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Flashcards in DIT Micro by systems Deck (21):
1

Pneumonia in neonates?

Tx?

GBS, E coli (from mom)

Ampicillin and gentamicin

2

Pneumo in 4 week to 18 years? (mnemonic alert)

Tx

Runts May Cough Chunky Sputum

RSV
Mycoplasm
Chlamydia trachomatas
Chlamydia pneumoniae
Strep pneumo

Macrolides b/c usually atypical and add ceph triaxone for strep pneumo

3

Pneumo in 18-40?

Tx?

Mycoplasma
C pneumo
Strep pneumo

Macrolides + ceph to cover strep pneumo with atypical

4

pneumo for 40-65?

S pneumo
H influ
Anearobes
Virus
Mycoplasma

Clindamycin for anearobes

5

Hospital acquired pneumo?

MRSA
G- rods

6

Meningitis 0-6 months?

GBS
E coli
Listeria

7

HIV meningitis big one?

Cryptococcus

8

Tx of meningitis? 3 things you need to do

Culture bacteria

EMPIRIC is ceftriaxone and vanco

Dexamethasone to reduce inflammation and less sequaelae in children and morbidity in adults

9

4 STAR TOPIC CSF findings for Bacterial, fungal/tb, and viral meningitis

Pressure
Cell type
Protein
Sugar

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)

10

Bone pain in back with a fever?

Think osteomylitis from Pott disease (TB)

11

Osteomyelitis from dog bites?

Pasteurella multocida

12

Practice q's on DIT 289 SUPER HIGH YIELD

do them

13

What are snuffles?

blood tinged nasal secretions with congenital syphilis

14

What is lymphogranuloma venereum?

Genital uclers, rectal strictures, mistaken for IBD and from chlamydia L1-L3

15

What is Fitz-Hugh Curtis syndrome?

Infection of liver capsule with PID. Severe. can cause lier adhesions to peritoneum

16

How do you recognize T in TORCHeS?

Toxoplasma from cat feces or undercooked meat and not affecting mom

TRIAD:
Chorioretinitis
Hydrocephalus
Intracranial calcification

17

How do you recognize R in torches?

Rubella from resp droplets

PDA
Cataracts
Deafness

(Possible blueberry muffin rash)

18

How do you recognize C in TORCHeS?

CMV: is most common but most are asymptomatic

UNILATERAL hearing loss
siezures
Blueberry muffin rash

19

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.

20

How do you recognize S in TORCHeS?

Syphilis: hydrops, or saddle nose, short maxilla, saber shins, deafness, snuffles...

21

What virus can cause hydrous fettles in utero?

Parvovirus B19