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Virology > Diagnostics according to clinical syndrome > Flashcards

Diagnostics according to clinical syndrome Flashcards

1
Q

Patient with meningitis/ encephalitis

What viruses to test for?

Common

A

Adenovirus

Enteroviruses (Echo, coxsackie)

Parechovirus

HSV

VZV

Arbo - WNV, St Louis Encephalitis, Zika, Dengue, La Crosse, Jamestown Canyon, Colorado tick fever, TBE, eastern equine encephalitis virus

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2
Q

Patient with meningitis/ encephalitis

What viruses to test for?

Uncommon (no arboviruses)

A 
HHV 6/7
CMV
EBV
HIV
Mumps (check saliva)
JC virus
Lymphocytic choriomeningitis - rodent arenavirus
Rabies
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3
Q

Arboviruses can cause encephalitis.

What are present in following areas?

Americas

A

West Nile

La Cross

St Louis

Powassan

Venezuelan

Wester/ eastern equine

Colorado tick

dengue

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4
Q

Arboviruses can cause encephalitis.

What are present in following areas?

Europe/ middle east

A

TBE

West Nile

Toscana

CCHF

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5
Q

Arboviruses can cause encephalitis.

What are present in following areas?

Africa

A

West Nile

Rift valley

Chikungunya

Dengue

CCHF

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6
Q

Arboviruses can cause encephalitis.

What are present in following areas?

Australasia

A

Japanese encephalitis

West Nile

Denuge

Nipah

Chikungunya

Murray Valley encephalitis

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7
Q

Child presenting with diarrhoea - high risk e.g immunocompromised

What to test for?

A

Rotavirus

Adenovirus

Parechovirus

Enterovirus

Norovirus - if outbreak

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8
Q

Patient presenting with myopericarditis.

What to test for?

A

enterovirus

parechovirus

adenovirus

CMV

EBV

HIV

HBV

HCV

Spirochetes - syphilis/ Lyme

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9
Q

Patient presenting with conjunctivitis.

What to test for?

A

Common -
Adenovirus - usually mild

HSV

VZV

Uncommon -
Enterovirus - haemorrhagic conjunctivitis
Pox viruses - molluscum contagiosum/ Orf

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10
Q

Patient presenting with retinitis

What to test for?

A

CMV

HSV

VZV

Bartonella

Toxoplasmosis

Toxocara - larvae move to eye

HIV

Lyme

Histoplasmosis

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11
Q

Patient presenting with haemorrhagic cystitis.

What to test for?

A

Adenovirus

BK virus

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12
Q

Patient presenting with mononucleosis type illness.

What to test for?

A

EBV

CMV

HIV

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13
Q

Patient presenting with maculopapular rash

What to test for?

A

Measles
Rubella

EBV
CMV
HHV 6/7

Parvovirus

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14
Q

Patient with hepatitis.

What infections to test for?

viral

A

HAV
HBV
HCV
HEV

CMV
EBV
HSV
VZV
Adenovirus
Enterovirus/ coxsackie virus

Yellow fever

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15
Q

Patient with hepatitis.

What infections to test for?

bacteria/ parasite

A 
Brucella
Leptospirosis
Typhoid
Syphilis - secondary
Q fever - coxiella burnetti
RMSF - Rickettsia Rickettsi

liver fluke
toxocariasis

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16
Q

Patient presenting with skin nodule (may be ulcerated)

What to test for?

A

Poxviruses -

Orf - from sheep/ goats. Causes ulcers/ nodules on hands

Monkeypox - similar but milder than smallpox.

Molluscum contagiosum - growths can last 6 months - 4 years. Small, raised, pink coloured lesions

17
Q

Patient presents with lympadenopathy.

What to test for?

Viral

A 
EBV
CMV
HIV
HBV
HSV
Adenovirus
18
Q

Patient presents with lympadenopathy.

What to test for?

Bacterial

A 
Bartonella
Brucella
TB
Lymphogranuloma venereum
Lyme
Syphilis
Tularaemia
Toxoplasmosis
Typhoid

coccidiomycoses

Sarcoidosis
Lymphoma

Virology (56 decks)

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