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CLASP sepsis > determining the site of infection > Flashcards

determining the site of infection Flashcards

1
Q

RUQ pain

A
  • cholecystitis
  • ascending cholangitis
  • pyelonephritis
  • ureteric colic
  • hepatitis
  • pneumonia
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2
Q

LUQ pain

A
  • gastric ulcer
  • pyelonephritis
  • ureteric colic
  • pneumonia
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3
Q

RLQ pain

A
  • appendicits
  • ureteric colic
  • inguinal hernia
  • UTI
  • gynaecological
  • testicular torsion
  • IBD
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4
Q

LLQ pain

A
  • diverticulitis
  • ureteric colic
  • inguinal hernia
  • IBD
  • UTI
  • gynaecological
  • testicular torsion
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5
Q

epigastric pain

A
  • peptic ulcer disease
  • cholescytitis
  • pancreatitis
  • myocardial infarction
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6
Q

peri-umbilical pain

A
  • appendicitis
  • small and large bowel obstruction
  • abdominal aortic aneurysm
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7
Q

normal flora of mouth

A

strep viridans, neisseria species, anaerobes, candida, staphylococci

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8
Q

normal flora of stomach duodenum

A

usually sterile small amount of candida and staphylococci

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9
Q

PPIS

A

increase risk of infection because they alter the normal pH of the stomach

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10
Q

normal flora of the jejunum

A

small amounts of coliforms and anaerobes

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11
Q

normal flora of the colon

A

large amount of coliforms, anaerobes and enterococcus faecalis

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12
Q

normal flora of the bile ducts

A

sterile

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13
Q

what are coliforms

A

gram negative large bacilli which is aerobic (E.coli, klebsieela, proteus, enterobacter, seratia)

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14
Q

sepsis caused by coliforms

A

gentamicin is the drug of choice to cover coliforms (aztreonam can be used if gentamicin is contra-indicated i.e. in severe renal failure where EGFR is less than 20), co-trimoxazole is given orally as the step down

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15
Q

strict anaerobes will

A

not grow in oxygen

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16
Q

what organisms are strict anaerobes

A

clostridium and bactericides

17
Q

drug of choice for covering anaerobes

A

metronidazole

18
Q

e.coli is

A

a gram negative aerobic bacilli which is lactose fermenting

19
Q

pseudomonas aerguinosa is a

A

gram negative strict aerobic bacilli which is not lactose fermenting

20
Q

drug of choice for covering enterococcus

A

amoxicillin, switch to co-trimoxazole when stepping down

21
Q

opportunistic pathogens

A

are pathogens that cause infections in vulnerable hosts

22
Q

example of an opportunistic pathogen

A

Pneumocystis jirovecci which causes pneumonia in people with HIV

CLASP sepsis (17 decks)

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