12 Flashcards
presentation primary HIV/ seroconversion
abrupt onset
- flu-like
- fever
- malaise
- lethargy
- pharyngitis
- lymphadenopathy
- toxic exanthoma
management chronic hep B infection
to treat if symptomatic without cirrhosis need 2/3 of:
- > HBV DNA
- raised ALT
- significant inflammation/ fibrosis
define septic shock
sepsis with persisting hypotension requiring vasopressors requiring vasopressors to maintain MAP >65mmHg
+
serum lactate >2mmol/l despite adequate volume resus
describe linezolid as an antibiotic in staph aureus infection
- bacteriostatic
- synthetic oxazolidinone
- good penetration into bone
- excellent bioavailability
describe pseudomembranous colitis
swelling or inflammation of the large intestine due to c.diff overgrowth
what is the malaria vector
female anopheles mosquito
presentation of neuroborreliosis
triad:
- facial nerve palsy
- radicular pain
- lymphocytic meningitis
onset of symptoms 2-6 weeks after bite
potential complications of malaria
- cerebral malaria
- blackwater fever
- pulmonary oedema
- jaundice
- severe anaemia
- gram negative septicaemia
presentation acute acrodermatitis chronica atroficans
affects extensor surfaces of distal extremities
bluish-red discolouration
peripheral neuropathy
cause of erythema migrans
Lyme disease
precautions that should be taken with c.diff patient
- wash hands with soap and water
- isolation
- PPE
- clean environment
management c.diff infection if no severity markers
- stop unnecessary antibiotics
- rehydrate
oral metronidazole
management c.diff infection if >2 severity markers
- stop unnecessary antibiotics
- rehydrate
oral vancomycin
management lyme borrelios
- oral doxycycline/ amoxicillin
- IV ceftriaxone
- treat for 21 days
management leptospirosis
- doxycycline for mild disease
- IV penicillin for severe
- prompt dialysis
- mechanical ventilation
