CDN Flashcards
MENINGITIS sx and DOC
PICK
- Photo sensitivity
- ICP
- Cephalosporin/ Chloramphenicol
- Kernig brudzinki
MENINGITIS compli
Waterhouse friderichsen (massive hypotension)
MENINGITIS dx
Lumbar puncture/ spinal tap
Lumbar puncture/ spinal tap
Bacteria:
Viral:
Cloudy
Viral
bago lumbar ano muna dx to check ICP
MRI
If positive β¬οΈICP ano adm
Diuretics
MENINGITIS MOT
DROPLET (PIMP- pertussis. Influenza. Meningitis. Pneumonia)
MENINGITIS WOF the 3 danger sx??
- Remittent fever
- Bradypneic
- seizure
MENINGITIS med to decrease inflammation?
Dexamethasone
MENINGITIS since may ICP consideration?
Low fowlers. Non stimulating env
MENINGITIS IP?
2-10 (think 10 meninges hehe)
4 rights of Food handling
ST PAUL COLLEGE SCHOOL
Source
Prep
Cooking
Storage
How many degree C for right COOKING
60-100
TETANUS hallmark
Risus sardonicus (ngiting aso)
TETANUS earliest sx
Trismus (lockjaw)
TETANUS BACTERIA OR VIRUS
ANAEROBIC Bacteria (clostridium tetani)
TETANUS aka?
Lock jaw
TETANUS MOT is entry to __ skin
INTACT!
Basta TETANUS sx think?
SORT (spastic paralysis/spasms, Opisthotonos. Risus sardonicus. Trismus/lockjaw)
Spastic paralysis
Gabi spasm
TETANUS test na naga stimulate ng uvula
Spatula test
Spatula test BITES the tongue depressor
Spatula test β gag reflex
POSITIVE
NEGATIVE
TETANUS confirmatory
Wound culture
TETANUS 3 vaxx
- DPT/penta
- Tetanus toxoid
- Tetanus anti toxin
Tetanus toxoid given if?
Tetanus anti toxin given if?
Wala pa sugat
May sugat na
Tetanus toxoid Ilang shots bibigay if preg
2
TETANUS chemical panglinis and type of dressing
Hydrogen Peroxide or Betadine + THIN dressing
TETANUS bat naga non stimulating env
Pede mag SEIZURE
Opisthotonos mngt
TETANUS diet dt hypermetabolism kaka spasm & seizure
S Lying or Supporting Pillow
β¬οΈcalories
TETANUS DOC na antimicrobial antiseizure pa And avoid _
Metronidazole Alcohol
TETANUS if wala metronidazole pede tetracycline, ano avoid naman dito
Ca rich
TETANUS anti seizures and muscle relaxants
- Dilantin (adult)
- Phenobarbital (child)
- Robaxin
- Diazepam
Dilantin makes your urine
Pink to red (think kulay ng DILA)
RABIES virus
Rhabdovirus
RABIES aka
- Hydrophobia
- Lyssa
- La Rage
RABIES mot
DROPLET (kasi saliva ni dog)
RABIES 2 carriers
- Canine- pets
- Sylvatic- BATS
RABIES dx
FB10
1. Fluorescent Rabies Antibody
2. Brain biopsy (negri bodies)
3. 10 day observation sa aso
RABIES IP
R8bies (2-8 weeks)
RABIES 3 vax
- ERig- quine HORSE to (prio)
- HRig- human
- PVRV
PVRV yrs of immunity?
3
RABIES tatlong stage sa aso at tao
Aso- dumb, furious, paralytic
Tao- prodromal/invasive, excitement, paralytic
RABIES dumb furious paralytic stage
- Dumb- withdrawn
- Furious
- Paralytic- resp & cardiac arrest/death
RABIES prodromal/invasive excitement paralytic stage
- Prodromal- PFT (tingling/numb. Photosensitive/phobia. Fever)
- Excitement- phobias, -phagias, spasms, hypersalivation, seizure & maniacal
- Paralytic- same c aso
RABIES Kelan lang maga restrain
Maniacal behavior
RABIES paglinis sa sugat at home
Detergent wash for 10 mins. Running water. Paduguin. Pede bayabas
RABIES hosp mngt
- bed malayo sa cr/sink
- Cover IV and IV lines
- Stay sa client (seizure)
RABIES hosp mngt
- bed malayo sa cr/sink
- Cover IV and IV lines
- Stay sa client (seizure)
Polio aka
- Heine Medin (sir andy jowa si heiden co)
- Infantile paralysis
Polio DOC
1. prevents resp depression & urinary retention
2. prevents mapunta sa NV system
- Bethanicol
- Pleconaril
(Think BP ni si Andry, asawa nya si heiden co)
POLIO confirmatory test
Stool culture
POLIO 2 minor types and sx nila
- Subclinical- asympto
- Abortive- abot hanggang 3 days lang/72h. low fever + sore throat onleee
POLIO 2 minor types and sx nila
- Subclinical- asympto
- Abortive- abot hanggang 3 days lang/72h. low fever + sore throat onleee
POLIO major types and sx
- Non paralytic- SHAT (spine stiffness. Hoyne/head lag. Asymmetrical paresis & paresthesia. Tripod position)
- Paralytic- same ++ loss of tendon reflex ++ kernig brudzinki
Ano under ng paralytic polio and sx
- Bulbar paralysis - CN 9 & 10 (swallowing & resp cardiac)
- Spinal Paralysis
- Bulbospinal- mixed
POLIO IP
7-21 days (21 days na pag-iba ni Sir andy)
POLIO
1. Bakit bawal imassage
2. __ compress
3. type of bed
4. nagfail lungs what machine
- Kakalat
- Warm kasi spasms
- Firm non saggy (spine stiffness)
- Iron lung machine
POLIO 2 vax
- OPV- sa bibig (Sabin)
- IPV- tusok (Salk)
POLIO hallmark
Spine stiffness
Influenza viral or bacteria? Etio?
Viral
RNA containing myxovirus
IINFLUENZA MOT
IINFLUENZA bagsak ang what lab?
airborne, droplet,
WBC
IINFLUENZA mc compli
Pneumonia
Influenza strain H5N1 (bird) spread in Egypt/ Asia
AVIAN influenza etio
AVIAN influenza
Orthomyxoviridae Type A
Coronavirus na discovered nung 2002 sa China
CORONA VIRUS meds
SARS COV 1
- Remdesivir
- Molnupiravir
- Tocilizumab
- Baricitinib
SARS COV 1 etio
MERS COV (middle east) vector
Novel coronavirus
Civet Cat
Guandong
Bats camel human
Covid san 1st case at kelan
Covid 1st case Phil
Covid confirmed
Covid outbreak
Covid san 1st case at kelan
Mexico Dec 31 2019
Covid 1st case Phil
Jan 30 2020
Covid confirmed
Feb 1 2020
Covid outbreak
Mar 7 2020
false/pseudo membrane (whitish-gray) + bull neck appearance ++ RESP PROBS (cutaneous/blisters na more contagious)
DIPTHERIA
DIPTHERIA di kilalang ETIO
DIPTHERIA MOT
DIPTHERIA determine susceptibility
DIPTHERIA di kilalang ETIO
Klebs Loeffler
DIPTHERIA MOT
droplet and gamit
DIPTHERIA determine susceptibility
Schick test
DIPTHERIA confirmatory
DIPTHERIA compli
DIPTHERIA DOC
DIPTHERIA confirmatory
Loeffler slant
DIPTHERIA compli
Airway obstruction and Myocarditis
DIPTHERIA DOC
pen and erythro
pseudo membrane consideration and mngt
βremove, β ice pack on neck
PERTUSSIS
1. Basang stage and most communicable!
2. spasmosdic cough
- Catarrhal
- Paroxysmal
PERTUSSIS etio and confirmatory, compli
- Bordetella pertussis
- Bordet gengu agar test
- Otitis media and pneumonia
PERTUSSIS mot, pag nagkaroon lifetime immunity?
PERTUSSIS doc
Droplet
Yes
Ampicillin/ erythro
Causative agent ng POLIO
LEPROSY aka
LeGIO Debilitans
Hansen
LEPROSY sx sa EARLY (AnSan), LATE, TERMINAL (BAL)
Early
1. Anesthesia
2. Skin discoloration
3. Anhydrosis
Late
1. Madarosis (eyebrows/ lashes)
2. Lagopthalmos (inability to close eyelids)
3. Leonine- skin kapal and nawawala buto
4. Contractures
5. Ulcerations
6. Gynecomastia
Terminal
1. Blindness
2. Amputation
3. LUCIOβs PHENOMENON- ketong
LEPROSY dx
1. confirmatory
2. If communicable
Lepromin reaction test lalabas results after __days
- Slit skin smear
- Lepromin reaction test
8 (L8prosy)
Lepromin reaction test shows rashes means?
LEPROSY ROM prophylaxis
Non communicable (no rashesβcommunicable)
Rifampicin. Ofloxacin. Minocycline
LEPROSY vax
LEPROSY types, their characteristics and meds
1. Dalawang communicable
2. Dalawang non
BCG
- Lepromatous- 5 pataas na OPEN lesions
- Borderline- combi
*RD LAclo (rifampicine. Dapsone. Lamprene. Clopazamine - Tuberculoid- 5 pababa na CLOSED
- Indeterminate- single closed
*RD only!
LEPROSY mngt
1. Lagopthalmos
2. Anesthesia
3. Type of shoes
4. type of utensils
- Artificial tears
- βsharp/ rough objects
- Closed w padded soles
- Wooden or padded
DENGUE ca
DENGUE DLSU
FLAVIVIRUS
CHIKUNGUNYA (mukhang unggoy si oyong)
ONYONG NYONG (oyong nagkadengue)
day biting (coolest time of day 6-8 am and 4-6 pm)
Low flying
Stagnant
Urban
DENGUE vector indoor & outdoor
DENGUE dx test
Indoor- Aedes Aegypti
Outdoor- Aedes AlbOpictus
Dengue NS1
DENGUE CLEAN method
- Chemically tx mosquito nets: PERMETHRIN
- Larvae eating fish: 4 pcs/sq.m (tilapia)
- Env sanitation: 4 o clock habit
- Neem tree, oregano, eucalyptus, citronella
DENGUE seen in CBC β¬οΈplatelet anong herbal med pede bigay
DENGUE no.1 mngt
Ga tawa2x pa may dengue na nga
Hydration (noodles/oresol)
DENGUE mngt gagawin to control hemorrhage para di magsiputukan
DENGUE IP
CBR
isang linggo si oyong hahahaha
DENGUEβs NIMANITYA class (sx) G1-G4
Grade 1
1. >20 petechial rashes sa tourniquet test
2. Hermanβs Sx (buong body mamink mink)
3. Flu like w myalgia and athralgia, fever
Grade 2 (GI sx + BLEEDING!)
Grade 3 (G1+G2+ CIRCULATORY failure)
Grade 4 ( hypovolemic shock)
SCHISTOSOMIASIS is caused by
SCHISTOSOMIASIS 2 causative sa GIT, 1 sa genito
Lung blood fluke
S. Japonicum, S. Mansoni
S. Hematobium (eto ung wala sa atin)
SCHISTOSOMIASIS aka
SCHISTOSOMIASIS case finding and tx sa anong region/lugar
Snail fever, bilharzIASIS
5 8 11 (SAMAR LEYTE)
Basta SCHISTOSOMIASIS affected ang??
SCHISTOSOMIASIS dx
GI. Hepatosplenomegaly
Circumova precipitin test
SCHISTOSOMIASIS infects oncomelania snal
SCHISTOSOMIASIS harmful na and invades human
Miracidia
Circaria
SCHISTOSOMIASIS mngt
- β_ in infected water
- Wash c _ , , or
- how many days pabayaan water before us
- Waddling
- Betadine, chlorine, alcohol
- 3 days/72 hours
SCHISTOSOMIASIS DOC
SCHISTOSOMIASIS DOC naman if Mansoni? Hematobium?
praZIquantel (bilharZIasis)
Mansoni- OxAMiNiquine
Hematobium- Metriponate
SCHISTOSOMIASIS IP
EBOLA virus type na meron sa phil
2 mos think 2chistosomiasis
RESTON
EBOLA mngt and y
EBOLA dx
EBOLA MOT
HYDRATION, BT (bleeding of all orifice)
PCR
Human-human secretions except SWEAT
EBOLA vector ( CGF-MAP)
- chimpanzee
- Gorilla
- Fruit bat
- Moneky
- Antelope
- Porquipine
EBOLA IP
think 3bola (2-21 days or 3 wks)
ZIKA virus sx
ZIKA mngt
- Fever
- Rashes
- Conjunctivitis
paraZItamol
ZIKA MOT na nasa dengue din
ZIKA compli sa
1. preg
2. Geria
AEDES AEGYPTI & ALBOPICTUS
- Microcephaly
- GBS
Since ZIKA same MOT sa dengue, prevention & control?
ZIKA dx
ZIKA IP
CLEAN method
PCR
3-14 days
aka Kochβs Phenomenon and phThis
confirmatory
TB
DIRECT SPUTUM SMEAR MICROSCOPY (DSSM) aka ACID FAST BACILLI STAINING
TB MOT
TB TRIAD
Airborne
- Hemoptysis
- Night sweats
- Night fever
+ >2 wks coughing, chest pain, anorexia
TB 3 CA (TAB)
TB screening tests
Mycobacterium TB
Mycobacterium Africanum
Mycobacterium Bovis
Mantoux/tuberculin test/ PPD testing 48-72h)
Mantoux mm.
1. positive for HIGH RISK
2. positive for NORMAL HEALTHY
TB vax
- 5-10 mm
- 10-15 mm
BCG
TB test na high sensitivity (2h)
Since airborne gagawin for prevention/control
GENE XPERT/ MTB-RIF resistance
Expose articles sa sunglight
TB prevention/control: use __utensils
RIPES is taken
REUSABLE
Before meals
TB MTB and RIF resistance
1. Alin ang MTB not detected
2. Invalid
3. Sya lang DETECTED BOTH
4. Indeterminate
5. Detected sa MTB, sa RIF hindi
- N
- I
- RR
- TI
- T
TB SE of RIPES
- RIFAMPICIN: red orange secretions (βcontact lens)
- Isoniazid: peripheral neurItIs (Vit B6/Pyridoxine)
- PyraZinamide (hyperuricemia) (OFI)
- Ethambutol: eyes/ optic neuritis (temporary color blind, β<6 yo
- Streptomycin: ototoxicity
TB classification, intensive gamutan, continuation
1. Extensive pulmonary sx
2. Di gumaling sa 1
3. Minimal
- CLASS 1 RIPE..RI
- CLASS 2 RIPESβ‘οΈRIPE.. RIE
- CLASS 3 RIPE..RI
TB nagpadx may blood sputum instruction
TB massive hemoptysis
TB bat βCOT
rest. NPO 1h. Balik tomorrow
REFER
breaks the capsuleβ‘οΈreactive
TB taking RIPES check the
DOTS meaning
TB IP
Liver fx
Direct Observation Tx Short course chemo
T for Ten wks (2-10 weeks)
Immunity
1. Natural passive
2. Artificial passive
3. Natural active
4. Artificial active
- Natural passive- mother child
- Artificial passive-IgG
- Natural active- na expose
- Artificial active- aray2x (vax)
Mumps CA and MOT
Mumps hallmark
Mumps period of communicability
ParaMYxovirus
DROPLET
Mastoiditis
Until swelling DISAPPEARS
Herpes Simplex
2 strains:
Herpes Simplex- S for STD
2 strains:
HSV1 (all infx above chest) and HSV2 (below or ari)
- kati pwet, scotch tape test
Kutoβin eng, pediculosis capitis
Pinworms cooties
Syphilis
- Bacterialβ
- doc
- Primary:
- Secondary:
- Tertiary:
-__ (cervical ca)
-__ (anogenital)
Treponema pallidum
Penicillin and ceftri
Primary: chancre na painless ulcer
- Secondary: condylomata lata (wart like)
- Tertiary: gumma (sac like lesions)
16 18
6 11