Infections Flashcards by Luis Lozano

Q

How do you diag Pertussis?

A

Post emesis, PCR, Hx

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Q

How do you treat Acute bronchitis?

A

only supportive - rarely have fever (chest cold)

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Q

Diag Acute Bronchitis?

A

All Hx

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Q

When do you get RSV?

A

Winter

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Q

How do you diagnose RSV?

A

Naso swab - Ribavirin/Pali

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Q

Wheezing in <2 yo + couch?

A

Bronchiolitis (also in winter)

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Q

Supraglottitis?

A

Hib, Thumb sign, ABC, Ceftriaxone

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Q

Parainfluenza (6m-3y) is?

A

Croup, Steeple sign, dexa/epi

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Q

What does croup sounds like

A

inspiratory stridor, bark cough.

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Q

What happens post flu?

A

2nd bacterial Pna (S.aureus)

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Q

Abrupt onset of fever, myalsia, headache?

A

Flu - rapid/PCR

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Q

How do you tx flu?

A

Zanamivir/oseltrivir

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Q

Paraxysmal cough?

A

pertussis - post-tussive, whoop.

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Q

How do you treat pertussis?

A

azithr/erythromycin+ bactrum

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Q

How do you diag pertussis

A

Viral cult/PCR

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Q

What vax is for pertussis?

A

tdap

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Q

night sweat /FEVER /dyspnea / (late) hemoptysis?

A

TB

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Q

Caseating cavity, Ghon

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A

TB

Q

ppd + IGRA false +?

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A

TB, false + due to BCG

Q

15mm in?

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A

low likelihood

Q

10 mm?

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A

healthcare

Q

5mm ?

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A

HIV, immunisuppresed, homeless

Q

3x sputum for AFB smears and NAAT is culture for what disease?

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A

TB - cultures = Gold

Q

Tx TB?

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A

RIPE; hepatotoxic/neuropathy= INH

Isolated Pleural effusion is associate with

PE>CHF

chest x-ray study may show patchy peribronchial and perivascular interstitial infiltrates

mycoplamsa

Polycythemia is assocaited

COPD

Diffuse rhonchi and low pitched rales | is what?

Silicosis

Strep - PCN allergy gets what med?

Ceftrixone

How do you diag Bronchiectasis?

High Res CT

What medication can reactivae dormant tuberculosis

etanercept

Scattaco cough is?

Chamydia

Pna outpatient Tx? inpatient tx?

Macrolides, doxy ->Ceftiaxone

MC atypical pna ?

mycoplasma - myalgias (interstitial infiltrate)

Atypical Pna tx?

Erythromycin (macrolides) or Doxy

MC nosocomial PNA bacteria? and Tx?

Psuedomonas, Cefepin, Piper taco.

Bird dropping?

Histoplasmosis

What phase of pertussis is most infective?

Catarrhal (PCR = diag)

bullous myringitis?

Strep pn.

antibiotic regimen to treat Klebsiella pneumonia?

cephalosporin and aminoglycoside

is Tamiflu safe in preg

Yes

How do you treat Strep, MC PNA?

Amoxicillin

Miliary TB is spread via?

Hematogenous