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Flashcards in Infectious Disease Deck (38):
1

Meningococcus Vaccination Guidelines

Age 11-18
Booster at 16-21
Above 21 for high risk

2

Risk Factors for developing meningococcus

Young adult in close quarters
Endemic areas- subsaharan Africa and Mecca

3

generalized skin swelling erythematous, warm, tender and not well demarcated
High grade fever, rigors, chills, malaise, fatigue, confusion

systemic cellulitis

4

Treatment systemic cellulitis

nafacillin IV
cefazolin IV
vancomycin IV

5

Treatment of local cellulitis

dicloxacillin oral

6

Treatment of nocardia

TMP-SMX

7

Treatment of actinomyces

High dose penicillin
Alternative is Clindamycin

8

Musculoskeletal side effect of fluoroquinolone

Tendinopathy
RF: >60, normal BMI, corticosteroids, transplant

9

Septic Arthritis Clinical Picture

Acute monoarthritis in knees, wrists, ankles, hips with SYSTEMIC findings

10

Vaccine Protocol for asplenic patients

All vaccines given 14 days before or after splenectomy:
PCV13 with PPSV23 8 weeks later, PPSV every 5 years and again at age 65
Meningococcus repeat every 5 years
HiB one dose
Inactivated influenza annually
HAV, HBV and Tdap followed by Td every 10 years

11

Urinary alkinalization
cloudy urine

Urease secreting organisms
Proteus
Pseudomonas
Staph
Klebsiella
Morganella
Ureaplasma

12

Duke Criteria

Major
Positive blood culture Strep viridian, Staph aureus or enterococcus
Echocardiogram showing vegetation
Minor
Predisposing cardiac lesion
Temp >38
IV drug use embolic phenomenon
Immunologic phenomenon
Positive blood culture not meeting above criteria

Definite IE: 2 major or 1 major + 3 minor
Possible 1 major + 1 minor or 3 minor

13

maculopapular rash on the palms and soles

Secondary syphilis

14

Most common cause of acute viral arthritis

Parvovirus B19
polyarticular bilateral arthritis
fever, fatigue, diarrhea
Itchy difuse rash

15

Presentation of RA

Greater than 1 hour stiffness in morning
Lasts greater than 6 weeks
joint swelling on exam

16

Prophylaxis and treatment of toxoplasma in HIV patients

Prophylaxis daily TMP-SMX
Treatment sulfadiazine and pyrimethamine

17

Treatment neurocysticercosis

Albendazole

18

Upper lobe pneumonia

Aspiration when lying down
Mycobacterium

19

Treatment of cryptococcal meningoencephalitis

IV Amphoteracin B + flucytosine
Maintenance with fluconazole 1 year

20

Prophylaxis in transplant patients

TMP-SMX: PCP, Nocardia, toxoplasma
Gancyclovir or valganciclovir for CMV

21

Vomiting predominant foodborne illness

Staph aureus
Bacillus
Norovirus

22

Watery diahrrea foodborne

ETEC
Clostridium perfringens
enteric virus
Cryptosproidium
Cyclosproa
Tapeworms

23

Inflammatory diarrhea foodborne

Salmonella
Camplyobacter
Shigella
EHEC
Enterobacter
Yersinia
Vibrio

24

Prolonged cough
Heaped up violaceous skin lesions that ulcerate
Involvement of prostate, bone and CNS

Blastomycosis

25

Rash that starts on face and descends
conjunctivitis
cervical lymphadenopathy
AdultsL arthralgias/arthritis

Rubella

26

Congenital anomalies with Rubella

Sensioneural hearing loss
intellectual disability
Cardiac anaomolies
Cateracts glaucoma

27

Treatment of sinusitis

Acetaminophen and nasal steroids

28

Antibiotic therapy for sinusitis if indicated

Amoxicillin/clavuanic and decongestant

29

Treatment of otitis media

Amoxicillin
If allergy- azithromycin or clarithromycin.
Follow up therapy-amox/clavuanic or second gen cephalosporin

30

Treatment of pharyngitis with positive GAS antigen or high suspicion

Amoxicillin or penicillin

31

Suppurative, septic thrombophlebitis of the jugular vein and neuro vascular bundle

Lemiere Syndrome

32

Pain
Swelling
Tenderness
Redness
Along sternocleidomastoid

Lemiere Syndrome

33

Infectious agent in Lemiere Syndrome

Fusobacterium necrophorum

34

Management of Lemiere syndrome

Blood Cultures
Ct of neck
Emergent Surgical Debridement
Unasyn, zosyn or any carbapenem

35

Treatment of influenza

Oseltamivir
Or
Zanamivir

36

Management of Lyme

Asymptomatic tick bite
-no treatment no serology if less than 24-36 hours of attachment
Rash
-no serology. Rx with doxy, amox or cefuroxime
Neurologic/cardiac/joint
-serology
-CN 7 palsy Rx doxy or amox
-CNS and Adrian Rx IV ceftriaxone

37

Most common cardiac lesion in Lyme

AV block

38

Treatment of Syphilis

Primary and Secondary
-IM penicillin or doxy if allergic
-IV penicillin with desensitization if allergic