8 Infectious

Question 1

botulism

3 types

Answer 1

1. wound botulism (IV drug user)
2. botulism from toxin ingestion (canned food)
3. botulism from spore ingestion, which release toxins in GI tract (babies with honey)

Question 2

newborn conjunctivitis

which bugs, what timing

Answer 2

gonorrhea (1st week), then chlamydia (1 wk to 1 month) which may also have chlamydia PNA with staccato cough

also consider herpes

Question 3

gonorrhea disseminated

what sxs to know (3)

Answer 3

gunmetal gray lesions

septic arthrtis

tenosynovitis

Question 4

syphilis:

chancre: when after exposure appears, and how long to heal?

when does 2ndary and tertiary syphlis start?

Answer 4

1. 2-6 weeks to incubate, then 4-8 weeks to heal
2. secondary occurs 6-8 weeks after chancre heals, although stage 1 and 2 can overlap. tertiary is years

Question 5

Pt with meningococcal meningitis.

which ED staff to chemoprophylax?

and use what to prophylax

Answer 5

those with droplet exposure

rifampin/cipro/ceftriaxone

Question 6

classic story for HHV 6 roseola

Answer 6

child with febrile seizure, very high fever. Then a few days later gets rash on trunk that spreads outward. rash not itchy

Question 7

anthrax

3 forms

Answer 7

cutaneous (black ulcers)

pulmonary–inhaled spores, widened mediastinum

GI–uncommon