Brainscape's Knowledge GenomeTM

Browse over 1 million classes created by top students, professors, publishers, and experts.


See full index

AANIYA PATH > Aani Micro: Fever, Malaria etc > Flashcards

Aani Micro: Fever, Malaria etc Flashcards

1
Q

What temp etc would be considered pyrexia of unknown origin?

A

> 38.3 degrees

persisting for 3 weeks with no diagnosis despite treatment for 1 week

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

What do you do if a pt has febrile neutropenia?

A

MED EMERGENCY:
Take 2 culture samples then treat with Abx asap
Look for conditions that need neutrophils e.g. fungal/bacterial

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

If pt has PUO and is HIV positive- what are you thinking for the differentials?

A

TB
Kaposi’s sarcoma
PCP
CMV

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

What causes typhoid?

A

Samonella Typhi and Paratyphi

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

What are the key symptoms of typhoid?

A 
Fever, abdo pain, diarrhoea
Headache
Hepatomegaly
ROSE SPOTS on abdo (in 30%)
relative bradycardia
constipation
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

What is the gram stain of typhoid?

A

Gram neg bacilli

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

Management of Typhoid?

A

Notifiable
Supportive (IV fluids)
Oral.IV Abx:

IV Ceftriaxone, cipro(fluroquinalone) - reduced susceptability

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

Examples of spotted fevers?

A

Rikettsia

Rocky Mountain

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

How do you pass on Rikettsia?

A

Zoonoses Via Tics/mites

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

Tx of spotted fevers?

A

IV Doxycycline

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

What are the different species that cause Malaria?

A

Plasmodium Falciparium
Plasmodium Vivax
Plasmodium Ovale
Plasmodium Malariae

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

In which organism’s infection would you found Schnuffner’s dots?

A

Plasmodium Ovale and Plasmodium Vivax

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

Describe the cell findings in P. Falciparum?

A

Ring forms (trophozoites) in RBCs and Banana/cresent gametocytes

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

How do you treat the differnt types of Malaria?

A

Falciparum:

  1. atovaquone+proguanil (malatone)
  2. artemisin
  3. quinine+doxy/clinda

Vivax and Oval: Chloraquine then Primaquine

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

When can you not have Primaquine?

A

Pregnancy

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

How do you investigate for P.Falciparum malaria?

A

Thick blood film: will show parasites

Then thin blood film: will show type of malaria (in Falciparum will see ring trophzoites and Banana/cresent gametocytes)

17
Q

S/E of quinine?

A

Arrhythmias

18
Q

Treatment of mild/mod Falciparum?

A
  1. malarone
  2. artemisinin
  3. quinine+doxy/clinda

PO 600mg Quinine TDS
Then Doxy and Clinda

19
Q

Treatment of severe Falciparum?

A

MEDICAL EMERGENCY

IV Artesenate AND quin/doxy/clin therapy

20
Q

Common symptoms of mild/mod malaria?

A

Fever
Rigors
Splenomegaly
Headache

21
Q

Symptoms of severe P.Falciparum malaria in adults?

A

AAB CRASH

ARDS
Acidosis
Bleeding

Consciousness impaired
Renal impairment
Anaemia
Shock
Hypoglycaemia

AANIYA PATH (35 decks)

Brainscape helps you reach your goals faster, through stronger study habits.
© 2024 Bold Learning Solutions. Terms and Conditions