Flashcards in Infectious Disease Deck (17):
Management for Necrotizing fasciitis?
Immediate surgical consultation
CDC recommendation on positive H1N1 in long term care facility
If two or more are positive: considered as Outbreak!!!
Do Chemoprophylaxis on all residents!
Diabetic foot ulcers.
Cover for what and what initial meds to start
Cover for Pseudomonas and MRSA!
Give Zosyn and Vancomycin!
Patient with aspleenia?
Give antibiotics for any episode of fever!
Wrestler, acutely ill, with Cellulitis, admitted in the hospital
Initial med and why?
Give Vanco for MRSA
Bactrim and Nitrofurontoin are NOT effective for Pyelo
Miliary pattern of BB size calcification
Azithromycin - tx and prophylaxis
In order to prevent transmission:
Tx should be within 6 wks of onset of cough for <12 months
Tx should be within 3 wks for everone else
Day care worker with diarrhea
Giargia: TX with Metro!
Patient with fever and Muffling of the voice and tonsil are swelling?
Do Needle drainage
If not, do tonsillectomy
26 y/o Male in a MONOGAMOUS sexual relationship with another male
What to do in the visit?
1. Hepatitis Surface AG testing
* PreP HIV prophylaxis not needed if monogamous
27 y/o Male with 1wk fatigue, dyspnea, chest pain and fever.
(+) Meth user
(+) systolic murmur on PE
CXR: multiple Emboli
1. Infectious Endocarditis
2. Give Vanco to cover Gram positive cocci!
3. If with prosthetic valves, give Vanco + Rifampin
50 y/o with 4 day rash on lower trunk to extremities. Has bilateral testicular swelling as well.
1. Henoch-Schonlein purpura -- 35% associated with orchitis!
27 y/o male with elevated temp.
Hx of splenectomy
Give IV antibiotics to prevent sepsis!
IV or IM ceftriaxone preferred
If 2 hrs away from hospital, give oral
55 y/o female coughing until emesis
Work in day care
Tx: Azithro or Clarithro
30 y/o with abscess
If with non purulent then cellulitis? Tx
If purulent? Tx
No, observe only. No cellulitis
Cephalexin or Augmentin if non purulent
Bactrim or Clindamycin to cover MRSA