1 infectious Flashcards
Classic triad of botulism
- Acute onset of symmetric flaccid descending paralysis w/clear sensorium
- no fever
- no paresthesias
Favorable prognosis of tetanus
No fever
Localized
Long incubation
Antibiotic associated diarrhea
Clostridium difficile
Ampicillin, clindamycin, 2nd & 3rd gen cephalosporin
Diffuse adrenal hemorrhage w/o vasculitis
Waterhouse-friderichsen syndrome (meninococcus)
Primary complain of meningococcemia
Limb pain
Death w/menigococcemia is associated with?
Young age Absence of meningitis Coma Hypotension Leukopenia Thrombocytopenia
infectious 3 days before rash until 4-6 days after onset
rubeola
4 phases of measles
Incubation period: 8-12 days
Prodrome: 3-5 days:
fever, Conjunctivitis, Coryza, Cough
Koplik spot 1-4 days prior to rash
Exanthematous phase:
1st 24hrs: faint macules behind ears, face, neck, upper arms & chest
2nd 24hrs: back, abdomen, entire arms/ thigh
3-4 days: rash reaches leg and feet –> fading from head to feet –> fine branny desquamation & brownish desquamation
Recovery phase:
temperature rises as rash appears
peak by D2-3 of rashes
infectious 5 days before to 6 days following appearance of rash
Rubella
incubation period of german measles
14-21 days
rose colored lesion in oropharynx in german measles
Forchheimer spot
most serious complication of rubella
encephalitis
ulcer at uvulopalatoglossal junction in roseola infantum
Nagayama spot
most common complication of roseola
convulsions
most common cause of death in varicella
pneumonia
