3 Flashcards
subacute presentation brucellosis
> 1 month
- fever
- joint pains
define influenza-like illness
- fever >38*c
- cough
presentation salmonella
- symptoms appear <48 hours after exposure
- diarrhoea lasts <10 days
- recent BBQ
- features of inflammation (fever, increased WCC)
- N+V
- abdo cramps
- headache
- haematochezia
define class III surgical site infection
contaminated wound (open/ fresh accidental or gross spillage from GI tract)
presentation pneumocystitis jiroveci pneumonia
- dry cough
- increasing SOB
- antibiotic course doesn’t solve it
explain avian influenza transmission
- highly contagious
- spreads through contact with infected birds - dead or alive
indication for investigations into secondary bacterial pneumonia
flu like symptoms + fever >4 days
malaria treatment
7 days quinine + oral doxycycline
common causes of leptospirosis
- cattle
- NE Scotland fish
- fife miners bitten by rates
- travellers who’ve been white water rafting
invasive candidiasis investigations
- culture from blood/ sterile site
- B-d-glucon
- PCR
aspergillus investigations in neutropenic patients
- high resolution CT
- galactomannan and PCR-aspergillus
- BAL + biopsies
presentation meningoencephalitis
- headache
- N+V
- confusion
- altered behaviour
- visual disturbances
- coma
how does HIV work
infects and destroys immune cells, especially those which are CD4+
slow with long incubation period
management chronic invasive and allergic aspergillosis
- amphotericin B formulations (IV)
- azoles (IV/ oral)
- echinocandins
- flucytosine (IV)
if a traveller has returned with splenomegaly, consider
- visceral leishmaniasis
- typhoid
- malaria
