Flashcards in ID_UW Deck (124)
Most common causes of neonatal sepsis
GBS, E. Coli and Listeria (in that order)
Tx for neonatal sepsis
Ampilicillin + Gentamicin
Meningococcal meningitis most commonly affects kids what age
3 years to adolescence
What is the most common cause of sepsis in the sickle cell population
Srep pneumonia, H influenza type B distant second
Patients with functional asplenia are at risk for
Strep pneumo, H influenza, neisseria meningitdes, and salmonella
Sickle cell patients should receive what vaccines
All regular vaccines + 23 valent polysaccaride pneumococcal and menigococcal conjugate vaccines.
What propylaxis should sickle cell patients take
Penicillin till age 5
Inability to extend neck, dysphagia, fever, muffled voice and widened prevertebral space on lateral x0ray suggest?
Most common organism/cause of septic arthritis and osteomyelitis in neonates?
E Coli and GBS
Most common organism/cause osteomyelitis in
Triad of infectious mono?
Exudative pharyngitis/tonsillitis, diffuse or posterior cervical lymphadenopathy, and fever
IM is most commonly caused by and in what age group?
Ebstein Barr virus, 15-24 year olds
When does a rash occur in IM?
Can occur in IM but most frequently after administration of amoxicillin or ampicillin
Precautions for people with IM?
Avoid contact sports for 3 weeks due to splenomegaly
3 stages of whooping cough (pertussis)
1) Catarrhal (1-2 weeks) 2) Paroxysmal (2-6 weeks) 3) Convalescent (Week to months)
What are the clinical sx a/w with the 3 stages of whooping cough
1) Catarrhal (1-2 weeks) - rhinits, mild cough 2) Paroxysmal (2-6 weeks) - post-tussive emesis, apnea/cyanosis in infants, coughing paroxysms with inspiratory whoop 3) Convalescent (Week to months) sx resolve gradually
Dx of pertussis
Bacterial culture and/or polymerase chain reaction from nasopharyngeal secretions in patients
What is the treatment for pertussis
Macrolides such as azithryomycin, erythromycin
Pertussis patients can develop marked (cbc finding)
Acellular pertussis vaccine
Pinworm infection aka
complications of pertussis
Subconjunctival hemorrhages, pneumonia, weight loss, pneumothorax, respiratory failure, death (infants)
Treatment for enterobius vermicularis
Abendazole or pyrantel pamoate (latter preferred for pregs). Highly contagious. All household members should get treatment
Asymptomatic, immunocompetent and non-immune patients should get what if exposed to varicella?
within 3-5 days of exposure, get the varicella vaccine for post-exposure prophylaxis. Will work if given within 5 days of exposure
Asymptomatic, non-immune but immunocompromised/preggos should get what if infected with varicella?
Varicella IVIG. Does not prevent but will reduce disease severity but have to be be monitored closely becaues can extend incubation period to a month.
How long is incubation period of chicken pox and when is chicken pox contagious?
3 weeks but most sx surface in 2 weeks. Contagious 2 weeks before rash starts and till after all lesions are crusted over.
What are the most common causes of viral meningitis
Non-polio enteroviruses such as coxsackie virus or echovirus
incidence of viral meningitis decreases with?
Increasing age. Infants most affected with highest mortality and morbidity in this group.
What does CSF show with viral meningitis
Pleocytosis with lymphocytic predominance. Protein is normal to slightly elevated, glucose is normal. CSF gram stain will not show any organism.