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Emergency Medicine > Infectious Dz > Flashcards

Infectious Dz Flashcards

0
Q

What bacteria is the leading cause of osteomyelitis in children and adults?

A

Staph aureus

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1
Q

The gram-positive cocci Are broken down into two main groups. What are they?

A

Catalase + (staph)

Catalase - (strep)

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2
Q

When you see endocarditis with a prosthetic heart valve: what bacteria would be within 60 days of valve replacement and after 60 days of valve replacement?

A

S. Epidermidis within 60 days of valve replacement. Viridans strep after 60 days.

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3
Q

Antibiotic of choice for staph epi?

A

Vanc

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4
Q

Most common causes of cystitis among sexually active young woman:

A
  1. E. coli

2. S. Saprophyticus

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5
Q

What’s the treatment for UTI from staph Saprophyticus?

A

Bactrim

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6
Q

Diagnosis: Child with fever and a skin rash around lips and arms. Rash is pustular with yellow crust. Diagnosis and treatment?

A 
Impetigo GAS (strep pyogenes)
Tx: penicillin G
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7
Q

What are the five most common pediatric diseases with rash?

A 
Measles (measles virus)
Rubella (rubella virus)
Scarlet fever (S. Pyogenes)
Roseola (HHV-6)
Erythema infectiosum (parvovirus B-19)
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8
Q

What are the Jones criteria for diagnosis of rheumatic fever?

A

Two major or one major +2 minor criteria.

Major:
Carditis
Polyarthritis
Syndehams chorea
Erythema marginatum rash
Subcutaneous nodules
Minor:
Fever
Arthralgia
Elevated ESR OR CRP
Prolonged PR interval
\+ strep Ab
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9
Q

Tx for Lung Abscess

A
  1. Clindamycin
  2. Clindamycin PLUS vanc OR Cefapime
  3. Ampicillin/sulbactam
  4. Moxifloxicin

If hospitalized cover for MRSA and Pseudomonas

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10
Q

Tx for Acute Bronchitis

A

NONE RECOMENDED

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11
Q

Tx for Acute exacerbation of Chronic Bronchitis

A
  1. Bactrim
  2. Doxycycline
  3. Amoxicillin/ Clavulanate
  4. Fluoroquinolone (anti pseudomonas)
  5. Azithromycin
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12
Q

Tx for Acute exacerbation of Cystic Fibrosis

A
  1. Piperacillin/ Tazobactam AND Tobramycin

2. Ceftazadime sodium AND Tobramycin

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13
Q

Tx for Empyema

A

Drainage and identification of organism!!!

  1. Vanc AND ceftriaxone OR piperacillin/ Tazobactam OR Ticarcillin Clavulanate
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14
Q

Tx for Mediastinitis

A
  1. Vancomycin AND piperacillin/ Tazobactam AND Clindamycin OR metronidazole
  2. Vancomycin AND ceftazidime sodium
  3. Vancomycin AND Fluoroquinolone (systemic) AND Clindamycin OR Metronidazole
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15
Q

Tx for Community Aquired aspiration PNA

A
  1. Amoxicillin/ Clavulanate

2. Clindamycin

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16
Q

Tx for nosocomial aspiration PNA

A
  1. Piperacillin/ Tazobactam
  2. Ticarcillin/ Clavulanate
  3. Fluoroquinolone (systemic) AND Clindamycin
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17
Q

Tx for outpt CAP

A
  1. Macrolide
  2. Doxycycline
  3. Fluoroquinolone (anti pseudomonas )
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18
Q

Tx for Inpt with CAP

A
  1. Ceftriaxone OR cefotaxine AND macrolide

2. Fluoroquinolone

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19
Q

Tx for PNA in AIDs pt

A
  1. Ceftriaxone AND Bactrim AND Doxycycline

2. Clindamycin AND primaquine AND Ceftriaxone

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20
Q

Tx for viral PNA

A
  1. Zanamavir

2. Oseltamivir

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21
Q

Tx for Cutaneous anthrax

A
  1. Doxycycline

2. Ciprofloxacin

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22
Q

Tx for febrile or septic burn wound

A
  1. Vanc AND Aminoglycoside AND Piperacillin
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23
Q

Tx for bat, raccoon, fox or skunk bite

A
  1. Rabies Immune globulin AND rabies vaccine AND Amoxicillin/ Clavulanate
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24
Q

Tx for Cat bites

A
  1. Amoxicillin/ Clavulanate
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25
Q

Tx for dog bite

A
  1. Amoxicillin/ Clavulanate
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26
Q

Tx for Human Bites

A
  1. Amoxicillin/ Clavulanate
27
Q

Tx for rat or primate bites

A
  1. Amoxicillin/ Clavulanate
28
Q

Tx for postpartum breast abscess

A
  1. Dicloxacillin
29
Q

Tx for non puerperal breast abscess

A
  1. Amoxicillin/ Clavulinate

2. Clindamycin

30
Q

Abx Tx for hemorrhagic bullous lesion with outdoor water or seafood exposure

A
  1. Doxycycline AND cephalosporin 3 AND Gentamycin
31
Q

Abx Tx for carbuncle

A
  1. Dicloxacillin
  2. Clindamycin
  3. Cephalexin
  4. Bactrim
  5. Doxycycline
32
Q

Abx Tx for facial cellulitis

A
  1. Nafcillin
  2. Cefazolin
  3. Vancomycin
33
Q

Abx Tx for mild - moderate cellulitis

A
  1. Dicloxacillin
  2. Ceph 1
  3. Amoxicillin/Clavulanate
  4. Macrolide
  5. Penicillin V
  6. PCN G
  7. Fluoroquinolone (anti pseudomonas)
34
Q

Abx Tx for orbital cellulitis

A
  1. Ceftriaxone AND Vanc
  2. Ampicillin/Sulbactam
  3. Zosyn
  4. Ticarcillin/Clavulanate
  5. Fluoroquinolone
35
Q

Abx Tx for Erythema Migrans (Lyme)

A
  1. Amoxicillin

2. Doxycycline

36
Q

Abx Tx for hot tub folliculitis

A
  1. Gentamycin lotion AND Acetic acid

2. Ciprofloxacin

37
Q

Abx Tx for folliculitis

A

Clindamycin, erythromycin, or Gentamycin cream

38
Q

Abx Tx for gas gangrene

A

SURGICAL DEBRIDEMENT!!!!

Clindamycin AND PCN G

39
Q

Abx Tx for Impetigo

A
  1. Mupirocin cream
40
Q

Abx Tx for infected post trauma

A
  1. Amoxicillin/Clavulanate
  2. Ceph 1
  3. Macrolide
41
Q

Abx Tx for septic or febrile post trauma

A
  1. Beta lactam/ Beta lactamase inhibitor

2. Carbapenem

42
Q

Abx Tx for cervical suppurative lymphadenitis

A
  1. Nafcillin

2. Cephazolin

43
Q

Abx Tx for Mastitis

A
  1. Nafcillin

2. Cephazolin

44
Q

Abx Tx for nec fasc

A

SURGICAL DEBRIDEMENT

  1. PCN G AND Clindamycin
45
Q

Abx Tx for pyomyocytis

A
  1. Nafcillin
  2. Cefazolin
  3. Vanc
46
Q

Abx Tx for scabies

A

Permethrin

47
Q

Tx for shingles

A

Acyclovir

48
Q

Abx Tx for Tinea capitus

A

Terbinafine

49
Q

Abx Tx for Tinea corporus

A

Miconazole cream

50
Q

Abx Tx for Tinea cruris

A

Miconazole cream

51
Q

Abx Tx for Tinea pedis

A

Miconazole cream

52
Q

Tx for tinea versicolor

A

Selenium sulfide topical

53
Q

Abx Tx for syphilis

A

PCN G Benzathine

54
Q

Tx of tetanus

A

Tetanus toxoid AND Tetanus immune globulin AND PCN G

55
Q

Abx Tx for botulism

A

Botulinum anti-toxin AND PCN G

56
Q

Abx Tx for uncomplicated UTI Women

A
  1. Bactrim
  2. Nitrofurantoin
  3. Fosfomucin
57
Q

Abx Tx for complicated UTI women

A
  1. Ampicillin AND Gentamycin
  2. Ceftriaxone
  3. Zosyn
58
Q

Abx Tx for recurrent UTI women

A
  1. Bactrim
  2. Trimethoprim
  3. Nitrofurantoin
59
Q

Abx Tx for UTI Men

A
  1. Bactrim

2. Ceftriaxone IM

60
Q

Abx Tx for pyelo

A
  1. Bactrim
  2. Cefpodoxime
  3. Ceftriaxone
61
Q

Abx Tx for a symptomatic Bacteuria

A
  1. Amoxicillin
  2. Bactrim
  3. Trimethoprim
62
Q

Abx Tx for acute Prostatitis

A

Bactrim

63
Q

Abx Tx for sterile pyuria

A
  1. Azithromycin
  2. Doxycycline

Also cover for gonorrhea!!

64
Q

Organism causing “desert rheumatism” includes the combination of fever, joint pains, and erythema nodosum.

A

Coccidiomycosis

Emergency Medicine (14 decks)

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