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Flashcards in ID 15 Deck (50)
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1

Most common infections causing brain abscesses

Viridian's streptococci + staph aureus

2

What are multiple brain abscesses indicative of?

Bacteremia

3

Single brain abscess accompanied by otitis media and mastoiditis?

contiguous spread of infection from temporal lobe and cerebellum.

4

Single brain abscess accompanied by sinusitis or dental infection?

Contiguous spread from frontal lobe.

5

osteomyelitis + SCD?

salmonella and *S aureus

6

osteomyelitis with vertebral involvement?

S aureus + TB (port's disease)

7

most common causes of osteomyelitis with IVDU?

Pseudomonas
Candida
S aureus

8

Approach to osteomyelitis

Remember to consider whether patient is sexually active.

9

best imaging for osteomyelitis?

MRI

10

labs with osteomyelitis?

Elevated CRP + ESR common but nonspecific.

11

UTI in a male think...

Congenital defect or vesioureteral reflex

12

UTI in elderly male think...

BPH

13

RF's for UTI's in women

Obstruction
Kidney surgery
Catheterization
GU malformation
Diabetes
Pregnancy

14

3rd leading cause of UTI?

klebsiella

15

Klebsiella description

1) large mucoid capsule
2) *viscous colonies

16

serrate characteristics

1) nosocomial
2) *often drug resistant

17

What does positive leukocyte esterase indicate?

Evidence of WBC activity.

18

positive nitrites think...

e coli

19

vaginosis signs/symptoms

1) no inflammation
2) thin, white discharge with fishy odor

20

pH in vaginosis

greater than 4.5

21

pH in vaginitis

greater than 4.5

22

candida vulvovaginitis signs/symptoms

1) inflammation
2) thick, white cottage cheese discharge)

23

candida pH

normal (4-4.5)

24

approach to common vaginal infections

consider inflammation + pH

25

maternal manifestation of toxoplasma

usually asymptomatic; lymphadenopathy (rarely)

26

other finding in congenital toxo

blueberry muffin rash

27

congenital rubella presentation

cataracts
deafness
PDAs
blueberry muffin rash

28

calcifications in CMV vs. toxo

*intracranial in toxo; periventricular in CMV

29

CMV presentation in mom

usually asymptomatic; mono-like illness

30

CMV presentation in newborn

Hearing loss
Seizures
Petechial rash
"blueberry muffin" rash
periventricular calcifications