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Flashcards in ID Deck (33):
1

Sore throat, lymphadenopathy, bull neck. Myocarditis and motor neuropathy - toxin effects.

Diptheria

2

Eating raw or undercooked food. Causes meningitis (or encephalitis) in the elderly. If occurs in pregnancy, causes neonatal infection and premature labour.

Listeriosis

3

Ulcerating painless inflamed nodule, becomes a black scab with surrounding oedema.

Anthrax

4

Most common cause of UTI

Enterobacteria - E.coli

5

Treponema Pallidum

Syphilis

6

Freshwater contaminated by rat urine. Fever followed by meningism, conjunctival haem, jaundice.

Leptospirosis

7

Inhaled mycobacteria replicate in the lungs forming granulomas (Ghon foci). Hilar lymphadenopathy.

Primary TB

8

Fine and then... Cough, haemoptysis, night sweats, fever, malaise, weight loss.

Post-primary TB

9

Non-specific symptoms, disseminated in the blood.

Miliary TB

10

Sputum microscopy of TB px

Acid-fast bacilli
Ziehl-Nielsen staining

11

Treatment for TB

2 months - rifampicin, isoniazid, pyrazinamide, ethambutol
4 months - rifampicin, isoniazid

12

Broad-spectrum abx used for resp conditions

amoxicillin, ampicillin, co-amoxiclav

13

Broad-spectrum abx used for pneumonia, meningitis, septicaemia, biliary-tract infections

3rd generation - ceftriaxone, cefotaxime

14

Rx for MRSA

Vancomycin

15

Rx for C.diff

Metronidazole
Vancomycin
10-14 days

16

What type of abx - erythromycin, clarithromycin

Macrolides

17

Rx for CAP

Amoxicillin (or macrolide if penicillin allergic)
Severe? Cefuroxime + macrolide

18

Rx for atypical pneumonia

Macrolide

19

Rx for septic arthritis

Flucloxacilin and fusidic acid

20

Rx for meningitis

Benzylpenicillin or cephalosporin

21

Time frame to be classed as 'Fever of Unknown Origin'

>1-2 weeks

22

Causes of fever?

Infection - endocarditis, osteomyelitis, TB, HIV
Inflammation - SLE, vasculitis
Malignancy
Drug-induced - Abx

23

Ix for FOU (fever of unknown origin)

Serological blood tests, imaging, echo.

24

Virus causing erythema infectiosum (5th disease)

Parvovirus 19

25

'Slapped cheek' rash

Parvovirus 19

26

Asymmetrical, flaccid paralysis - affecting lower limbs. No sensory involvement.

Poliovirus

27

Prodromal illness with lymphadenopathy and Forchheimer spots (red spots on hard palette of mouth), followed by pinkish-red maculopapular rash.

Rubella

28

Prodrome followed by parotitis. Complications can lead to meningitis, epididymo-orchitis, pancreatitis

Mumps

29

Cough, coryza, meningitis

Measles

30

Most common pneumonia in HIV

Pneumocystitis jirovecii

31

Kaposi's sarcoma associated with what?

HIV

32

Px with HIV, purple nodular lesions on skin and mucous membranes (and lung/GI tract). HHV8.

Kaposi's sarcoma

33

Whooping cough

Bordatella pertussis