovir within 72 hrs Isolate till crusting |
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CMV |
<50 blurry vision
Val(ganciclovir) (till cd rises) Ganciclovir (BM depression)
Foscarnet (Renal) |
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Chronic Hep B |
Lamivudine Telbivudine Interferon Adefovir Tenofovir Entecavir
vudine / fovir / cavir |
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Chronic Hep C |
Telaprevir Boceprevir Simeprevir (Protease Inhibitor) Sofobuvir (RNA poly inhibitor) Ribavirin (anemia)+ Interferon
previr / buvir |
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Influenza |
Oseltamivir Zanamivir
amivir |
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Neutropenic Fever |
Caspofungin Micafungin Anidulafungin (inhibit 1,3 glucan synthesis) |
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Aspergillus |
Voriconazole (visual disturbance) inhibits lanosterol to ergosterol
pts with weak immune / chronic lung dis |
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Cryptococcus |
Amphotericin (Distal RTA, hypoK, Met Acid, Fever) |
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Mucormycosis |
Amphotericin (Distal RTA, hypoK, Met Acid, Fever)
pts with DM |
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Osteomylitis |
Ox/Naf iv 4 -6 wk
Vancomycin iv 4 - 6 wk
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Otitis Externa
MOE
OM
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Topical Cipro + hydrocortisone + Acetic acid
Cipro( inhibit DNA gyrase no unwind) Pipera Cefepime
Amoxi 7 - 10 d move 3d switch Augmentin( Clav beta lactamase inhibitor) |
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Sinusitis |
Amoxi 7 - 10 d + inhaled steroids move 3d switch Augmentin |
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Pharyngitis |
centor criteria Tonsillar exudates Tender Cervical LN Fever No cough >2+ do rapid strep then culture Amoxi / Azitro/ Clarithro |
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Impetigo |
topical mupirocin oral cephalexin CA MRSA TMP/SMX Retapamulin |
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Erysipelas |
pyogenes if confirmed Pen VK Cephalexin
red edematous raised sharp demarc |
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Cellulitis |
cephalexin cefazolin IV
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Fungal Infection |
Topical Clotrimazole/ Miconazole /Econazole/ Nystatin
First line - Oral terbinafine (inc LFT)/ Itraconazole |
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Urethritis Cervicitis
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IM Ceftriaxone 250 mg + Azithro 1gram PO Oral fluoroquinolones (such as ciprofloxacin) and oral cephalosporins (such as cefpodoxime) are not recommended in this setting because of resistance |
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PID |
Ceftrixone + Doxy Cefoxitin + Doxy Clinda + Genta
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Preg Safe AB |
Penicillin Cephalo Aztreonam Erythro (inc GI motillity) Azithro
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Epididymo Orchitis |
Ceftria + Doxy Cipro
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Chancroid |
Ducreyi Ceftria / Azithro |
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LGV |
bubo Doxy / Azithro
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Chancre
Condylomata lata |
Syphilis (Jarisch Herxheimer aspirin) Pen IM / Doxy
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Granuloma Inguinale |
beefy red donovan bodies TMP/SMX / Doxy / Azithro |
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Imiquiod |
inc interferon, tnf, IL6 Condylomata Acuminata (HPV) Basal cell CA Actinic Keratosis Minor Squamos cell CA
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HSV |
Rx with oral acyclovir, famciclovir, valacyclovir Rx daily to prevent outbreaks not topical |
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Cystitis |
Unc - Nitrofurantoin /Fosfomyin /Bactrim( TMP/SMX) 3d Comp - Bactrim / Cipro 7 d |
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Pyelonephritis |
OP - Cipro IP - Ceftriax |
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Prostatitis |
Cipro Bactrim 2 wk |
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IEndocarditis |
Vanco + Genta Px Amoxi / Azithro |
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HIV
HIV Px only for high risk exposure to: blood/semen/rectal/vaginal/BF of: vagina/rectum/eye/mucosa/broken skin Rx Tenofovir+emtricitabine+raltegravir FU 4-6 wk low exposure noPx - urine/tears/saliva/nasal |
Atripla - tenofivir emticitabine efavirenz NRTI (dine) Lactic acidosis PI (navir) Inc gluc + lipids NNRTI (virine) efavirenz - drowsy avoid in preg Px one mth HIV lipodystrophy(Cushinoid) - insulin resistance Rx Metformin/glitazone
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Maraviroc |
block ccr5 to gp120 |
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HIV Px |
<200 - Bactrim
<50 - Azithro |
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PCP |
dry cough inc LDH IV Bactrim rash - IV pentamidine (S/E electro/metabolic dist)
If o2 <70 - steroids PX 200 - bactrim
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Toxo |
Rx empirically as Toxo for ring enhance if no improv - biospy
pyrimethamine + sulfadiazine 2 wk
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Cryptococcus |
<50 India ink Ampho + 5FC then fluconazole |
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Oligodendrocyte with intraneuclear inclusions Demylination Astrogliosis |
PML <50 PCR CSF no mass effect HAART If no Rx death within 6mths |
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MAC |
<50 anemia inc alk phos GGTP normal bili Clarithro + ethambutol Px Azithro |
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Lepto |
Jaundice + renal Ceftraixone |
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Tularemia |
ulcer + LN + conjuctivitis Genta
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Cycticercosis |
infected pork Albendazole |
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Erythema migrans |
Lyme Disease Rash or Bell - Oral Doxy/Amoxi CNS/CVS (high grade heart block)- IV ceftriaxone + pacemaker
No high impact activity Arthritis - oral + NSAIDS Arthrocentesis - nonbloody/25000 Dx ELISA then Western Blot |
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Babesiosis |
Hemolytic asplenic tetrads Azithro + Atovaquone |
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Ehrlichia |
Inc LFT dec plt + wbcs Doxy
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Malaria |
GI complaint mefloquine / malarone |
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Nocardia |
Bactrim
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Actinomyces |
Penicillin |
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Histoplasmosis |
oral ulcer + splenomegly ampho |
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Blastomycosis |
Budding yeast Bone lesions Ampho
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Coccidiomycosis |
joint + erythema nodosum itraconazole |
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TB |
INH (Self limited transaminitis) add B6 (Ataxia/Peripheral neuropthy / parasthesia)
Pyrazinamide (Asymptomatic inc in uric acid )
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Meningitis |
Viral (Adults - HSV)
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Fever + maculopapular rash +LN +pharygitis +thrush + ulcer |
Acute Retroviral syn ELISA if neg then HIV RNA/ p24 AG |
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Bites |
Human (Eikenella/ viridans/aureus) wound care + irrigate no primary closure except face AB + TT
Cats / Dogs (Pasturella) |
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TB tests |
TB Skin test (High Spec if not BCG pts, Not Dx active TB) Interferon gamma (high specific, no interfer with BCG, can't differe latent and active) Smear (low sensiti, monitor progress, not differ nontuberculous mycobac) Sputum (Gold, can check drug sensitive) Nucleic Acid ampli (Can differ nontb mycobac, may be positive after Rx) CXR
Sputum culture if neg
B lavage |
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Latent TB |
INH - 6-9 mths
Rifampine - 4 mths
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Sinusitis |
Strep / H inf/ Moraxella CT if AB fail / CNS s/s
Amox-clav Doxy / Fluoro
No cephalo / Bactrim/ macrol / amox alone |
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Man with pain and uti symptoms |
Try ciproflox if doesn't work try till 6wks if still doesn't work THINK chronic pelvic pain syndrome - give tamsulosin Do culture and urodynamic studies. |
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Young child + acute fever + monoarthritis |
Aspirate the joint |
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Cyclospora oocytes |
S/S - watery diarrhea, N, wt loss, no appetite Transmitted through infected imported fruits Rx - Bactrim |
