-
3 painless genital ulcers
- LGV-recurrs and scars
- Granuloma inguinale
- syphilis
-
what bacteria gives box car
h.ducreyi
-
what bacteria gives bipolar safety big
granuloma inguinale
-
you treat syphilis and titer goes up, wtd
LP to r/o neurosyphilis
-
you rx syphilis and titer goes down 4-fold, wtd
nothing, rx was successful
-
how do you treat neurosyphilis vs regular syphilis
- PCN G x2 weeks q4hfor neuro
- all other syphils is benzathine PCN
-
anaplasma (erhrlisos
everything i.e leukopenia, thrombocytopenia, elevated LFTS
-
babesia- hemolysis or elevated LFTS, leukopenia, thrombocytopenia
hemolysis
-
rx for babesia
- severe quinine and clindamycin
- mild to moderate azithro and atovaquone
-
pt treated for lyme and still has IgM and is always tired
wtd
nothing, she has chronic fatigue syndrome
-
tick bite and paralysis, wtd
- remove the tick
- patient has tick induced paralysis
-
local impetigo
bacitracin
-
-
what do you give for toxin producing bacteria
clinda +whatever antiboitic you are treating with
-
-
fish tank cleaner with a non healing skin ulcer, dx
- mycobacterium marinarum
- rx is clarithromycin, ethambutol +/- rifabutin
-
pt with liver disease has a skin cut went swimming, now is septic, dx
aeromonas hydrophilia
-
for most disseminatd systmic severe fungal infection, yougive what
- ampho
- except in candida, you give echinocandins
-
pt with a rash, was in a hot tub, dx
psedumonoas
-
pt with pulmnoary symptoms uses a hot tub, dx
MAi
-
chemotherapy patietn with black ulcer and celluitis, dx and rx
- ecthyma gangrenosum
- rx is meropenem + cefepime and polymyxin?
-
rx for otitis media
otits externa
- media- po abx
- externa- topical abx
-
most people who are exposter to herpes zoster are not treated if >72 hrs , who are the exceptions
-
how to differntiate chicken and small pox
chicken has diff stage of healing vesiclesh
-
how do you treat popele exposed to people with chicken pox
- vaccine
- if immunocompromised, VZIG
-
most likely complication of chicken pox
pna
-
pustules after petting an animal at a fair
monkey pox
-
pt visiting south west, now has pulmoanry renal syndomre
hanta virus
-
how you get hanta virus
from animal bites and scratches
-
post splenectomy patient with shock
capnocytophagia canimoruss
-
rx for cat bite vs rx for cat scratch
- cat bite- augmentin
- cat scratch- doxycycline
-
hiv patient with nodular lesions has a cat
- bacillary angiomatosis-
- peliosis hepatis(cystic spaces with blood)
-
cat exposure and now endocarditis in an HIV pt, dx
bartonella quintana
-
which animal you would not treat with rabies IG
rat
-
pt already vaccinated against rabies, has a dog bite, wtd
give rabies vaccine again
-
what meds do you not give for m. falciparum resistant
chloroquine or primaquine
-
how do you rx m.falciparum resistant
quinine+doxy
-
how to treat cerebral malaria
quinidine gluconate +doxy
-
how to treat later malaria
artemether-lumefantrine
-
pt did not take malaria ppx, now has malaria, wtd
malarone
-
can you use mefloquine in cardiac conduction defects
no
-
retained IUD sepsis, etiology
actinomyces
-
which antifungal improves mortality in neutropenic patient
posaconazole
-
what fungus has halo sign
aspergillosis
-
infection in a transplant within 1 month
nosocomial
-
what anti fungal in renal failure
voriconazole
-
serum in aspergillosis is + for what
galactomannan
-
ground glass inclusions in the urine on tacrolimus in a transplant patietn
BK virus
-
ring encancing lesion in immunosuppressed pt
nocardia
-
OM + prosthetic implant wtd
give vanco, rifampin, gentamycin
-
s.p chemo, neutropneinc, has nodules in the liver, dx
candida
-
rx for ESBL resistant to carbapenem
caftrazidime/avibactam
-
esbl in urine only sens to colistin or tigecycline, wtd
colistin
-
rx for xanthomonoas
bactrim
-
central line and staph epi, wtd
give abx but if GNR or staph aureus, need to remove the line
-
how to preevent VAP
- HOB
- chlorhexidine mouth washes
- ETT suction
-
mono symptoms + pharyngeal petechiae, wtd
EBV testing
-
rash in a paitent , wt element def
zinc
-
-
do yo do contact for anthrax
no CONTACT
-
ulceroglandular fever from rabits
tularemia
-
dead deer removal, now iwth paupulses
tularemia
-
can tularemia give pnay
yes
-
fever, pna from a farmer or vet
q fever
-
culture neg endocarditis
brucella
-
pt with red eyes, cough, sob, dead fish on the beach
red tide bloom
-
dz affecting hands and feet
-
typhus gives what type of rash
on the trunk
-
rx for PJP in sulfa allergy
clinda+primaquine
-
serum galactomannan for
serum B D glucan for
-
do you start HAART right away with MTB
yes
-
do you continue ART in immune reconstitution syndrome
yes
-
do you give seizure ppx in neurocysticyrcosis
yes
-
which live vaccines can you give in HIV pts if CD4>200
no yellow fever or oral polio
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