5 Flashcards
risk factors for complicated influenza
immunocompromised asthma/ other chronic lung condition diabetes over 65 < 6 months pregnancy obese >40 BMI
presentation typhoid fever (2nd week)
- fever peaks @ 7-10 days
- rose spots
- diarrhoea begins
- tachycardia
- neutropenia
define class I surgical site infection
clean wound, no systems entered
management panton-valentine leucocidin toxin
treat with antibiotics that reduce toxin production - flucloxacillin alone will not work
presentation HIV
often asymptotic, only becoming symptomatic when CD4 <250
opportunistic infections include:
- thrush
- skin changes
- PJP
- cryptosporidiosis
- kaposis
- lymphoma
- cryptococcal meningitis
extrahepatic features of HEV infection
- arthritis
- anaemia
- neuromanifestation
risk factors IV catheter associated infections
- left in >72 hours
- continuous infusion >24 hours
- cannula in lower limb
- patients with neurological problems
management staphylococcal toxic shock syndrome
- remove offending agent e.g. tampon
- IV antibiotics
- IV fluids
- inotropes
- IV immunoglobulin
what are inotropes
group of drugs which alter contractility of heart
what disease causes undulant fever
bruccelosis
function of positive inotropes
increase contractility of the heart
function of negative inotropes
reduce contractility of the heart
example of negative inotrope
digoxin
seasonal flu presentation
- abrupt fever to 41*c (lasts ~3 days) plus 2 or more of: - productive cough - myalgia - headache - malaise
fabricated fever
fever is real but self induced
