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Flashcards in infectious disease Deck (42):
1

shigellosis treatment

hydration, bactrim

2

shigellosis sxs and cause

diarrhea with blood and mucus, crampy abdominal pain. due to s. sonnei most commonly. fecal oral route.

3

pain and tingling at site of inoculation with spasticity of muscles, stiff jaw and neck, dysphagia, facial muscle paralysis, irritability, hyperreflexia

tetanus

4

trismus

spasm of jaw

5

tetanus treatment

human tetanus immune globulin

6

perianal pruritis especially at night. perianal scrating and impetigo or enuresis

pinworms (enterobiasis)

7

pinworms treatment

albendazole single dose, then repeat in 2 weeks

8

lyme disease causative organism

B burgdorgeri senu strictu

9

flu like sxs and rash erythema migrans -- slihglty red lesion with central clearing

lyme disease

10

complications of lyme disease (or later sxs)

facial palsy, meningitis, arthritis

11

treatment of lyme disease

doxycycline, add ceftriaxone if meningitis

12

typhoid fever symptoms

malaise, HA, N&V, abdominal pain, splenomegaly, rose spots

13

lab dx for typhoid fever

blood tests

14

tx typhoid fever

ampicillin, azithromycin, chloramphenicol IV

15

hand, foot and mouth disease AKA

coxsackievirus

16

DX for HIV

ELISA first, confirm with western blot

17

complications of HIV

pneumocystis jirovecil, mycobacterium TB, kaposi sarcoma, CMV retinitis, peripheral neuropathy, hairy leukoplakia, hepatitis, hodgkins

18

when to start antiretroviral therapy for HIV?

symptomatic patients, asymptomatic if CD4 count below 500, rapidly cropping CD4 counts, viral load over 100,000, pregnant patients

19

antiretroviral drugs for HIV

NRTI, PI, entry inhibitors, integrase inhibitors

20

malaise, fever and sore throat, palatal petechiae, splenomegaly, LAD, maculopapular rash

mononucelosis

21

mono causative organism

epstein-barr virus

22

varicella zoster causitive organism

HHV-3

23

varicella zoster tx

antivirals if within 24 hrs. gabapentin for postherpetic neuralgia

24

when can varicella vaccine be given in adults

over 60

25

etiology of meningitis

strep, neisseria in people over 50. immunocompromised--listeria monocytogenes

26

gram stain pneumococcal

gram positive diplococci

27

gram stain meningococcal

gram negative diplococci

28

gram stain listeria

gram positive rod and coccobacilli

29

gram stain H flu

small pleomorphic gram negative coccobacilli

30

treatment of meningitis

ceftriaxone 2g IV BID or cefotaxime and vanco. add ampicillin if over 50yo

31

asplenic patients are susceptible to these organisms

klebsiells, H flu, pneumococcus, meningococcus

32

CSF finding low glucose and PMN predominance

bacterial meningitis

33

CSF finding normal glucose, lymphocytic predominance

aseptic or viral meningitis

34

CSF finding increased gamma globulins

MS

35

CSF finding numerous RBCs xanthochromia and elevated ICP

SAH

36

erythema migrans

lyme disease

37

meningitis in elderly organism

strep pneumo

38

alcoholic with pneumonia or currant jelly sputum

klebsiella

39

osteomylitis in sickle cell patient

salmonella

40

55 yo man with hx smoking and new cough/flulike sxs. gramstain shows no organism. silver stain of sputum shows gram neg rods. dx?

legionella pneumonia

41

acute onset monoarticular joint pain and bilateral bells palsy

lyme disease, tx doxy

42

patient develops endocarditits in a native valve after having dental cleaning

strep viridans