Step 3 Flashcards
(13 cards)
Strep Pharyngitis Management
Penicillin or amoxicillin x 10 days (to ensure full eradication of bacterial carriage and to prevent rheumatic fever)
Treatment of Active TB in pregnancy
3 Drug Therapy with monthly monitoring
- Isoniazid
- Rifampin
- Ethambutol
- for 2 months followed by Isoniazid and Rifampin for 7 months (don’t give the P in RIPE in pregnancy!)
Treatment of Lyme Arthritis
- oral doxycycline or amoxicillin for 30 days
- Use IV regimen if concurrent neurologic involvement
- If mild persistent symptoms, treat with additional doxy x 30 days
- *If moderate/severe persistent arthritis tx with IV CTX x 30 days
Treatment of Early localized Lyme disease in a pregnant patient
14-21 days of amoxicillin or cefuroxime
*do not give doxycycline due to effects on fetal long-bone development and teeth coloration
Basilar Meningeal Enhancement + meningitis and choroidal tubercles think…
tuberculous meningitis
3 criteria for acute liver failure
- hepatic injury
- encephalopathy
- INR >1.5
Manifests with painless red macules that rapidly progress to pustules/bullae and then quickly evolve into gangrenous ulcers with raised violaceous margins
*Seen with immunocompromised/neutropenic patients
Ecthyma gangrenosum - typically due to P. aeruginosa bacteremia
Treatment of Ecthyma gangrenosum
IV Zosyn and aminoglycoside
Chorioretinitis
Diffuse intracranial calcifications
Hydrocephalus = ?
Classic triad of congeintal toxoplasmosis
Treatment of congenital toxoplasmosis
pyrimethamine, sulfadiazine, folinic acid x 1 year
Preferred HIV postexposure prophylaxis
Tenofovir-emtricitabine and raltegravir because of lower risk side effect profile and fewer drug to drug interactions
Schistosomiasis treatment
Praziquantel
otitis-conjunctivitis syndrome is caused by…
nontypeable haemophilus influenzae
