DIT Micro by systems Flashcards

1
Q

Pneumonia in neonates?

Tx?

A

GBS, E coli (from mom)

Ampicillin and gentamicin

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2
Q

Pneumo in 4 week to 18 years? (mnemonic alert)

Tx

A

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

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3
Q

Pneumo in 18-40?

Tx?

A

Mycoplasma
C pneumo
Strep pneumo

Macrolides + ceph to cover strep pneumo with atypical

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4
Q

pneumo for 40-65?

A
S pneumo
H influ
Anearobes
Virus
Mycoplasma

Clindamycin for anearobes

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5
Q

Hospital acquired pneumo?

A

MRSA

G- rods

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6
Q

Meningitis 0-6 months?

A

GBS
E coli
Listeria

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7
Q

HIV meningitis big one?

A

Cryptococcus

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8
Q

Tx of meningitis? 3 things you need to do

A

Culture bacteria

EMPIRIC is ceftriaxone and vanco

Dexamethasone to reduce inflammation and less sequaelae in children and morbidity in adults

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9
Q

4 STAR TOPIC CSF findings for Bacterial, fungal/tb, and viral meningitis

Pressure
Cell type
Protein
Sugar

A

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)

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10
Q

Bone pain in back with a fever?

A

Think osteomylitis from Pott disease (TB)

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11
Q

Osteomyelitis from dog bites?

A

Pasteurella multocida

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12
Q

Practice q’s on DIT 289 SUPER HIGH YIELD

A

do them

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13
Q

What are snuffles?

A

blood tinged nasal secretions with congenital syphilis

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14
Q

What is lymphogranuloma venereum?

A

Genital uclers, rectal strictures, mistaken for IBD and from chlamydia L1-L3

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15
Q

What is Fitz-Hugh Curtis syndrome?

A

Infection of liver capsule with PID. Severe. can cause lier adhesions to peritoneum

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16
Q

How do you recognize T in TORCHeS?

A

Toxoplasma from cat feces or undercooked meat and not affecting mom

TRIAD:
Chorioretinitis
Hydrocephalus
Intracranial calcification

17
Q

How do you recognize R in torches?

A

Rubella from resp droplets

PDA
Cataracts
Deafness

(Possible blueberry muffin rash)

18
Q

How do you recognize C in TORCHeS?

A

CMV: is most common but most are asymptomatic

UNILATERAL hearing loss
siezures
Blueberry muffin rash

19
Q

How do you recognize H in TORCHeS? What is a specific manifestation to know?

A

HIV: zidovudine and HAAV therapy, and C section

HSV2: TEMPORAL encephalitis and vesicular rash. MOM’s need C section.

20
Q

How do you recognize S in TORCHeS?

A

Syphilis: hydrops, or saddle nose, short maxilla, saber shins, deafness, snuffles…

21
Q

What virus can cause hydrous fettles in utero?

A

Parvovirus B19