DIT Micro by systems Flashcards
Pneumonia in neonates?
Tx?
GBS, E coli (from mom)
Ampicillin and gentamicin
Pneumo in 4 week to 18 years? (mnemonic alert)
Tx
Runts May Cough Chunky Sputum
RSV Mycoplasm Chlamydia trachomatas Chlamydia pneumoniae Strep pneumo
Macrolides b/c usually atypical and add ceph triaxone for strep pneumo
Pneumo in 18-40?
Tx?
Mycoplasma
C pneumo
Strep pneumo
Macrolides + ceph to cover strep pneumo with atypical
pneumo for 40-65?
S pneumo H influ Anearobes Virus Mycoplasma
Clindamycin for anearobes
Hospital acquired pneumo?
MRSA
G- rods
Meningitis 0-6 months?
GBS
E coli
Listeria
HIV meningitis big one?
Cryptococcus
Tx of meningitis? 3 things you need to do
Culture bacteria
EMPIRIC is ceftriaxone and vanco
Dexamethasone to reduce inflammation and less sequaelae in children and morbidity in adults
4 STAR TOPIC CSF findings for Bacterial, fungal/tb, and viral meningitis
Pressure
Cell type
Protein
Sugar
Bacterial: high pressure, high PMN, high protein, low sugar
TB/fungus: high pressure, high LYMPHOCYTE, high prot, low sugar
Viral: normal/high pressure, slightly high lymphocyte, normal/high protein, normal sugar (can be pretty normal)
Bone pain in back with a fever?
Think osteomylitis from Pott disease (TB)
Osteomyelitis from dog bites?
Pasteurella multocida
Practice q’s on DIT 289 SUPER HIGH YIELD
do them
What are snuffles?
blood tinged nasal secretions with congenital syphilis
What is lymphogranuloma venereum?
Genital uclers, rectal strictures, mistaken for IBD and from chlamydia L1-L3
What is Fitz-Hugh Curtis syndrome?
Infection of liver capsule with PID. Severe. can cause lier adhesions to peritoneum