Critical Care (7%) and ID (5%) Flashcards
EBV is ass’d with rash after what drugs?
Ampicillin, amoxicillin
Viral symptoms in patient with recent transplant
Cytomegalovirus – looks like GvH, but that’s not on the blueprint so consider this first
Buzzword: gray-white covering of posterior pharynx
(“Pseudomembrane”) –> diptheria
What are some complications of EBV?
- Lymphomas (Hodgkin, Burkitt, CNS)
- Nasopharyngeal carcinoma
- Gastric carcinoma
Erythema migrans + recurrent arthritis
Consider lyme
How is Lyme diagnosed?
Western blot
How is Lyme treated?
Early = doxycycline; if CIx, use IV PCN G
Late = IV Doxy or ceftriaxone if considering a bacterial pathogen, if there are late neuro signs, or if there is minimal response to early treatment
Pulmonary s/sx + Ohio river valley, caves, bats, or birds
Histoplasmosis
Pulmonary s/sx + San Jaquin valley, AZ, UT, or NV
Coccidiomycosis
What is the MC HIV-related PNA?
Pneumocystis (jirovecii)
Tick bite +
- Fever
- Rash from feet up, blanching macules
- April - September
RMSF, treat with doxy
Tick bite, Gram (-), targets endothelial cells
RMSF
Severe salmonellosis can be treated with
FQ or bactrim
Diarrheal illness ass’d with prisons, daycares, hospitals
Shigellosis
Treatment for suspected tetanus exposure
For puncture wound:
- Airway
- Benzos for spasms
- Tetanus immune globin
- Tetanus toxoid x 3
- Metronidazole or PCN (stop toxin production, kill bact)
MRI showing ring-enhancing lesions in an immunocompromised patient exhibiting confusion
Toxoplasmosis
Tx for a patient with confusion, persistent HA, and MRI showing ring-enhancing lesions
Pyrimethamine + sulfadiazine (tx for toxoplasmosis)
Treatment for latent TB
Iso + Rifampin weekly x 3 months (12 doses)
Treatment for TB Disease
Isoniazid + ethambutol + rifampin + pyrazinamide