Flashcards in DIT Micro by systems Deck (21):
Pneumonia in neonates?
GBS, E coli (from mom)
Ampicillin and gentamicin
Pneumo in 4 week to 18 years? (mnemonic alert)
Runts May Cough Chunky Sputum
Macrolides b/c usually atypical and add ceph triaxone for strep pneumo
Pneumo in 18-40?
Macrolides + ceph to cover strep pneumo with atypical
pneumo for 40-65?
Clindamycin for anearobes
Hospital acquired pneumo?
Meningitis 0-6 months?
HIV meningitis big one?
Tx of meningitis? 3 things you need to do
EMPIRIC is ceftriaxone and vanco
Dexamethasone to reduce inflammation and less sequaelae in children and morbidity in adults
4 STAR TOPIC CSF findings for Bacterial, fungal/tb, and viral meningitis
Bacterial: high pressure, high PMN, high protein, low sugar
TB/fungus: high pressure, high LYMPHOCYTE, high prot, low sugar
Viral: normal/high pressure, slightly high lymphocyte, normal/high protein, normal sugar (can be pretty normal)
Bone pain in back with a fever?
Think osteomylitis from Pott disease (TB)
Osteomyelitis from dog bites?
Practice q's on DIT 289 SUPER HIGH YIELD
What are snuffles?
blood tinged nasal secretions with congenital syphilis
What is lymphogranuloma venereum?
Genital uclers, rectal strictures, mistaken for IBD and from chlamydia L1-L3
What is Fitz-Hugh Curtis syndrome?
Infection of liver capsule with PID. Severe. can cause lier adhesions to peritoneum
How do you recognize T in TORCHeS?
Toxoplasma from cat feces or undercooked meat and not affecting mom
How do you recognize R in torches?
Rubella from resp droplets
(Possible blueberry muffin rash)
How do you recognize C in TORCHeS?
CMV: is most common but most are asymptomatic
UNILATERAL hearing loss
Blueberry muffin rash
How do you recognize H in TORCHeS? What is a specific manifestation to know?
HIV: zidovudine and HAAV therapy, and C section
HSV2: TEMPORAL encephalitis and vesicular rash. MOM's need C section.
How do you recognize S in TORCHeS?
Syphilis: hydrops, or saddle nose, short maxilla, saber shins, deafness, snuffles...