Diseases and Symptoms

Question 1

Syphilis

Answer 1

Symptoms:

1. Chancre (open wound)
2. Rash
3. Cardiovascular, Gummas, Neurosyphilis

HRG:
Homosexual men, people who have sex for drugs or money.

Question 2

Lyme Disease

Answer 2

Symptoms:
1. EM rash (painless, no itching, bullseye) 2. heart arrhythmia, nero - facial paralysis, meningitis

HRG: outdoorsy people

Question 3

Leptospirosis

Answer 3

Symptoms:
Kidney & Liver damage, + subclinical

HRG:
Occupational

Question 4

Pseudomonas

Answer 4

HRG:

Nosocomial, Cystic Fibrosis, IV Drug users

Question 5

Legoinnaire’s Disease (pneumonia)

Answer 5

HRG:
Elderly/Smokers

Symptoms:
high fever, chills, coughing

Question 6

Brucellosis

Answer 6

HRG:
occupational, ingestion

Symptoms:
Resp failure, enlarged organs (liver, spleen, lymph nodes)

Question 7

Pertussis (Whooping Cough)

Answer 7

HRG:
unvaccinated under 1 year old

Symptoms:
1-2 weeks: cold like.
1-6 weeks: acute violent cough w/ w/out vomiting.
100 days: long convalescent cough

Question 8

Gonorrhea, Urethritis

Answer 8

HRG:
multiple sexual partners

Symptoms:
Men - local, pain/pus drip.
Women - cryptic symptoms, scarring, PID, sterility, ectopic preg

Question 9

Meningitis

Answer 9

Symptoms:

violent inflammation of brain, nausea, vomiting, confusion, drowsy, photophobia, coma

Question 10

Peptic Ulcer Disease, Gastric Cancer

Answer 10

Symptoms:

Pain, Bloody Diarrhea

Question 11

Gastroenteritis

Answer 11

HRG:
young, old, immunodeficient.

Symptoms:
Diarrhea (watery, sticky, bloody), Abdominal Pain, Fever,
RARE: Gillian Barre Syndrom (flaccid paralysis starting at foot and moving up)

Question 12

Cholera

Answer 12

Symptoms:
Severe diarrhea for 1 week, NO fever, dehydration, organ failure, muscle cramps, hypoglycemia arrhythmia, acidosis (increases urin pH) shock and death

Question 13

UTI

Answer 13

Sympotms:

Urinate frequently, painful burning

Question 14

Hemorrhagic Colitis, Hemolytic Uremic Syndrome

Answer 14

HRG:
the usual

Symptoms:
HC - bloody diarrhea, severe pain, no fever HUS - watery diarrhea, bloody, severe pain, vomiting, hemorrhaging, blood in urine (dialysis), hypoglycemia, neurological.

Question 15

Diarrhea or Traveler’s Disease

Answer 15

Symptoms:

Watery Diarrhea, cramps, headache

Question 16

Shigella HUS - hemolytic uritic syndrome

Answer 16

Symptoms:

same symptoms as EHEC + blood, pus, mucus in stools

Question 17

Shigellosis (sever dysentery)

Answer 17

Symptoms:

1st fever, then cramps, dysentery, blood/pus. in children, freq begins with convulsions

Question 18

Salmonellosis

Answer 18

HRG: babies to age 5

Symptoms:
mild fever, diarrhea w/ w/out blood, nausea, vomiting. occasionally sepsis.

Question 19

Typhoid Fever

Answer 19

Symptoms:
NO diarrhea, high fever, headache, death from necrotizing hemorrhaging (can perforate intestines), “Rose Spots” on abdomen and trunk, Multi Organ Dysfunction - wherever it goes.

Question 20

Bacterial Vaginosis

Answer 20

Symptoms:

mild, fish smell, thin frothy discharge, NO inflammation or pain.

Question 21

Bacteroides fragilis

Answer 21

Symptoms:

vaginal infections… other places

Question 22

Peridontal disease, trench mouth, ulcerating gingivitis

Answer 22

Symptoms:

high amount of blood clots

Question 23

rocky mountain spotted fever

Answer 23

Symptoms:

fever, then spotted rash (pink flat, to red raised) (90%)

Question 24

Non Gonococcal Urethritis

Answer 24

Symptoms:

mild gonorrhea symptoms.

Question 25

trachoma (in the eyes)

Answer 25

Symptoms: | nodules, blindness

Question 26

acute urethral syndrom, Ureaplasma urealyticum

Answer 26

Symptoms: Male infertility (decreases sperm motility) Women - preterm labor, spontaneous abortions

Question 27

Pseudomembranous Colitis

Answer 27

Symptoms: | Explosive Diarrhea

Question 28

Toxic Megacolon

Answer 28

``` Symptoms: enlarged colon (football sized), large sections of colon sluffed off, hemorrhaging ```

Question 29

Gas Gangrene

Answer 29

HRG: people with poor circulation. Diabetics, elderly, illegal abortions Symptoms: necrosis to muscle with gas production in tissue (can hear it). foul odor, fever, massive tissue destruction. If in blood - BP down, shock, renal failure.

Question 30

Botulism and Infant Botulism

Answer 30

``` Symptoms: Flaccid Paralysis (descending) first occular, double vision, dilated pupils, blurred vision. difficulty swallowing, ab pain, death from resp. failure. Infant - flaccid baby syndrome. constipation, limp neck. ```

Question 31

Tetanus (lockjaw), Neonatal tetanus.

Answer 31

HRG: unvaccinated w/ deep puncture wound, or unvaccinated mothers. Symptoms: (Tetany) locked jaw (massater muscle), descending until respiratory failure, back arches, face tightens, can break bones, pain, exhaustion

Question 32

Anthrax - cutaneous, intestinal, pulmonary

Answer 32

Symptoms: Cutaneous - papule, blister, red, black, scab, heals (rarely systemic) Intestinal - vomiting, intestinal pain, bleeding, death Pulmonary - toxemia - hemorrhage, edema, necrosis. meningitis - death. early phase - mild, fever, no runny nose, no nasal congestion. late phase - death (fulmitating, fever, labored breathing, chest pain, bp down). Enough toxins made. no survivors

Question 33

Galloping Pneumonia

Answer 33

Symptoms: | strep toxic shock - in blood. High fever, severe pain, BP down, multi organ failure

Question 34

Necrotizing Fasciitis

Answer 34

Symptoms: M-1 protein (attaches easier), necrosis - gangrene (3-4 days). red, tender, swollen skin with lesions, pain. occlude blood vessels, after 4 days necrosis.

Question 35

Rheumatic Fever

Answer 35

Symptoms: | damages heart/joints, fever, arthritis

Question 36

Pneumococcal Pneumonia

Answer 36

HRG: unvaccinated children, elderly, immunodeficient Symptoms: lungs - fever, cough with rusty sputum blood - hemorrhagic complications, rash, sepsis meningitis - fever, STIFF NECK

Question 37

Puerperal Fever in Newborn

Answer 37

HRG: premature labor, membranes rupture, multiple births, mother has history of group B Symptoms: meningitis, carditis, shock

Question 38

Staph Colonize infections

Answer 38

``` Symptoms: 1. no symptoms. 2. Local, recurring (boil, colonizing implants - joints, valves, IV, pacemaker). - infects the fibronectin 3. Sepsis MRSA, VISA, VRSA ```

Question 39

Food Poison

Answer 39

Symptoms: | nausea, vomiting (Emetic)

Question 40

Toxic Shock Syndrome

Answer 40

Symptoms: 3 or more organ systems involved high fever, rash (sunburn-like), multi organ involvement. - skin peels, loose nails, DIC, renal failure

Question 41

Tuberculosis (TB)

Answer 41

HRG: 1 out of 10 get disease if infected. HIV+, substance abuse, immunodeficient, HCW, homeless. ``` Symptoms: persistant cough (maybe bloody), fever, chest pain, fatigue, wt. loss, short of breath. can get to brain and bones. ```

Question 42

Listeriosis (meningitis in unborn child, or cardiovascular abnormalities)

Answer 42

HRG: Elderly, Immunodeficient, unborn (mother subclinical) high affinity for placenta and fetal brain Symptoms: headache, fever, fatigue, vomit, septicemia

Question 43

Diphtheria

Answer 43

HRG: unvaccinated, 4 years old Symptoms: sore throat, difficulty breathing, swollen neck