gastroenteritis after salad consumption
staph aureus
Food associated with staph (5)
Dairy products poultry egg product meat salad with mayonnaise
Most commonly food tested in USMLE for staph(3)
Potato
macaroni
sald with mayonnaise in it
cause of diarrhea induced by staph
preformed toxin
patient on anti tb develops tingling of extremities
peripheral neuropathy caused by izoniazid
treatment of peripheral neuropathy induced izoniazid
pyridoxine 100 mg
prevention of neuropathy
pyridoxine 10 mg
malaria with fever q 48 h(2 Syllables)
ovale
vivax
Malaria with fever q 72 h
malariae
Malaria without periodicity
P falciparum
what to prevent in transplant patient
opportunistic infection
which opportunistic infection should be prevented in transplant patient?(5)
PCP CMV HEP B pneumonie influenza
drug preventing PCP
TMS
drug preventing CMV(2)
valacyclovir
ganciclovir
Which bugs TMS help to prevent(5)
PCP TOXO Nocardia Pneumonia UTI
screening test for HIV
hiv serology test by elisa
confirmatory test for HIV test
western blot
Travelers diarrhea persisting more than 2 weeks(5)
C parvum cyclospora cystoisospora microsporidia giardia
Patient returning from eastern europe develops watery stools,no leucocytes and no blood in it
cryptosporidium parvum
Travelers diarrhea and short term course diarrhea?(7)
rotavirus norovirus salmonella shigella campylo bacter ETEC entero toxigenoic EPEC Entero pathogene
Travelers diarrhea and bloody spell(3)
salmonella
shigella
campylobacter
Mechanism of ostomyelitis in diabetics patients with foot ulcer?
contiguous spread
Travelers diarrhea and pseudoappendicitis
campylobacter
Rx of PCP
TMS
prednisone
when giving prednisone with the lower risk in PCP(2)
PAo2 35
Conter indication with TMS for PCP treatment(4)
Dapsone
Pentamidine
atavoquone
clindamycine plus primaquine
side effect of TMS(4)
HyperK+
rash
increase transaminase
neutropenia
side effect of pentamidine(4)
hyperK+
Hypotension
increase transaminase
nephrotoxicity
side effect of dapsone
Hemolytic anemia(G6PD)
side effect of primaquine(2)
Hemolytic anemia
methemoglobin
Bugs causing cutaneous larva migrans
ancylostoma braziliense
People at risk of cutaneous larva migrans(2)
sand boxes
activity on sandy beaches
Manif of cutaneous larva migrans(3)
pruritic lesion on hand
papules
erythema
Most effective way to decrease risk of infection in bladder catheterisation
intermittent catheterisation
UTI and high urine PH >7
proteus mirabilis
How proteus mirabilis causes high PH
urease producer bug
urease cleaves uree en co2 et ammonia
ammonia bonds to H+—>ammonium
risk with proteus infection(2)
high unrine PH
risk of struvite
Urease producing bacteria(6)
klebsiella morganella uraplasma urealyticum pseudomonas providencia staph aureus
Risk of infection by urease poducing bacteria
indwelling catheter
Quid of febrile neutropenia
fever
Neutrophile
risk in febrile neutropenia(2)
infection
often pseudomonas
Empiric treatment of febrile neutropenia(3)
cefepime or ceftazidime
meropenem or imipenem
or combination aminoglycoside plus antipseudomonal antibio
clostridium difficile colitis
diarrhea following by prise d’antibio
fisrt step in clostridium difficile treatment?
stool toxin testing
toxin produced by C difficile(2)
Enterotoxin A
Enterotoxin B
action enterotoxin A
Watery diarrhea
Action of enterotoxin B
cell necrosis
complication of pseucolitis membranous
Megacolon
Dx test of pseudocolitis membranous (2)
sigmoidoscopy
PCR
Sigmoidoscopy of pseudocloitis membranous
pseudomembranes
PCR of pseudocloitis membranous
toxin genes
Empiric antibio for meningitidis in elder people > 50 ans(3)
Cefepime
vancomycin
ampicillin
drugs used in pseudomembranous colitis?(3)
Metro or
vancomycin or
fidaxocin
bugs causing meningitidis in 2-50 ans(2)
S pneumonia +
N meningitidis
Rx of meningitidis in 2-50 ans(2)
vancomycin +
3 e generation cephalosporin
bugs causing meningitidis > 50 ans(3)
S pneumonia
N meningitidis
Lysteria
bugs causing meningitidis in immuno compromised patient?(4)
S pneumonia
N meningitidis
Lysteria
gram negative bugs
Rx of meningitidis in immunocompromised patient(3)
cefepime+
vancomycin+
ampicillin
bugs causing meningitidis after neurosurgery or skull penetrating trauma(3)
staph aureus
staph with coagulase negative
gram negative rods
treatment of meningitidis after neurosurgery or skull penetrating trauma(2)
vancomycine
cefepime
Manif of babesiosis?
Malaria like symptom
area in the US with babesiosis?(2)
Northeastern
Babesiosis
cause of babesiosis?(2)
tick bite
ixodes
rx of babesiosis?(2)
quinine -clindamycin or
atovaquone - azythromycin
cause of infectious upper respiratory illness(3)
influenza
viral upper respiratory syndrome
streptococcal pharyngitis
clue for influenza
systemic symptom prevails
clue for viral respiratory syndrome(2)
rhinorrhea
coryza prevails
indication of treatment for influenza(3)
rx must be initiated within 48 h
no improvement after 48 h
risk of complications
patient with influenza presenting after 48 h of symptoms
rx?
symptomatic treatment
drug use in the treatment of influenza?(2)
oseltamivir
zanamivir
gardner with painless ulcer on finger?
sporotrichosis
bug causing sporotrichosis?
sporotrix shenkii
Rx of fight bite?clench fist injury
bactoclav
rx of bite dog
bactoclav
watery or bloody diarrhea after ingestion of seafood?
vibrio para hemolyticus
seafood infected by vibrio parahemolyticus?(2)
oyster
shrimp
bugs causing cat scrath fever?
bartonella henselae
rx of cat scratch fever?
azythromycin pendant 5 jours
Dx of cat scratch fever?(2)
antibody
warthy starry stain positive
risk factor for endocarditis
IV drug user
clue for endocarditis in IV drug user(2)
fever
holosystolic murmur in tricuspid
valve invoved in endocarditis in IV drug user
Tricuspid
rx of endocarditis in IV drug user?
vancomycin
why vanco in so used in endocarditis?(3)
coverage of
staph aureus
streptococci
enterococci
risk of cervico actinomycosis?(5)
after dental procedure poor oral hygiene diabetics malnutrition local tissue damage from malignancy or irradiation
clue for cervico facial actinomyosis?
Mandibulaire abces after dental procedure
Rx of cervico facial actinomycosis?
penicillin
bug with sulfur granules
actinomycosis
Micro characteristic of actinomyces israeli(2)
gram +
branching rods
Work up nof infectious mono
Heterophile antibody
work up of mono if infectious mono if heterophile antibody is negative?
EBV specific antiboby
IV drug user and pulmonary findings
Infective endocarditis complicated by septic pulmonary emboli
Dx of Mycobacterium leprae
hypopigmented plaque without sensation
zone of predilection of mycobacterium leprea
forearm
geographic area of predilection of mycobacterium leprea
asia
dx of myco leprae and finding(2)
skin biopsy
acid fast bacilli
bugs causing shingles
herpes zoster
dermatomes most commonly involved in shingles
T3
L3
Rx of choice of shingles
valacyclovir
chicken pox quid
varicella
what to do in patient developping endocarditis with strep bovis(strep gallotycus type 1)
rule out colon cancer by colonoscopy
clue for CMV diarrhea in hiv patient(2)
colonic ulceration
basophilic intracystoplasmic inclusion
HIV patient with bloody diarrhea with normalstool examination?
colonoscopy to rule out CMV infection
quid of owl’s eye effect?(2)
eosinophilic intranuclear inclusion and
basophilic intracystoplasmic inclusion
meaning owl’s eye effect?
CMV
Rx of CMV(2)
ganciclovir
foscarnet
cause of kaposi sarcoma?
HHv-8
Quid of 3 phases of trichenella(round worm)(3)
intrestinal
systemic with hypersensitivity
Muscular
Quid of systemic phase?(hypersensitivity phase)(3)
splinter hemorrage
chemosis
retinal hemorrage
what happened in muscular phase?
Muscular pain
reservoir of trichinella
undercooked pork
Triad for trichenellosis?(3)
Myositis
periorbital edema
eosinophilia
chemoprophylaxis for malaria
consider if the zone has Plasmodium F
if Plasmodium F is susceptible or resistant
area with resistant Plamsdodium F(2)
subsaharan africa
southern southeast Asia
prophylaxis for resistant P falciparum(3)
atovaquone plus proguanil
dox
mefloquine
prophylaxis for zone susceptible P falciparum?
chloroquine
area without falciparum(3)
south america
mexico
korean peninsula
drug used in prophylaxis in zone with no falciparum
primaquine
prohylaxis for malaria in pregnant women?
mefloquine
clue for coociiodomycosis?(2)
pulmonary symptom
erythema nodosum
endocarditis with heart valve damage?
Mitral valve prolapse
mitral regurgitation
bugs most commonly involved in damaged heart valve
strep mutans
step mutans treatment
vancomycin
gold standard for endocarditis dx?
transesophageal echo
pyelonephitis rx in diabetics(2)
ceftriaxone pdt 48-72H
switch by TMS or ciprox
pyelonephritis in patient without diabetes?
ciprox or
TMS
duration of oral rx of pyelonephritis
10 a 14 jours
rx of pyelonephritis in pregnant women? (2)
ceftriaxone
plus ou moins genta or
aztreonam
risk factor for toxic shock syndrome?(4)
tampon
nasal package
post surgery(sinorhinoplasty)
infectiuos sinusitis
cutaneous manif in toxic shock syndrome
macular erythroderma like sunburn
clue important for TSS
thrombocytopenia
quid of TSS toxin
superantigen activating T cells
pig farmer with seizures
neurocysticercosis
quid of T solium
it’s a tape worm
what’s the cause of neurocysticercosis?
egg ingestion of T solium
if you eat the meat ot the PIG what will happen?
you will develop the intestinal T solium
chronic cough of immunocompromised patient and presence and presence of gram + partially acid fast organism branching rods?
nocardia
rx of nocardia?
TMS
cause of pulmonary cavitation?(6)
TB Nocardiosis atypical mycobacterium anaerobes gram negative rods aspergilosis
First disease to check in front of neck adenopathy with sore throat?
Mono infectious
second disease to check in front of neck adenopathy with sore throat?
hiv
when Mono infectious patient develops rash
when antibio is given
the most common cause of of pneumoniae in immunocompromised patient (hiv)
pneumococcus
why pneumococcus is so common in hiv patient(2)
because of failure of humoral immunity
encapsulated germs cause infeection easily
joint pain in polyarticular symmetric in school teacher in daycare center
parvovirus B19
dx of Parvovirus B19 in immunocompetent individuals
IGM B 19
dx of Parvovirus B19 in immunocompromised individuals
NAAT(nucleic amplification testing)
acute infection(actuelle)
IGM
chronic infection antibody
Ig G
iv drug user with splenic fluid collection
splenic abcess
risk factor for splenic abcess(5)
infective endocarditis(any hematogenous spread infection) hiv iv drug user hemoglobinopathy(sickle cell disease) trauma
clue for splenic abcess(2)
left pleural chest pain
left upper abdominal chest pain
Dx of splenic abcess
abdomen ct scan
Rx of splenic abcess(2)
splenectomy
antibiotics
rx of splenic abcess for poor candidate to surgery(2)
drainage
antibio
bugs involving in splenic abcess?(3)
strep
staph
salmonella
complication of EBV
autoimmune hemolytic anemia
why hemolytic anemia in EBV
cross rectivity of antibody with red blood cells
dx of autoimmune hemolytic anemia
direct coobs test
antibody causing red blood cell lysis in EBV
Anti I antibodies or
cold agglutinin
other blood cells destroyed in EBV infection
platelet
bug causing post influenza pneumonia
staph aureus
patient with rhinorhea ,fever and cough treted with a dru mild improvement but later cough and fever
post influenza pneumonia
situation for staph aureus to cause pneumonia(5)
hospitalized patients cystic fibrosis iv drug user nursing home residents post influenza
quid of atypical lymphocytes in viral lymphocytes
basophilic lymphocytes with vacuolated appearance
bugs causing atypical lymphocytes(2)
EBV
CMV
mononucleosis like syndrome(3)
arthralgie
Mx aches
CMV
diarrhea associated with unrefrigerated food
clostridium perfringens
diarrhea associated with poultry or eggs
salmonella
diarrhea associated with undercooked shellfish
vibrio vulnificus
bloody diarrhea with fever the most common cause
E coli
what not to do during E.coli diarrhea
no antibio
3 most common cause of bloody diarrhea(3)
e coli
shigella
camplylobacter
Dx for E .coli
Shiga toxin
secondary syphilis
maculo papular rash ivolving palms and soles
Jarish herxheimer reaction
abnormal PNC reaction during syphilis reaction
quid of jarish herxeimer syndrome(2)
fever
myalgia
date de debut de jarish herxeimer
24 hours after beginning of rx with PNC
appearance of condyloma acuminata
verrucous papilliform lesion
cause of condyloma acuminata
HPV
3 modalities of rx for condyloma acuminata
methode chimique ou physique
immune therapy
surgery
Methode chimique ou physique used to rx condyloma acuminata(3)
trichloroacetic acid
podophylin
5-fluouracil epinephrine gel
quid of immune therapy to rx condyloma acuminata(2)
interferon alpha
imiquinod
surgery to rx condyloma acuminata(3)
laser
cryotherapy
excision
bugs causing bacillary angiomatosis
bartonella angiomatosis
people at risk for bartonella angiomatosis
HIV
Rx of choice for bartonella angiomatosis
erythromycin
Kissing disease
Mononucleose infectieuse
when heterophile antibody cannot be positive
in the first week
bone marrow transplanted patient with digestive and pulmonary problem?
CMV
Median to develop CMV infection after bone marrow transplanted
45 days
clue for vertebral osteomyelitis(2A)
fever
focal spinal tenderness in physical exam
when to ask MRI devant vertebral osteomyelitis?(2)
negative xray
with high CRP and ESR
bugs causing endocarditis on native valves following dental procedures
viridans group
quid of viridans group?(4)
sanguis
mitis
salivarius
mutans
Pneumonia in nursing home
staph aureus
rx of cerebral toxo
sulfadiazine pyrimethamine
prophylaxis of toxo
Tms
PPD in US citizen positive
15
PPd 15 in US citizen next step
ask chest x ray
PPd positive in immunocompromised patient when
5
Positive PPD in endemic TB area
> 10mm
positive PPD in prisoner
> 10
positive PPD in iv drug user
> 10
PPD > 10 mm for which patient (5)
diabetes chronic disease children less than 4 fibrotic lung disease hematogenous malignancy
chest xay plus cavern et PPD 5 mm
TB
clue for histoplasmosis(3)
hiv
palatal ulcers
involvement of reticuloendothelial cells
quid of reticuloendothelial sites in histoplasmosis(4)
adenopathy
hepatomegaly
splenomegaly
Pancytopenia
clue for aspergilosis(2)
pulmonary nodule
halo sign
quid of halo sign
lesions with air crescent
cd4
MAC prophylaxis
prophylaxis of MAC
azythromycin or
clarythro
cause of esophagitis in hiv patient?(4)
candida
CMV
Herpes simplex
aphtous ulcer
characteristic of CMV ulcer
linear pattern
characteristic of herpes ulcer
round ovale
cd4 for esophagitis
less than 100
clue for erlichiosis(5)
tick bite fever Increase of transaminase leukopenia low platelet
other name for erlichiosis
spotless rocky mountain spotted fever
drug of choice for erlichiosis
dox
rx of lyme disease in in pregnant and lactating women
amox
rx of nocardia(2)
TMS
or Minocycline
Micro of Nocardia
partially acid fast
clue for meningococcemia(3)
fever
stiff neck
purpura
clue for lyme disease
erythema migrans
rash beginning in face and spreading over the body sparing hands and soles plus adenopathies,fever et coryza
rubella
dx test for rubella(2)
PCR
serolgy
clue for congenital rubella(3)
cataract et glaucoma
cardiac problem
hearing loss
prevention of rubella
live attenuated vaccine
endocarditis with staph aureus
IV drug user
IV catheters
pacemaker
defibrillator
endocarditis with staph coagulase negative
IV catheters
pacemaker
defibrillator
endocarditis in nocosomial UTI
enterococci
endocarditis in colon cancer and IBD
streptococcus gallolyticus type 1
fungi endocarditis(3)
indwelling catheter
immunocompromised host
prolonged antibi use
Indication of broncho alveolar lavage(3)
PCP lung
CMV lung
malignancy of lung
late manif of Lyme disease(2)
unilateral facial palsy 7
Myalgia
when you will have late manif of Lyme
after months to years
early manif of Lyme
erytherma migrans
when you will see early manif
1 day to month
the most commonly involved nerve in Lyme
7
rx of influenza(3)
neuraminidase inhibitor
oseltamivir
zanamivir
raison to begin antiviral in influenza(7)
65 ans pregnant women or up two weeks post partum chronic illness nursing home and chronic facility obesity immunosuppression american indians and native americans
what not to do in all patient with splenomegaly(2)
no palpation
no physical contact
risk in patient with splenomegaly
splenic rupture
severe pyelonephritis in diabetes and renal insufficiency(4)
ampi-sulbactam
meropenem
imipenem
aztreonam
Quid of erythroderma in TSS
desquamation involving palms and soles
rx of primary syphilis
one dose of PNC
rx of primary syphilis si allergy a PNC
dox pdt 14 jours
rx of secondary syphilis
one dose of PNC
rx of secondary syphilis si allergy a la PNC
dox pdt 14 jours
rx of latent syphilis
3 doses of PNC
rx of latent syphilis si allergy a la PNC
dox pdt 14 jours
rx of tertiary syphilis
PNC G pendant 14 jours
rx of tertiary syphilis si allergy a la PNC
ceftriaxone pdt 14 jours
rx of pregnancy
PNC
rx of pregnancy si allergy a la PNC
desensitization plus
PNC
tertiairy syphilis in eyes
argill robertson pupil
tertiairy syphilis in neurology(2)
tabes dorsalis
dementia
tertiairy syphilis in cardio vx(2)
aneurism
insuffisance aortique
tertiairy syphilis in skin involvement
gummas
clue for blastomycosis(4)
cough
wartlike skin lesion
bone osteomyelitis
orchite
pneumoniae staph aureus(2)
pneumatocele=
multiple thin walled cavities
post influenza infection(3)
staph aureus
streptococcus pneumoniae
Hi flu
cause of necrotizing pneumoniae
staph aureus
5 criteria for lyme disease prophylaxis
attached tick(adult or nymphal) tick attached more than 36 h ou engorged pas de contreindication a dox tick removal within 72 h local burgdoferri rate infection >/20%
area with lyme disease >/ 20 % rate of infection
new england
esophagitis in hiv patient with normal oral mucosa(2)
HSV
CMV
clue for viral encephalitis
high lymphocytes in CSF
rx of viral encephalitis
acyclovir
normal csf analysis
glucose 45-80
WBC 0-5
protein 18-58
how to differentiate bacteria from TB meningitis(3)
both protein > 400
both high WBC but > 1000 bacteria
glucose
meningitidis with normal glucose
viral
protein in viral meningitidis
guillain barre CSF(2)
high protein
normal WBC
endocarditis in intact valve cardiac in patient with poor hygiene or after dental manipulation
HACEK group
HACEK group(5)
hemophilus aprophilus aggregatibacter actinomycetam comitans cardiobacterium hominis eiknella corrodens kingella kingae
deep ulcer in esophagitis,volcano like
herpes
superficial ulcer in esophagitis
CMV
patient with lithiase renal on arv
indinavir
patient with pancreatitis on arv
didanosine
patient with acidosis lactate on arv
NRTI
patient with hypersensitivity syndrome on arv
abacavir
patient with steven jhonson syndrome on arv
NNRTI
patient with liver failure on arv
nevirapine
rapid dx test of histoplasmosis(2)
urine antigen test
or serum antigen test
rx of mild to moderate histoplasmosis
itraconazole IV
rx for severe histoplasmosis
amphotericin B for 2 weeks,puis itraconazole for 1 year
cd4 to have histoplasmosis infection in HIV patient
people at risk for hydatid cyst
sheep breeder
bug causing hydatid cyst
echinococcus granulosis
pneumonia in intubated patient
pseudomonas
rx of pseudomonas(2)
cefepime
piperacilin -tazobactam
diarrhea work up in hiv patient(3)
stool culture
ova parasites search
c difficile toxin
pneumoniae vaccines in HIV criteria
cd4> 200
repeat in 5 years
indication Hep A vaccine
Hep B and C infection IV drugs user Men having sex with men travel in endemic area health care worker
indication of hiflu B vaccines
asplenie
indication of menigoccoque vaccines(5)
soldier college asplenique endemic region complement deficiency
laps of time for DT
q 5 ans
influenza vaccine periodicity
annually
patient with cd4
MMR
influenza intra nasal
osteomyelitis in adult after nail wound puncture
pseudomonas
how much time will be needed to see osteomyelitis symptom on xray
after 2 weeks
rx of osteomyelitis in nail puncture wound
quinolones
pneumonia in nursing home
s pneumoniae
triad of erlichiosis(3)
low platelet
low wbc
increase transaminase
clue for mucormycosis
diabetic patient with facial pain and bloody nasal discharge
EP for mucormycosis
right side nasal turbinate is necrotic
rx of mucormycosis(2)
debridement
amphotericin B
bug causing mucormycosis
rhizopus a fungi
koh positif
animals of high risk for rabies(5)
bat racoon fox coyote skunk
animals with low risk for rabies(5)
mouse rabbit rat squirrell chipmunk
in case of dog bite what to do(2)
observe for 10 days
si no changes pas de prophylaxis
management of bit ein high risk animal
post exposure prophylaxis if animal can’t be tested
for low risk animal what to do
no prophylaxis
management of bite bat
clean the wound
vaccines plus immunoglobulin in unvaccinated individuals
malignant of otitis externa malignant
pseudomonas
terrain for malignant otitis externa
diabetics
clue for pseudomonas infection in ears(2)
ear pain
granulation tissue in the external anatomic canal
pseudomonas involvement(4)
burn
otite externe in diabetics
ostomyelitis in nail woun poncture
pneumonie chez les intubes
quid of osler nodes and meaning(2)
lesions on fingertips
endocarditis
patient with rhumatic heart disease develop fever and cardiac murmur after cystocopy
enterococcus fecalis(enterococcus)
immunodepression with meningitidis csf showing encapsulated yeast
criptococcus neoformans
patient with infective endocarditis,first step
blood culture(not echo) positive for stap,strep or enterococci
Major duke criteria
blood culture
echo
echo finding in endocarditis
vegetation
Minor criteria for duke(5)
fever IV drug user predisposing cardiac problem embolic phenomenon immunologic phenomenon positive blood culture other than the above criteria
immunologic phenomenon in endocarditis
glomerulonephritis
Most common finding in endocarditis 3/4 patient
fever
heart murmur
positive duke criteria(2)
2 major et 1 minor or
3 minor plus one major
possible endocarditis
1 minor plus 1 major or
3 minors
quid of roth spots
retinal hemorrage
quid of criteria
heps to approach patient more methodically
BCC appearance
reddish patch or irritated area
shiny bump or nodule pearly translucent often pikn red or white
pink growth with slightly elevated border and a crusted indentation in the center
scarlike area with white waxy or yellowwith poorly definedborders
skin involvement in IE(4)
osler nodes
Janeway lesion
petechiae
splinter hemmorrages
difference between CMV and EBV(3)
no sore throat
no adenopathy in CMV
mononucleosis like syndrome
IE after bronchoscopy or endoscopy
viridans group
3 phases of malaria
cold stage
hot stage
diaphoresis
why diabetes are prone to foot ulcer(2)
arterial insufficiency
peripheral neuropathy
staghorn calculi
struvite calculi
what to rx infection in presence of struvite calculi(2)
antio
remove all fragments of calculi
what to do in presence in febrile neutropenia
admit the patient
tick borne disease with no rash
babesiosis
babesiosis with purpura or petechiae
low platelet
PCP xray
intersticial infiltrate
blood test in PCP
LDH High
why amantadine rimantadine limitation
act only on influenza
site of invasion of sporotrichosis
lymphatics to form nodules and skin ulcer
hematochezia and lower abdominal cramps (5)
cmv c difficile shigella e Hystolytica campylobacter
biopsy in CMV
owl’s eye effect
most commonly organ involved in nocardia infection
lung
in bladder catheterization how bacteria get in the bladder
by biofilm formation
skin lesion of bacillary angiomatosis
friable exophytic vascular non tender nodu;es
diarrhea after consuming rice in chinese restaurant
bacillus cereus
condition to have esophagitis in hiv
cd4
most common valvular dysfunctions causing IE
mitral regurgitation
clue skin of blastomycosis(3)
wart like lesions
violaceous lesions
skin ulcers
How to detach the tick in Lyme
with tweezer
condition to use prophylaxis in Lyme
all 5 criteria should be met
risk of IE caused by HACEK
periondotal infection
bugs causing septicemia in hemochromatosis
lysteria
vibrio vulnificus
yersinia enterolytica
why septicemia in hemochromatosis(2)
impaired phagocytosis
increase bacterial virulence in presence of high iron serum
when to vaccinate for HPV(2)
9-26 ans femme
11-26 ans homme
vaccin contre indique in HIV si cd4
MMR
varicella
zoster
influenza intra nasal
rx of cryptococcus cerebral
amphotericin plus flucytosine
bug causing erysipela
b hemolytic du groupe A(S pyogenes)
skin lesion in erysipela
sharply demarcated edematous erythematous tender skin lesions with raised border
