Disease & Defense Flashcards
What is the treatment of postpartum endometritis?
Clindamycin & gentamicin
Presentation of trichinellosis
Periorbital edema, myositis, and eosinophilia
Presentation of dengue fever
fever, headache, retro-orbital pain, rash, significant myalgia and arthralgia
Presentation of typhoid fever
Fever in 1st week of illness, abdominal pain and salmon-colored rash in 2nd week, hepatosplenomegaly with abdominal complications during 3rd week
Which antibiotics are associated with photosensitivity?
Tetracyclines
Presentation of Chagas
Megacolon, megaesophagus, and cardiac disease (systolic and diastolic heart failure, arrhythmias, and mitral/tricuspid regurgitation)
What is the presentation of strongyloides?
dd
What are common organisms for pneumonia in HbSS patients?
S. pneumo
What are common organisms for osteomyelitis/septic arthritis in HbSS patients?
S. aureus and salmonella
What are common organisms for bacteremia/sepsis in HbSS patients?
S. pneumo & H. flu type B
What are common organisms for meningitis in HbSS patients?
S. pneumo
Presentation of whipple’s disease
Wide spectrum. Joint symptoms (first, by many years), diarrhea, malabsorption, weight loss.
What is the management of akathisia?
Reduce dose and treat with beta blocker, benztropine, or benzo
What is the ascites fluid cutoff for peritonitis vs no peritonitis?
250
Low protein (<2.5g/dL) in ascites fluid indicates what?
Cirrhosis or nephrotic syndrome
What is SAAG and how is it interpreted?
Serum-to-ascites albumin gradient. >1.1 indicates portal hypertension. <1.1 indicates no portal HTN.
What are the lab findings of hyperemesis gravid arum?
Ketonuria, hypochloremic metabolic alkalosis, hypokalemia, hypoglycemia
Presentation of tularemia
dd
Presentation of sporotrichosis
dd
Presentation of histoplasmosis
Similar to sarcoidosis (cough, hilar adenopathy, erythema nodosum, non-caseating granulomas). Lymphadenopathy, pancytopenia, hepatosplenomegaly.
Presentation of blastomyces
Immunocompromised host with skin lesions, osteolytic bone lesions, or prostate involvement
Congenital CMV
Chorioretinitis, periventricular calcifications
Congenital rubella
Sensorineural hearing loss, cataracts, and PDA
Congenital toxoplasmosis
Chorioretinitis, hydrocephalus, and diffuse intracranial calcifications
What is the tx of CAP?
Moxifloxacin (po or IV), CTX + azithro, azithro
What is the tx of HCAP?
Vanc + zosyn
What is the tx of meningitis?
CTX, vanc, +/- steroids, +/- ampicillin if immunocompromised
What is the tx of UTI?
Amoxicillin (if pregnant), nitrofurantoin (if female), bactrim (only if no renal failure), CTX (IV), cipro (ambulatory pyelonephritis)
What is the tx of cellulitis?
Suspect MRSA. Use vancomycin. Other options include clinda, bactrim
