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Flashcards in peds96 Deck (36):
1

exanthem in rubella

non-pruritic, maculopap, and confluent; begins on face, spreads to the trunk, and extremities, and lasts 3-4 days

2

complications of rubella

meningoencephalitis; polyarteritis; congenital rubella syndrome (most serious complic)

3

congenital rubella syndrome

maternal infection during the first trimester; fetal anomalies occur in 30-50% of infected fetuses; thrombocytopenia, jaundice, and purpura (blueberry muffin baby")

4

blueberry muffin baby

congenital rubella syndrome

5

fetal anomalies in congenital rubella syndrome

congenital cataracts and PDA; sensorineural hearing loss and meningoencephalitis

6

late complications of congenital rubella syndrome

mental retardation, type 1 dm, and autoimmune thyroid disease

7

management of rubella

supportive

8

aspergillosis

invasive disease only in severely immunocomp patients;

9

management of aspergillosis

high dose antifungal like amphotericin B and surgery to resect the aspergilloma

10

allergic bronchopulmonary aspergillosis

wheezing, eosinophila, and pulm infiltrates; happens in patients with chronic lung disease (CF)

11

management of allergic broncopulmonary aspergillosis

corticosteroids, and in some cases antifungal therapy

12

common reason that candida would go

use of antibiotics allows it to flourish

13

invasive candida growth in immunocomp patients may cuase what

fungemia, meningitis, osteomyelitis, and endophthalmitis

14

treatment for invasive candida

antifungal

15

foung in the soil in the southwestern united states fungus

coccidiodomycosis

16

how does coccidio infect you?

inhaled into the lungs

17

clinical features of coccidio infection

most are asymp or cause a mild pneumonia; but immunocomp may get disseminated disease (sever pneumonia, meningitis, and osteomyelitis)

18

management of coccidio infection

none in mild disease; in disseminated disease, systemic antifungal

19

where is cryptococcus found?

in the soil

20

how is crypto infection acquired

inhaled into lungs

21

clinical features of crypto infection

most infections asymp; in immunocomp, spread to the CNS (cryptomeningitis is an AIDS defining illness)

22

management of crypto infection

systemic antifungal therapy

23

amebiasis

infection by the protozoan entamoaeba histolytica

24

how do you acquire amebiasis

ingestion of the cyst in contaminated food or water

25

when do sx appear in amebiasis infection?

1-4 weeks after ingestion when the trophozoite emerges from the cyst and invades the colonic mucosa

26

where is amebiasis present?

worldwide, but highest incidence in developing nations

27

clinical features of amebiasis

most patients are asymp; symp intestinal disease may range from mild colitis to severe dysentery

28

symptoms of the diarrhea of amebiasis

cramping abdominal pain, tenesmus, and diarrhea that may contain blood or mucus;

29

complications of amebiasis

intestinal perforation, hemorrhage, strictures, and local inflamm mass called ameboma

30

extraintestinal amebiasis

abscess (most commonly in the liver), although it may form in the brain, lung, or other organ

31

diagnosis of amebiasis

ID of the trophozoites or cyst in the stool; colonoscopy with biopsy or serum antibody assays may also be used

32

management of amebiasis

metronidazole, along with a luminal amebicide like iodoquinol

33

how is giardia infection acquired

fecal-oral when the cyst is ingested

34

classic patient for giardia

drinking contaminated mountain water in the western unitted states; there are also daycare center outbreaks

35

clinical features of giardia infection

range from asymp to explosive diarrhea; may persist for 2-6 weeks

36

voluminous, watery, foul-smelling diarrhea

giardia