Micro management Flashcards

(83 cards)

1
Q

Brucellosis

A

Doxycycline and Streptomycin

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2
Q

Meningitis Empirical more than 50 years

A

IV Cefotaxime + Amoxicillin

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3
Q

Q Fever

A

Doxycycline

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4
Q

Meningococcal Meningitis

A

IV Benzylpenicillin or Cefotaxime

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5
Q

Strongyloides Stercoralis

A

Thiabendazole, Albendazole, Ivermectin

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6
Q

Gonorrhoea

A

Single dose IM Ceftriaxone 1g
if sensitive to Ciprofloxacin –> single dose oral ciprofloxacin 500mg
If Ceftriaxone is refused –> oral cefixime 400mg + oral azithromycin 2g single dose only

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7
Q

Cholera

A

Oral rehydration therapy

Role fo doxycycline or ciprofloxacin

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8
Q

Legionella

A

Erythromycin or Clarithromycin

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9
Q

Rabies

A

If Immunised –> give 2 further doses

If nont immunised –> Human rabies immunoglobulin with full course of vaccine

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10
Q

Cellulitis

A

Flucloxacillin(clarithromycin or clindomycin if penicillin-allergic)

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11
Q

Toxoplasmosis

A

Pyrimethamine + Sulphadiazine for 6 weeks

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12
Q

Trypansomiasis African

A

Early: IV Pentamidine or Suramin
Late: IV Melarosoprol

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13
Q

Impetigo

A

Topical fusidic acid, oral flucloxacillin or erythromycin if widespread

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14
Q

Amoebiasis

A
Metronidazole (trophozoite stage)
Diloxanide Furoate (dormant cystic stage)
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15
Q

Meningitis Pre-Hospital

A

IM Benzylpenicillin

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16
Q

Leprosy

A

Rifampicin, Dapsone and Clofazimine

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17
Q

Uncomplicated community-acquired pneumonia

A

Amoxicillin, (Doxycycline or clarithromycin in penicillin allergic, add flucloxacillin if staphylococci suspected e.g. In influenza)

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18
Q

Meningitis by Haemophilus Influenzae

A

IV Cefotaxime

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19
Q

Leptospirosis

A

Benzylpenicillin or Doxyycline

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20
Q

Hepatitis A Post Exposure Prohpylaxis

A

Hepatitis A Vaccine and Human Normal IgG

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21
Q

Lyme Disease

A

Doxycycline or Amoxicillin if early disease

Ceftriaxone if disseminated

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22
Q

Pubic Lice

A

Deconatminate clothes and bedding
Permethrin 1%
Malathion 0.5%
Re-apply after 3 days

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23
Q

Shigella

A

Self limiting

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24
Q

Meningitis by Listeria

A

IV Amoxicillin + Gentamicin

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25
Non-Gonoccocal Urethritis
Oral azithromycin or doxycycline
26
Mastitis during breast-feeding
Flucloxacillin
27
Mycobacterium Avium Intracellulare
Rifabutin, Ethambutol, Clarithromycin
28
Genital Warts
Topical Podophyllum or cryotherapy Multiple non-keratinised warts --> topical agent Single keratinised wart --> cryotherapy Imiquimod --> topical cream --> second line Most clear spontaneously in 1-2 years
29
PCP
Co-trimoxazole
30
Chlamydia
``` Doxycycline 7 day course OR Azithromycin (single dose - fist line) ```
31
CMV Retinitis
IV Ganciclovir
32
HSV1 and HSV2
Oral Aciclovir
33
Cellulitis
Flucloxacillin or Clarithromycin if allergic
34
Chikungunya
Sypmtomatic relief only
35
Japanese Encephalitis
Supportive
36
Hepatitis C Post Exposure Prohpylaxis
Monthly PCR | If seroconversion --> IFN +/- Ribavirin
37
Exacerbations of chronic bronchitis
Amoxicillin or tetracycline or clarithromycin
38
Throat infections
Phenoxymethylpenicillin (erythromycin alone if penicillin-allergic)
39
Clostridium difficile
First episode: metronidazole - Second or subsequent episode of infection: vancomycin
40
Syphillis
IM Benzathine Penicillin | OR Doxycycline
41
Lower urinary tract infection
Trimethoprim or nitrofurantoin. Alternative: amoxicillin or cephalosporin
42
Bacterial Vaginosis
Oral metronidazole 5-7 days
43
Listeria
Amoxicillin
44
Animal or human bite
Co-amoxiclav (doxycycline + metronidazole if penicillin-allergic)
45
Tularaemia
Doxycycline
46
Dengue
Symptomatic
47
Varicella Zoster Post Exposure Prohpylaxis if immunosuppressed or pregnant
VZV Immunolobulin for IgG negative women
48
Meningitis Empirical less than 3 months | GBS, E. Coli, Listeria
IV Cefotaxime + Amoxicillin
49
Invasive Aspergillosis
Voriconazole
50
Gingivitis: acute necrotising ulcerative
Metronidazole
51
Hepatitis B
Pegylated interferon-alpha
52
Acute prostatitis
Quinolone or trimethoprim
53
Acute pyelonephritis
Broad-spectrum cephalosporin or quinolone
54
Hepatitis C
Protease inhibitors +/- Ribavirin i. e. Daclastasvir + Sofosbuvir i. e. Sofosbuvir + Simeprevir
55
Shigellosis
Ciprofloxacin
56
Tetanus
Supportive
57
Periapical or periodontal abscess
Amoxicillin
58
Cysticercosis
Niclosamide
59
Erysipelas
Phenoxymethylpenicillin (erythromycin if penicillin-allergic)
60
Cutaneous Anthrax
Ciprofloxacin
61
Animal bites or Human bites
Co-Amoxiclav | IF allergy: Doxycycline + Metronidazole
62
Campylobacter enteritis
Clarithromycin
63
TB
``` R = Rifampicin I = Isoniazide P = Pyrazinamide E = Ethambutol ``` Active: 2 months RIPE followed by 4 months RI Latent TB: 3 months of RI + Pyridoxine or 6 months Isoniazid + Pyridoxine Meningeal TB Prolonged course + steroids
64
Otitis externa
Flucloxacillin (erythromycin if penicillin-allergic)
65
Malaria
Artemisinin-based combination therapy | Primaquine following acute therapy in Ovale and Virax to destroy liver hypnozoites
66
Typhus
Doxycycline
67
Otitis media
Amoxicillin (erythromycin if penicillin-allergic)
68
Trachomonas Vaginalis
Oral Metronidazole 5-7 days
69
Trypansomiasis American
Acute: Azole + Nitroderivative i.e. benznidazole or nifurtimox Chronic: Treat complicaitons
70
Salmonella (non-typhoid)
Ciprofloxacin
71
H1N1 Influenza
Oseltamivir (neuraminidase inhibitor). Zanamivir (neuraminidase inhibitor)
72
MRSA
Mupirocin 2% for nose and Chlorhexidine soap | Vancomycin, Linezolid, Teicoplanin
73
Schistosomiasis
Praziquantel
74
Mycoplasma Pneumonia
Doxycycline or macrolide
75
Hepatitis B Post Exposure Prohpylaxis
HBsAg Positive Source: - If known responder  give booster - If non-responder/not fully vaccinated  give Hepatitis B Immune Globulin and Vaccine Unknown Source: - Consider booster dose HBV - Non-responders: HBIG + Vaccine - Being Vaccinated  accelerate course of vaccine
76
Hydatid Disease
Albendazole
77
Sinusitis
Amoxicillin or doxycycline or erythromycin
78
Hospital-acquired pneumonia
Within 5 days of admission: co-amoxiclav or cefuroxime - More than 5 days after admission: piperacillin with tazobactam OR a broad-spectrum cephalosporin (e.g. ceftazidime) OR a quinolone (e.g. ciprofloxacin)
79
Cryptosporidoiosis
Support | Nitazoxanide if immunocompetent
80
Pneumonia possibly caused by atypical pathogens
Clarithromycin
81
HIV Post Exposure Prohpylaxis
Low Risk: No PEP High Risk: - Combination of oral antiretrovirals ASAP for 4 weeks (start 1-2 hours up to 72 hours) - Serology testing at 12 weeks post completion - Reduces risk of transmission by 80%
82
Giardiasis
Metronidazole
83
Meningitis Empirical 3 months to 50 years
IV Cefotaxime