Class 6/9 Flashcards
28 y/o low-grade fever and 8 lbs weight loss, arthralgias, sore throat, dry cough with SOB
stressed and CXR showed b/l hilar nodules
CBC shows elevated white count with lymphocytosis
negative sputum cultures
Viral syndrome
lobar pneumonia that is responding well to Antibiotics but then later conditions worsen and there is more lucency on next X ray
best Dx now
staph aureus
necrotizing causes the lucency on x ray
after eating hamburgers, may are sick with high fevers, vomiting, severe abdominal pain
renal failure, hemolytic uremic syndrome
best Dx
EHEC O157.H7
which E coli would you see bloody stool
EHEC entero-hermorrhagic E coli
EIEC entero-invasive E coli
Travelers diarrhea is usually what
ETEC
classic CSF changes in bacterial meningitis
turbid, increased opening pressure, dec glucose and increased protein
what are the common etiologies of acute meningitis
Grp B strep E coli Listeria H influenzae N meningitidis
27 y/o nausea, abdominal cramping and watery diarrhea
vital signs unremarkable
ill after eating hot dogs and potato salad
most likely Dx
Bacillus cereus
27 y/o nausea abdominal cramping water diarrhea
most likely and not assoc with fever?
B cereus
India clinic, 27 y/o female with fever, loose bloody diarrhea
abdominal pain primarily in lower right abdomen
most likely?
Campylobacter jejuni
or yersinia enterocolitica
7 y/o boy in NC, low grade fever, b/l conjuntivitis
rash on distal extremities and palms of hands
most likely?
OX-19 and OX-2
Rickettsia
describe the rash with measles
begins on face and descends down body
What ticks carry Rocky Mountain spotted fever
deer tick or dog tick
what diseases have an eschar
cutaneous anthrax
francisella tumerensis
Rickettsial organisms except Rickettsia Ricketsii
47 y/o with weight loss and night sweats
CXR large cavitary lesion R apical lung
most indicated and useful test for definitive Dx?
sputum culture
