ID set 3

  1. Physician exam for bacterial meningitis
    • Brudzinski sign
    • kernig sign
  2. Empiric treatment for meningitis
    Antiviral and cefotoxime (add ampicillin for neonates)
  3. Cerebrospinal fluid findings for bacterial meningitis
    • Low glucose and pH
    • increased protein, WBC, lactic acid
  4. Bloodwork findings for bacterial meningitis
    • leukocytosis with left shift
    • elevated CRP
  5. Prophylactic treatment for patient’s contacts for n. meningitidis
    Rifampin
  6. s/s bacterial meningitis
    • Fever
    • chills
    • headache
    • nausea / vomiting 
    • petechiae
  7. treatment for tetanus
    • Antitoxin
    • immune globulin
    • penicillin or metronidazole
  8. early signs of tetanus
    • pain, tingling at site
    • nucal rigidity
    • dysphagea
  9. treat purulent cellulitis
    • drain
    • if abx needed outpatient Bactrim
    • if severe, Vanco & admit
  10. treat non purulent cellulitis
    Clindamycin P.O. or IV
  11. Pain on eye movement DDx
    • Preseptal cellulitis
    • rubella
  12. s/s rubella
    • Headache, runny nose
    • occipital lymphadenopathy 
    • eye pain on movement
    • arthralgias, esp in females
    • petechiae on uvula and soft palate
    • low fever concurrent with diffuse pink pruritic rash spreading from face to trunk
  13. Forcheimer’s sign
    petechiae on soft palate and uvula, indicative of rubella
  14. Treat preseptal cellulitis
    Bactrim
  15. treat orbital cellulitis
    Pip/tazo
  16. What is curtis fitzhugh syndrome, and which illness is it a complication of
    • RUQ pain, inflammation of the liver capsule, normal LFT.
    • complication of chlamydia
  17. DDx syphilis vs gonorrhea in women
    • Syphilis has adenopathy and possibly rash
    • chlamydia has cervical motion tenderness and red lesion on cervix
  18. Gray membrane in pharynx
    nasal discharge
    hoarse voice / dysphonia
    fever
    sore throat
    malaise
    Diphtheria
  19. DDx sore throat
    • diphtheria: gray membrane on pharynx
    • Rhinovirus: rinorrhea and sneezing
    • Adenovirus: conjunctivitis
    • Influenza A and B: cough, myalgia 
    • EBV: fatigue, lymphadenopathy, fever, sweat/chills
    • CMV: no exudate or lymphadenopathy 
    • GABHS: sudden onset, without cough, coryza or rhinorrhea
    • Mycoplasma pneumoniae: wheezing, rales, dry cough
  20. Modified Centor score for strep pharyngitis
    • 1 point for each of the following findings:
    • tonsillar exudates,
    • swollen tender anterior cervical nodes,
    • absence of cough,
    • history of fever and
    • age < 15 years.
    • One point is subtracted for age over 45 and older.
  21. Treatment of strep pharyngitis
    Penicillin 500 bid x 10 days
  22. Treatment of diphtheria
    Penicillin 250 qid x 14 days
  23. Painful red bulging bullous spots on legs or face with discrete margins
    Erysipelas
  24. erythema infectosium is caused by what
    Parvovirus B19
  25. Erythema infectosum before the rash starts
    • fever, coryza, conjunctivitis 
    • headache, arthralgia, nausea, diarrhea
  26. progression of rash in erythema infectosum
    • Starts 2-5 days after fever
    • circular, well defined with surrounding pallor
    • ”slapped cheek”
    • several days later, lacy pattern on trunk
  27. adults with persistent polyarthralgia should be tested for what
    Erythema infectosum
  28. treat gonorrhea
    • ceftriaxone 250 mg IM x 1
    • also treat for chlamydia: azithromycin 1 g x 1
  29. symptoms of gonorrhea in women
    • Purulent vaginal discharge
    • dysuria
  30. s/s of malaria
    • Cyclic presentation: cold, hot, wet
    • continuous rigors 20-60 min
    • Temp rises over 3-8 hours
    • final temp 104-107
    • then falls with profuse sweating
  31. Progression of measles
    • Malaise, anorexia, high fever, then
    • cough, coryza, conjunctivitis
    • koplik’s spots
    • ~48 hrs later patchy rash starts on face and spreads to trunk
  32. Roseola progression of illness
    Very high fever, followed within a week by a pink diffuse rash
  33. Triad of shigella
    • Cramps/abdominal tenderness
    • tenesmus
    • frequent small volume bloody mucoid feces
  34. 3 drugs to treat shigella
    • ciprofloxacin
    • ceftriaxone
    • Azithromycin 
  35. Triad of shigella
    • Cramps
    • TEnderness
    • frequent, small volume bloody mucoid feces
  36. Fulminant colitis
    • Abdominal distension hypovolemia fever
    • 40k+ leukocytosis
    • elevated creatinine
    • Lactic acidosis
    • hypoalbuminemia
    • diarrhea or no stool
  37. C. diff s/s
    • Low fever
    • nausea, anorexia
    • lower abdominal pain and cramping
    • significant leukocytosis 
    • watery diarrhea, possibly with mucous or blood
  38. Sign of c diff on endoscopy
    pseudomembrane
  39. Follow up care for osteomyelitis
    • ESR and CRP weekly 
    • Targeted antibiotics 6-12 weeks
  40. Saddle paresthesias
    bowel or bladder dysfunction 
    new motor weakness
    focal back pain with electric shooting to extremities
    Red flags for spinal epidural abscess
  41. Clinical presentationof septic arthritis
    • Restricted ROM
    • acute onset
    • one red, warm, swollen, painful joint
  42. treat Candidiasis: thrush, esophageal, cutaneous, vulvovaginal
    • Thrush: clotrimazole troches
    • esophageal: fluconazole tablets
    • Cutaneous: topical azole
    • vulvovaginal: oral fluconazole
  43. Treat CMV
    Ganciclovir
  44. Treat candida
    fluconazole
  45. Treat impetigo
    Topical mupirocin
  46. treat preseptal cellulitis
    Bactrim
  47. Treat cryptococcus
    AmphotericinB
  48. Treat malaria
    chloroquine
  49. treat UTI
    Bactrim or nutrofurantoin
  50. treat shigella
    ciprofloxacin
  51. treat diphtheria
    Penicillin
  52. treat pertussis
    Azithromycin
  53. Treat anthrax
    Ciprofloxacin and meropenem
  54. Treat cholera
    Only if very ill. Tetracycline
  55. Treat salmonella
    Only if very ill. Bactrim
  56. treat tetanus
    • Antitoxin,
    • immune globulin
    • penicillin
  57. treat enteric fever
    ceftriaxone
  58. treat pinworms
    Albendazole
  59. treat hookworm
    mebendazole
  60. Treat histoplasmosis
    Itraconazole
  61. treat trichomonas
    Metronidazole
  62. treat syphilis
    Benzathine Penicillin
  63. treat botulism
    Antitoxin
  64. Gram negative organisms
    • Chlamydia 
    • e. Coli
    • gonorrhea
    • h. Influenzae
    • klebsiella
    • legionella
    • meningococcus
    • pertussis
    • pseudomonas
    • rickettsiae
    • salmonella
    • shigella
    • vibrio
  65. Gram positive organisms
    • Bacillus anthracis
    • botulism
    • clostridium
    • corynebacteria
    • diphtheria
    • Enterocci 
    • listeria
    • staph
    • strep
    • Tetanus
Author
ketch22
ID
338046
Card Set
ID set 3
Description
Pathogens and treatments
Updated