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Flashcards in ID Deck (244)
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1

Non blanching rash

neisseria meningitidis

2

pustules

staph aureus

3

ecthyma gangrenosum

pseudomonas - large pustules on an indurated inflamed base

4

rose spots

salmonella typhosa

5

afebrile baby with staccato cough and tachypnea

chlamydia trachomatis

6

intracytoplasmic inclusion bodies

chlamydia trachomatis

7

definitive diagnosis of chlamydia trachomatis

PCR

8

treatment of chlamydia conjunctivitis

oral erythromycin or sulfonamides

9

increased incidence of ___ with oral erythromycin in babies under 6 wks

hypertrophic pyloric stenosis

10

uncomplicated chlamydia genital infection treatment

doxycycline x7 days OR 1 gram of azithro

11

adolescent with low grade fever and infiltrates

chlamydia pneumoniae

12

chlamydia pneumoniae treatment

azithromycin x 5 days OR erythromycin x 14 days

13

rash of RMSF

purpuric macular rash that becomes petechial. starts on wrists, ankles, palms and soles. spreads centrally after 2 to 4 days of fever

14

RMSF clues if no rash

hyponatremia with depression of cell lines on CBC

15

RMSF treatment

doxycycline until clinical improvementt and at least 3 days after fever resolves

16

ehrlichiosis lab findings

leukopenia and elevated LFTs

17

gram negative pleomorphic organisms

H. flu type b

18

h. flu type b treatment

ceftriaxone, cefotaxime, meopenem or chloramphenicol

19

conjunctivitis-otitis combination

non-typeable h. flu, tx w/ augmentin

20

encapsulated organisms

strep pneumonia, h. flu and Neisseria meningitidis

21

H. flu type b prophylaxis in household

rifampin for all household members if a contact is <12 months and not yet vaccinated OR a contact is immunocompromised

22

H. flu type b prophylaxis at daycare

rifampin for all attendees and caregivers if 2 or more cases within 60 days and some kids are unimmunized OR immunocompromised

23

phases of pertussis

one week of asymptomatic carrier, then 1. catarrhal 2. paroxysmal 3. recovery

24

lab findings with pertussis

leukocytosis with increased lymphocytes

25

diagnosis of pertussis

PCR

26

treatment of pertussis

erythromycin, clarithromycin, azithromycin or Bactrim (shortens the catarrhal stage but does not shorten cough just communicability)

27

post exposure prophylaxis with pertussis

all exposures need treated regardless of immunization status

28

salmonella carriers

chickens and humans (contracted from poultry, eggs, unwashed veggies, turtles, snakes, hedgehogs)

29

watery loose stool w/ vomiting, abdominal cramps and fever 1 to 2 days after a picnic in the summer

salmonella

30

salmonella treatment

supportive care UNLESS <3 months, severe colitis or immunocompromised, then ceftriaxone or cefotaxime