Infxn Dx Flashcards
(20 cards)
Best initial test for Genital Herpes
Tzanck Smear
Multiple vesicular lesions on an erythematous base; Painful grouped vesicles
Genital Herpes/ Herpes Simplex 2
Treatment of choice for HSV encephalitis and neonatal herpes
IV Acyclovir
non- painful rash, solitary, non-tender ulcerated nodule with indurated border. A painless firm genital lesion
Chancre/ primary syphilis
Etiology of Syphilis
Treponema pallidum
most accurate test for primary syphilis
Dark field microscopy
most infections stage of Syphilis
secondary Syphilis
Recommended treatment for Syphillis
IM Penicillin, Single Dose
Bilateral small pupils that reduce in size on a near object but do not constrict when exposed to bright light
Argyll- Robertson pupil
Alternative drug given if the patient with Syphilis if allergic to Penicillin
Doxycycline
Given/Done if patient with syphilis has neurosyphilis or pregrnant with penicillin allergy
Desensitization
Single best test for both gonorrhea and chlamydia
NAAT (Nucleic Acid Amplification Test)
Lower abdominal pain and tenderness, fever, leukocytosis and cervical motion tenderness
Pelvic Inflammatory Disease
White clumped discharge with vulvar itching and irrritation
V. Candidiasis
Strawberry Cervix/ Profuse white/ yellow homogenous discharge
Trichonimal Vaginitis
Fishy odor; Slight increase in discharge with Clue cells
Bacterial Vaginosis
First step to diagnose trichomoniasis
Wet mount preparation
Causative agent for diarrhea following picnics where potato salad, mayonnaise, and cream pastries have been served
S. aureus
Bloody stools without fecal leukocytes
Shiga toxin producing EHEC
Tenesmus is prominent in
Shigellosis or amoebiasis
