Microbiology Systems II Flashcards

(52 cards)

1
Q

newborn meningitis - birth - 6mo

A

group B strep
E. coli
listeria

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2
Q

child meningitis - 6mo - 6yr

A

strep pneumo
neisseria meningitidis
h flu type B
enterovirus

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3
Q

meningitis 6yr to 60yr

A

strep pneumo
neisseria (#1 in teens)
enterovirus
HSV

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4
Q

meningitis +60yo

A

strep pneumo
gram negative rod
listeria

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5
Q

tx meningitis

A

ceftriaxone and vancomycin empirically

-add ampicillin if suspect listeria

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6
Q

viral meningitis

A
enterovirus
HSV-2
HIV
west nile
VZV
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7
Q

HSV-1

A

encephalitis

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8
Q

meningitis in HIV

A

cryptococcus

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9
Q

h. flu meningitis

A

decreased since h. flu vaccine

-often unimmunized children

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10
Q

bacterial meningitis CSF

A

high pressure
high PMNs
high protein
low sugar

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11
Q

viral meningitis

A

normal or elevated pressure
high lymphocytes
normal sugar
normal or elevated protein

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12
Q

fungal/TB meningitis

A

high opening pressure
high lymphocytes
high protein
low sugar

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13
Q

brain abscess infection

A

MC - viridans or staph aureus

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14
Q

multi abscess

A

bacteremia

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15
Q

single abscess

A

contiguous site

ex/ otitis media and mastoiditis > temporal lobe and cerebellum

sinusitis or dental infection > frontal lobe

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16
Q

osteomyelitis infection

A

staph aureus

MC overall

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17
Q

osteomyelitis sex active

A

neisseria gonorrhea

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18
Q

sickle cell osteomyelitis

A

salmonella

staph aureus

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19
Q

prosthetic joint osteomyelitis

A

staph aureus

staph epidermidis

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20
Q

vertebral involvement osteomyelitis

A

staph aureus

TB - pott disease

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21
Q

pott disease

A

TB to vertebrae

22
Q

cat and dog bite osteomyelitis

A

pasteurella multocida

23
Q

IV drug abuse osteomyelitis

A

pseudomonas
candida
staph aureus

24
Q

UTI

A

ascension of microbe - urethra to bladder

to kidney - pyelonephritis

25
CVA tender, hematuria, WBC casts
pyelonephritis
26
MC cause UTI
E. coli green metallic sheen on EMB
27
UTI in sex active women
staph saprophyticus
28
3rd MC UTI
klebsiella pneumonia large mucoid capsule and viscous colonies
29
UTI bug red pigment
serratia marcescens
30
struvite stone UTI bug
proteus mirabilis
31
blue-green pigmented UTI bug
pseudomonas aeruginosa
32
leukocyte esterase
evidence WBC activity
33
nitrite test
reduction of urinary nitrates by bacterial species
34
urease test
ureas-producing bug proteus, klebsiella
35
clue cells, fish odor, thin white discharge
bacterial vaginosis pH > 4.5 tx - metrondiazole
36
strawberry cervix, frothy grey-green foul smell discharge
trichomoniasis pH > 4.5 tx - metrondiazole
37
thick white cottage cheese vaginal discharge, pseudohyphae
candida vulvovaginitis tx - azoles
38
ToRCHeS infections
pass from mother to fetus ``` Toxoplasma gondii Rubella CMV HIV HSV-2 Syphilis ``` transmission transplacental most cases - or via delivery
39
hydrops fetalis
parvovirus B19 infection
40
toxoplasma gondii
TORCHES cat feces or undercooked meat classic triad - chorioretinitis, hydrocephalus, intracranial calcifications, blueberry muffin rasrh
41
rubella
TORCHES transmitted resp droplets classic triad - PDA, cataracts, deafness, blueberry muffin rash
42
CMV
TORCHES | hearing loss, seizures, petechial rash, blueberry muffin rash, periventricular cacifications
43
HIV
TORCHES | recurrent infection and chronic diarrhea in neonate
44
HSV-2
TORCHES | encephalitis, herpetic vesicular lesions
45
syphilis
TORCHES stillbirth, hydrops fetalis facial abnormalities, saddle nose, notched teeth, short maxilla, saber shins, CN VIII deafness
46
newborn, saddle nose, notched teeth, saber shins
mother had syphilis
47
hand foot mouth disease
coxsackie A virus oval vesicles on palms and soles vesicles and ulcers oral mucosa
48
HHV-6
roseola asympomatic rose colored macules appear on body after several days of high fever febrile seizures affects infants
49
fifth disease
parvovirus B19 -erythema infectiosum slapped cheek rash on face can cause hydrops fetalis in pregnant owmen
50
rubella virus
german measles pink coalescing macules - begin at head and move down fine desquamating truncal rasrh postauricular lymphadenopathy
51
strep pyogenes
scarlet fever erythematous sandpaper rash with fever and sore throat
52
VZV
chickenpox vesicular rash on trunk -spread to face and extremities lesions of different stages present