Flashcards in ID Deck (33):
Sore throat, lymphadenopathy, bull neck. Myocarditis and motor neuropathy - toxin effects.
Eating raw or undercooked food. Causes meningitis (or encephalitis) in the elderly. If occurs in pregnancy, causes neonatal infection and premature labour.
Ulcerating painless inflamed nodule, becomes a black scab with surrounding oedema.
Most common cause of UTI
Enterobacteria - E.coli
Freshwater contaminated by rat urine. Fever followed by meningism, conjunctival haem, jaundice.
Inhaled mycobacteria replicate in the lungs forming granulomas (Ghon foci). Hilar lymphadenopathy.
Fine and then... Cough, haemoptysis, night sweats, fever, malaise, weight loss.
Non-specific symptoms, disseminated in the blood.
Sputum microscopy of TB px
Treatment for TB
2 months - rifampicin, isoniazid, pyrazinamide, ethambutol
4 months - rifampicin, isoniazid
Broad-spectrum abx used for resp conditions
amoxicillin, ampicillin, co-amoxiclav
Broad-spectrum abx used for pneumonia, meningitis, septicaemia, biliary-tract infections
3rd generation - ceftriaxone, cefotaxime
Rx for MRSA
Rx for C.diff
What type of abx - erythromycin, clarithromycin
Rx for CAP
Amoxicillin (or macrolide if penicillin allergic)
Severe? Cefuroxime + macrolide
Rx for atypical pneumonia
Rx for septic arthritis
Flucloxacilin and fusidic acid
Rx for meningitis
Benzylpenicillin or cephalosporin
Time frame to be classed as 'Fever of Unknown Origin'
Causes of fever?
Infection - endocarditis, osteomyelitis, TB, HIV
Inflammation - SLE, vasculitis
Drug-induced - Abx
Ix for FOU (fever of unknown origin)
Serological blood tests, imaging, echo.
Virus causing erythema infectiosum (5th disease)
'Slapped cheek' rash
Asymmetrical, flaccid paralysis - affecting lower limbs. No sensory involvement.
Prodromal illness with lymphadenopathy and Forchheimer spots (red spots on hard palette of mouth), followed by pinkish-red maculopapular rash.
Prodrome followed by parotitis. Complications can lead to meningitis, epididymo-orchitis, pancreatitis
Cough, coryza, meningitis
Most common pneumonia in HIV
Kaposi's sarcoma associated with what?
Px with HIV, purple nodular lesions on skin and mucous membranes (and lung/GI tract). HHV8.