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18 Cards in this Set

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D test
use to test for macrolide-inducible clinda resistance (is when clinda sens, erythro resist)
criteria for TSS
1) temp>38.9/1022) sbp <903) rash w subsequent desquamation4) involvement >3 organ sys5) neg serology for RMSF, lepto, measles
TSS rx
fluidsclinda +/- nafcillin+/- IVIG
nikolsky sign
minl friction causes removal of superficial skin layers (in SSSS)

Cause of multiple brain abscesses in newborn

Citrobacter koseri - enteric G- rod

Zidovudine SE (zdz)

Bone marrow suppression


Myopathy

"The D's" (did, DDC, d4t - nrti se)

Pancreatitis


Peripheral neuropathy

Abacavir se (nrti)

Fatal hypersens rxn esp if hla-b57

Efavirenz se (nnrti)

Teratogenic

Indinavir se (pi)

Kidney stones

HIV Rx combos to never use

Zdz/d4t


DdC


Single drug rx

PCP ppx threshold

All infants <12mo


Ages 1-5 w cd4 <500


Ages >6 w cd4<200

Pcp rx

Mild to mod - bactrim or atovaquone


Severe - above + steroids (if pao2<70)

Pneumonia + splenomegaly

Histoplasmosis


C. Psittaci

Dapsone SE

Agranulocytosis


Methemoglobinemia


Anemia (check g6pd)

Live vaccines list

BCG


Oral polio


MMRV


Intranasal flu

Enterococcal uti rx

3rd generation cephalosporin/gentamicin + ampicillin

CMV retinitis in hiv

Loss/blurring vision, blind spots, floaters, flashing lights


Dx w white fluffy retinal lesions close to vessels