Infectious Disease Flashcards Preview

ITE 2015 + 2016 > Infectious Disease > Flashcards

Flashcards in Infectious Disease Deck (17):
1

Management for Necrotizing fasciitis?

Immediate surgical consultation

2

CDC recommendation on positive H1N1 in long term care facility

If two or more are positive: considered as Outbreak!!!
Do Chemoprophylaxis on all residents!

3

Diabetic foot ulcers.
Cover for what and what initial meds to start

Cover for Pseudomonas and MRSA!
Give Zosyn and Vancomycin!

4

Patient with aspleenia?

Give antibiotics for any episode of fever!

5

Wrestler, acutely ill, with Cellulitis, admitted in the hospital
Initial med and why?

Give Vanco for MRSA

6

Acute Pyelonephritis
Meds?
Bacteria?

Ciprofloxacin
E. Coli

Bactrim and Nitrofurontoin are NOT effective for Pyelo

7

Miliary pattern of BB size calcification
DX?

Histoplasmosis
No treatment

8

Pertussis
TX?

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

9

Day care worker with diarrhea
Cause?

Giargia: TX with Metro!

10

Patient with fever and Muffling of the voice and tonsil are swelling?
DX?
MGT?

Peritonsillar abscess
Do Needle drainage
If not, do tonsillectomy

11

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

12

27 y/o Male with 1wk fatigue, dyspnea, chest pain and fever.
(+) Meth user
(+) systolic murmur on PE
CXR: multiple Emboli

DX?
What Medication?

1. Infectious Endocarditis
2. Give Vanco to cover Gram positive cocci!
3. If with prosthetic valves, give Vanco + Rifampin

13

50 y/o with 4 day rash on lower trunk to extremities. Has bilateral testicular swelling as well.

DX?

1. Henoch-Schonlein purpura -- 35% associated with orchitis!

14

27 y/o male with elevated temp.
Hx of splenectomy
Recommendations?

Give IV antibiotics to prevent sepsis!
IV or IM ceftriaxone preferred
If 2 hrs away from hospital, give oral

15

55 y/o female coughing until emesis
Work in day care
DX?
Test

Pertussis!
Tx: Azithro or Clarithro
PCR

16

30 y/o with abscess
No erythema
No fever
I&D done
Antibiotics?
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

17

Coalescing macules in the inguinal fold
Wood lamp reveals reddish fluorescence
DX?
TX?

Erythrasma - intertriginous rash
Cause by Corynebacterium
Tx: oral Erythromycin