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35 Cards in this Set
- Front
- Back
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Mississipi, OH, Misouri -F, c, HPSM, adenpathy, PNA, skin lesions, diarrhea, pancytopenia (~leukemia);
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Histo
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dx, tx of histo?
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Dx: -culture; urine ag;
-titer/serology -usually none Tx: for severe: Ampho B |
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Easter US, South America, Canada, Africa, India Asyp; cough, wt loss, F, skin lesions, hemoptysis;
Pulm: alveolar/interstitial infiltrates, nodular disease; cavitation; -Disseminated: osteo; subq abscess; |
Blastomycosis
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dx, tx?
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-culture Itraconazole: mild-mod
-ampho B |
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when do you isolate baby from mom w/ TB?
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Isolate baby from mom only if Mom + TST AND abnl CXR→ start baby on INH, do TST @ 3-4 mo, cont meds at least until 9 mo age regardless!!, repeat TST;
-if one or other, no isolation |
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pulm or extrapulm diz w/ signs/sx due to M. tuberculosis infx
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TB diz
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no active disease, evidence of prior infection
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latent TB
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annual test (TST or IGRA) needed for whom ? :
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kids w/ HIV or living w/ HIV people, incarcerated adolescents
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how does BCG affect PPD?
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after BCG, PPD often negative, wanes > 3-5 yrs; seldome > 10 mm; doesn’t > 15mm; if so, not false +
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when do you need to isolate kids w/ TB?
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most kids < 10 yo don’t need to be isolated in hosp; exception: cavitary pulm diz, draining sinus tracts from osteo, laryngeal or renal tb, congenital TB needing airway w/ intubation
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) Latent tb tx?
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INH x 9 mo ( or rifampin x 6 mo if INH resistant
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pulm tb tx?
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INH + Rifampin + pyrazinamide + Ethambutol
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hilar adenopathy tb tx?
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I + R x 6 mo
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meningitis TB tx?
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: I + R + Z x 2 mo AND Ethmbutol ; then I + R x 7 mo
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whats mm of + TST in people/ kids:
-in close conact w/ known or suspected active Tb case -HIV infected or immunosuppressed -w/ suspected disz (CXR or diz suggest TB) |
5 mm
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what's TST measurment in:
kids w/ increased RISK OF DISSEMINATION: < 4 yo, immunocompromised -exposure risk: born in high incidence area or known exposure to infected adult |
10 mm
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what's + TST in kids > or = 4 yo w/o any risk factor?
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15 mm
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what med SE:
Red urine/tears; interferes w/ mdrug metbolism: warfarin, steroids, quinidine,; flu like sx; rash |
rifampin
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Rash, hepatitis, arthralgia- which med SE?
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rifampin
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CN 8 toxicity -which med SE?
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streptomycin
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? optic neuritis which med SE?
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ethambutol
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whats grm neg rod bug causes osteo?
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kingella
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what bug ~ sickle cell causes osteo?
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salmonella, then staph
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most common cz of osteo?
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staph, grp A strep
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-Neonates: F, irritability, sepsis
-sowllen, tender ext -young kids: pian, limp, localized tenderness; dx, cz, tx? |
osteo; xrays; bone scan; MRI - most useful; antistaph meds: vanc, clinda, oxacillin
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Catrrhal: 1st wk ! viral URI, rhinorrhea, dry cough
-paroxysmal: 1-4 wks, paroxysmal cough w/ whoop @ end; 3) convalescent tx? cz? |
pertussis; erythromycin
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when do you need to cath kids for UTI?
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Girls < 2; boys < 6 mo: need cath
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most common cz of menigitis in neonate?
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s. pneumo;
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when do you need to prophylax for mengigits / N. mengitidiis:
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household contacts, daycare contacts if there are > 2 cases; w/in 24 hours; those who intubated; with rifampin
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LP: hi pressure, 100-1,000 WBC; PMN, protein 100-500
glucose < 40; dx? |
bacterial mengigits
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LP: hi pressure, 100-1,000 WBC; lymphocytes; protein 100-500
glucose NL; cz, ? how dx? |
enteroviral; PCR
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LP: NL pressure, 130 WBC (median); protein 80 (Nl up to 750)
glucose: CSF to blood ratio > 50%; temporal sz; ; cz, ? how dx? |
HSV
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LP Hi pressure; 25-100 WBC; protein 100-200; gluc < 50;
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TB
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hi pressure in LP; 10-200 WBC; 75-400 PROTEIN
-NL glucose; grm stain neg |
brain abscess
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LP : hi pressure, hi WBC, lypmhs, Protein: 20-500;
low glucse; ag detection in blood; csf cx for dx |
crtyptococcal
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