Infectious Diseases and GUM Flashcards by Amal Joseph

Acute HIV infection

Sore throat
Rash
Fever
Mouth ulcers - Specific to HIV
Diarrhea

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Infectious Mononucleosis

Sore throat
Rash
Fever
Prominent Tonsillar Exudates - Specific

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First line treatment for adults with HBeAg-positive chronic hepatitis B and compensated liver disease

Peginterferon alfa-2a.

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Inital Fever, Weight loss diarrhoea with Erythema Nodosum and ulcers in mouth or pharynx

Yersinia Enterocolitica

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Appendicits features but normal on opening for surgery

Yersinia Enterocolitica

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Blood Investigations for Measles

thrombocytopenia and leukopenia

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Differentiate Measles and Rubella

Limited rash and No Conjunctivitis in Rubella

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Increased opening pressure + Indian Ink Positive + Lymphocytes in CSF

Cryptococcal Meningitis

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IOC for Echinococcus

ELISA Test

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Travel to Phillipines + Headache and Muscle Aches

Dengue Fever

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Exposure in Farm in France + Murmur + Increased LFT

Coxiella Endocarditis

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Management of Coxiella Endocarditis

Hydroxychloroquine + Doxycycline

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Management of Bartonella Endocarditis

Aminoglycosides

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Iron Deficiency Anemia + Upper GI bleeding + Worms seen on OGD

Necator Americanus (hookworm)

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Thailand Trip with Diarrhoea followed by constipation and Pink papules in upper body

Typhoid Illness

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DOC for Typhoid

Ceftriaxone

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Scrotal Pain which improves on Lifting the Scrotum and Swelling on Posterior Aspect of Testis

Epididymitis

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Bloody Diarrhoea after eating under-cooked chicken 24 to 48 hours prior

C. jejuni

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Jamaica + Scarring in Legs in Childhood + Treponema EIA positive and T.pallidum particle agglutination positive

Yaws

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Depigmentation of skin + decreasing vision + Fisherman

Onchocerciasis a.k.a African River Blindness

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Most fatal complication of Diphtheria

Myocarditis

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TPHA test positive seen in

Yaws
Syphills

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Young Adult with Generalized Purplish Rash and Joint Pain and swelling

Parvovirus B19 infection

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America Travel + Fungal Infection

Histoplasmosis

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Management of Histoplasmosis

Itraconazole - Mild Disease Amphotericin - Severe Disease

Mycoplasma Pneumonia 1st Line

Clarithromycin

Women with Lower Abdominal pain + Urine Dipstic Normal + Increased CRP

Pelvic Inflammatory disease (Chlamydia)

Management of Pelvic Inflammatory disease

CDM Ceftriaxone Doxycycline Metronidazole

Low BP + Fever + Post partum + Mucus membrane desquamation

Toxic Shock Syndrome

IOC For Diagnosis of Acute measles in Immunocompromised

Nasopharyngeal Aspirate

Falciparum Malaria Treatment

IV Artesunate Followed by Atovaquonone-Proguanil Therapy

Hepatitis B patient with decreased sensation and erythematous nodules

Polyarteritis Nodosa

Management of Schistosoma Infection

Praziquintel

Swimming in local river followed by itchy rash and 4 weeks later fever and myalgia

Katayama Fever - Schistosoma Infection

Management of B. cereus endocarditis

IV Vancomycin

PUO with Adrenal Swelling

- Lymphoma - Histoplasma - Tuberculosis

Adrenal Swelling and Histoplasma IOC

Grocott Stained Adrenal Biopsy

Gram stain shows gram -ve with chain like arrangement

H.ducreyi

DOC for H.ducreyi

Single Dose IM Ceftriaxone

Unilateral Conjunctivitis + Periorbital edema + Increased PR interval

Chagas Disease (Triatomine Bug)

Management of Q fever

Doxycycline

Site of Damage in Kidney due to Aminoglycosides

Proximal Tubules

Anemia with No reticulocyte count increase and pure red cell aplasia

Parvovirus B19

Clinical Features of Parvovirus B19 infection in pediatrics

Slapped Cheek Apppearance + Hydrops Fetalis +

Management of PCP pneumonia with respiratory failure in HIV

Co-trimoxazole + Prednisolone

Causes of Mononuritis multiplex

- Polyarteritis Nodosa - Lyme Disease - Sjögren's syndrome

Chlamydia Trachomatis TOC

Doxycycline or Azithromycin

DOC for Influenza

- Oral Oseltamavir - Inhaled Zanamavir

Atypical Measles Syndrome

Not fully immunized and Working as a teacher + Fever + Rash in extremities and swelling of hands and feet

Single and Painless penile ulcer seen in

Syphilis

Multiple Small Painful penil ulcer seen in

Herpes Simplex

Painful Ulcers with Inguinal Lymphadenopathy

Haemophilus ducreyi

Lamivudin M/C side effect

Bone Marrow Suppression

Indinavir M/C side effect

Renal Calculi

Hypopigmented patches associated with sensory loss

Leprosy

IOC for Leprosy

Skin-Slit Smear

Strongyloidiasis Features

Vietnam Travel + Eosinophilia + Dry Cough + Patchy Pulmonary infiltrates

DOC for Strongyloidiasis

Ivermectin

1st Line treatment for Shigella Infection

Azithromycin

Hemophilus Ducreyi DOC

Azithromycin

Typhoid Fever management

1st line: Ciprofloxacin If From India: Azithromycin (Resistance)

America Travel + Fever with Rash of Palm and Soles

Rocky Mountain Spotted Fever

Legeionella Pneumonia DOC

Azithromycin

Causes of Impetigo

- Grp A Streptococcus - Staphylococcus Aureus

Chagas Disease C/F - African Trypanosomiasis

Facial Edema + Diarrhoea Mega-Esophagus or Megacolon

Causative organism of meningitis after Ventriculoperitoneal Shunt

Streptococcus Epidermidis

Lipodystrophy and Insulin resistance caused by which Anti HIV medication

Zidovudine

Neutropenia + Thrombocytopenia + Anemia + Travel to Farms

Brucellosis

Anti HIV medication which causes dialated cardiomyopathy

Zidovudine

Brucellosis C/F

Farm visit history with Hepatosplenomegaly and Thrombocytopenia and Leukopenia

IOC for Brucellosis

Bone Marrow Aspirate and Culture

Most common cause of Discitis

Staphylococcus Aureus

Common Variable Immunodeficiency Investigations

Low IgA and Low IgG

Latent Tuberculosis Management

Rifampicin and Isoniazid for 3 months

IOC for Invasive Aspergillosis

Aspergillus Galactomannan assay

Management of Cryptosporidium Diarrhoea

Nitazoxanide + Supportive therapy

Tick Bite Eschar seen in

Rickettsia Conorii

Long Island trip + Anemia + Polyclonal Hypergammaglobulinemia

Babesiosis

HIV therapy to most commonly cause Cardiomyopathy

NRTI - Abacavir

Abacavir Hypersensitivity

Seen in HLA -B5701 + ve patient after 1-2 months of therapy

Filariasis Management

1st Line: DEC 2nd Line: Ivermectin

Nocardia DOC

Sulphadiazine

Hydatid Cyst Managment DOC

Albendazole

CT shows Multifocal Hypodense Non-Enhancing Periventricular Lesion

Progressive Multifocal Leukoencephalopathy (JC virus)

Leptospirosis DOC

Benzylpenicillin or IV ceftriaxone

emtricitabine Side effect

Red Cell Aplasia or Hypoplasia

IOC for Coxiella burnetti

Serological testing for Phase 1 and 2 Antibodies

Loasis Clinical Features

Hypereosinophilia Fresh water contact Parasthesia of lower limbs

Clue cells seen in

Bacterial Vaginosis

Initial management of E.coli O157

Supportive therapy

Blood investigation indicating severe malaria

Metabolic Acidosis

Invasive Aspergillosis DOC

Voriconazole

Allergic Bronchopulmonary Aspergillosis DOC

Itraconazole

Most common complication of Infective Endocarditis

Embolic Stroke

Oral Hairy Leukoplakia

Lateral Aspect of Tongue Rough and Dosent scrape off

Initial Investigation for Nocardia Species

AFB sputum sample

Cryoglobulins with Murmur

Infective Endocarditis

Chlamydia in Pregnancy Management

Azithromycin PO

Diarrhoea followed by Anemia and Low Platelet

HUS

Gram-positive diplococci

Streptococcus pneumoniae Enterococcus

Gram-negative diplococci

Neisseria meningitidis Neisseria gonorrhoeae

Gram-positive bacilli or rods

Listeria monocytogenes Clostridium perfringens

Gram-negative bacilli or rods

E.coli Pseudomonas aeruginosa

Eosinophilic folliculitis Seen in CD4 count

Seen in CD4 count <300

Cholera Treatment of Choice

Erythromycin

Cholera complication

Acute Tubular Necrosis

Neurocysticercosis Investigation to confirm

Fundoscopic Examination to See Subretinal parasites

Farmer + Leukoerythroblastic picture on peripheral smear

Brucellosis

Otitis Externa Inital Management

Gentamycin Drops

prosthetic joint infection occurring after few months

Propionibacterium acnes

Management of Recurrent UTI due to Urogenital Atrophy

Topical Estrogen Cream

Infectious Diseases and GUM Flashcards

(111 cards)