Reading...
Play button
Play button
Use LEFT and RIGHT arrow keys to navigate between flashcards;
Use UP and DOWN arrow keys to flip the card;
H to show hint;
A reads text to speech;
3 Cards in this Set
- Front
- Back
- 3rd side (hint)
|
Sx: 3 day old boy, initially norm. Became fussy, febrile, last half hour going to sleep. Mother had fever last couple of days.
Exam: T38.4 HR134 RR22, rest normal w/o focal neuro deficits What are the Ddx and Eti? |
LP w/ opening press, gram stain, glucose, prot, culture
CBC w/diff Metabolic panel Blood gram stain and culture Tx: Empiric-vanco, ceftriaxone, ampicillin for listeria Imaging after empiric: mri/ct |
Ddx:
meningitis encephalitis Eti: GBS, E. coli, Listeria What are the tests and Tx? |
|
|
Sx: 37 yo m. sev headache 12 hr, px w/ head movement, nauseous, thinking "fuzzy"
Exam: T38.7 HR:104 RR20 BP 90/65 Nuchal rigidity, inability to communicate easily. What are your Ddx and Eti? |
Tests:
LP w/ opening press, gram stain, glucose, prot, culture CBC w/diff Metabolic panel Blood gram stain and culture Tx: Empiric Vanco and ceftriaxone Imaging after, unless signs of intracranial pressure |
Ddx: meningitis, encephalitis
Eti: S. pneumo, N. meningitis What tests and Tx? |
|
|
Sx: Inf <3 mo. Is Febrile/hypothermic, inconsolable, low urine output, apnea, decrease feeding, jaundice, poor color, lethargic
Exam: Temp >=38C (100.4), Dehydrated, Ant font swollen, nasal flaring, hepatosplenomegaly, cap refill, petechiae, rashes, reflexes |
Tests:
CBC w/diff CMP Blood/urine stain + culture CRP LP Imaging: CXR, KUB, brain imaging |
Ddx: UTI, bacteremia, meningitis, encephalitis, pneumonia, osteomyelitis, septic arthritis, skin and soft tissue inf, bacterial gastroenteritis,
Tx: Cefotoxime G+ and G-, if > 1mo. CSF penetration Amp - G+ only Consider: Vanc, acycl, naf |
