ID Flashcards
(38 cards)
Cough, Coryza, conjunctivityis; kpolik spots Dx? Test? Rx?
Rubeola (measles). Clinical Diganosis. Supportive
Fever and URI symptoms, Slapped cheek rash. Dx? Test? Rx?
Fiths Disease (parvovirus b19) . Clinical Diagnosis. Supportive
Fever and URI progressing then develops diffuse rash. Dx? Test? Rx?
Roseola (6th) caused by HHV-6. Pts get better than break out in rash. Clinical Diagnosis. Supportive.
Fever precedes clasic gland swelling with possible orchitis. Dx? Test? Rx?
Mumps. Clinical Diagnosis. Supportive.
Baby presents with hypotonia, decreased movements, poor feeding and mom has started him on new home remedy. Dx? Rx?
Botulism toxin. Rx: BIG-IV
Nausea, HA, vomiting, neck stiffness and photophobia. Pt is unable to flex his neck without eliciting pain. Kernig and Brudzincki signs are positive. Dx? Test? Contraindication to the test? Rx?
Meningitis most like bacterial S.pnuemonia or Neisseria meningitdis. LP and Blood culture. Dont do LP if there is increase ICP. Rx: Vancomycin and ceftriaxone.
Meningitidis bugs of an infant? child and young adult?
- E Coli, Listeria, Group B Strept 2. HIB, Group B Strept and Neisseria 3 Neisseria and Group B strept.
Give the diagnosis 200-5000 WBC, Polymorphonuclear neutrophils, Low glucose, High Protein, Positive LA (Latex agglutination) , High ICP
Bacterial Meningitis.
Give the diagnosis 100-500 WBC, Low Glucose, High protein, Lymphocytes, Negative LA , High pressure
TB Meningitis
Give the diagnosis 100-700 WBC, Normal Glucose, Normal or High Protein, Lymphocytes, Negative LA, Normal Pressure
Viral Meningitis
Septick Shock, DIC, adrenal hemorrahge, renal and heart failure with petechiea and purpura present on child. Dx? Rx?
Acute Meningoccocemia. IV Penicillin STAT.
Name 4 complications of meningitis.
- Seizures 2. Palsies 3. Hearing loss 4. Developmental delay
Meniningitis of the immunocompromised? Test? Rx?
CMV. Serology: PCR with antibody IgM and pp65 Antigen detection. Gangcylovir. IV Foscarnet in Gangcylovir resistant infections.
EBV Meninigitis affects what cranial nerve?
8th
Delayed immunizations, paroxysmal cough, facial petechiae, conjunctival hemorrahages, post-tussive emesis. Dx? Test? Rx? What are the phases?
Whooping cough by Bordetella Pertussis. 1. Catarrhal phase : Viral like symptoms/nonspecific 2. Paroxysmal phase the increasing worsening cough 3. Convalescent phase: resolution. Test: PCR. Rx: Supportive Care. If suspected or confirm give erythromycin for 14 days - helps shorten hte course of the illness during the infectious stage and treat family members (very contagious)
3X5cm tender, erythematous, anterior cervical neck node. No hx of fever, weightloss, chills, night sweats or sore throat. Pt has a cat. Dx? Test? Rx?
Bartonella by Bartonella Henselae. Most common cause of lymphadenitis that last >3 weeks. Test: PCR. Rx: Abx only if hospitalized.
What comprises a primary TB infection? Latent TB infection? How do children present Test? Rx?
- Primary is local lung infection with hilar adenopathy. 2. Latent is reactive TB skin test with absence of clinical or radiographic findings. Children present asymptomatically. Test: ppd and sputum then AFB stain x 3 Rx: Latent TB INH X9 Primary: INH + Rifiampin X 6 Plus pyrazinamide in first 2 months.
What to do if mother has positive PPD?
Obtain CXR
What if she has suspected TB at delievery?
Separate from baby until CXR is confirmed.
Camping, rash, raised borders with central clearing. Name the stages Dx? Test? Rx?
Lyme Dz by Borrelia burdorferi. 1. Erythema migrans 3-32 days after bite 2. Disseminatd: CN 7 palsy, AV block,U Uveitis 3. Athritis. ELISA and Confirm with western blot. Doxy 21 days
Kid presents with fever, HA, rose-colored rash that began on ankle and is spreading. Dx? Test? Rx? Where is this present and when? Complication?
North Carolina Summer Months. Rocky Moutain Spotted Fever, Common in kids. Vasculitis dn thromboses can lead to gangrene. Test: Clinical confirm with serology. Rx: doxy
White plaques that bleed when scraped off. Pt jus received course of empiric ab. Dx? Test? Rx for all 3 types.
Oral thrush. Test: Bleeds with Scraping. Rx: Oral nystatin. If Diaper rash then give Topical nystatin. With Catheter related fungemia - remove all catheters and give Amp B.
Contaminated soil from bird droppings is breathed in and affects HIV. What due they develop. Testt? Rx?
HIV patients develop pnuemonia from cryptococus neoformans that can lead to a meningitis infection. Test: Latex agglutination - cryptococcal antigen in serum Rx: Oral Flucanazole. But if severe needs Amp B with Flucytosine.
Bird dropings inhaled in ohio mississippi river valleys. Pt presents with bronchopneumonia and hilar adenopathy after playing in caves. In kids they get erythema nodosum. Dx? Test? Rx?
Histoplasmosis. Culture of sputum and blood. Histology shows intracellular yeast. Rx: No treatment for acute dz but Oral Itracanazole if no improvement.
