Day 3- Viruses Flashcards
What is the diagnostic test for Mono
Monospot test
What is the normal presentation for patients who have mono
Sore throat, fever, feel fatigued and very tired
What is the most common cause of congenital abnormalities in the US
CMV
How do you test children for CMV? What are their symptoms
NOT a skin swab
Urine analysis will tell you the definitive answer if they have an active infection
Symptoms: Sore throat, rash, lymphadenopathy
HINT: Zika Virus buzzwords
Microcephaly
Brazil/ Central america/south america
Mosquitos
What is the preferred pharm agent for pregnant women with genital warts (HPV)
Trichloracetic acid
Perfuse watery diarrhea from a gram negative bacteria
Curved, Gram stained negative
Cholera
What vaccines do you not give in pregnancy
Live vaccines (Measles, mumps, rubella)
How to distinguish mumps from diptheria
look down throat- diptheria has pseudomembrane
CMV syndrome in pregnancy looks like which other disease? What symptoms are these?
Looks like EBV or infectious mononucleosis, but has a negative mono spot and PCR
Symptoms:
Fever, Sore throat, Fatigue, Swollen glands, Headache, Muscle aches, and Rash.
Roseola (HSV 6) is treated how
supportive treatment and antipyretics (NSAIDS, ibuprophen)
What are opportunistic infections in HIV patients
Cerebral Toxoplasmosis (Encephalitis toxoplasmosis)- Treat with pyrimethamine sulfadiazine
Cryptococcal meningoencephalitis- Fungal- Treat with Liposomal Amphotericin B, and Flucytosine
Pneumocystis jirovecii- pneumonia (Fungus, treated with TMP-SMX)
Leukoplakia and Thresh (Candidiasis)
Fungi
Parasites
Kaposki’s sarcoma
HINT: Scarring skin lesions and dermatomal
Congenital Varicella, Herpes Zoster
What is the most important cause of diarrhea related mortality worldwide
Rotavirus A
Transmissed Fecal-Oral
The viral receptor in rabies is what kind of receptor
its the Acetylcholine receptor
Viral receptor for rabies is acetylcholine receptor
If you look at a spinal tap in a pt who has pneumonia and is immunocompromized, what disease might they have
cryptococcus neoformans- pneumonia- very common in HIV pts
Always use an antifungal except for which fungi
Pneumocystis jirovicii - must use TMP-SMX
In a patient who has very low CD4 counts, how do you prevent Histoplasma capsulatum
Stay inside- avoid working in soil or in areas around birds
wear a mask
An acid-fast stain that reveals gram negative Red Rods after a prosthetic joint infection is likely which disorder
Mycobacterium- atypical- Acid Fast stain
Mycobacterium fortuitum chelonae
Would be S. Epidermis if gram positive coci
A large red rash that is unilateral, vesicular in a patient who is immunocompromized could be what?
Shingles- Has multinucleated giant cells with intranuclear inclusions
Herpes-Zoster (shingles) caused by varicella zoster virus
Gram positive cocci in clusters that are seen in someone in shock is indicative of which bacteria
Staph aureus (Especially mrsa)
Puritic rash on the chest that is very erythmatic and positive on a KOH stain could be what
Could be Tinea corporis
Spiroches under microspy from a sample from a labial lesion that was raised is likely what kind of a disorder?
Likely a condyloma lata (vaginal lesion) from secondary syphilis
Serologic tests (VDRL) or specific test (FTA-ABS) are likely positive
Gram positive diplococci that are a cause of otitis media
MOPS-
Meningitis
Otitis media
Pneumonia
Sinusitis
Pneumococcus and Hemophilus Influenza is the cause of MOPS– So, here, Strep pneumoniae
