Fever DSA Flashcards
What is the use of SOFA?
determines if pts may be at higher risk of sepsis death
organ dysfucntion (but cannot say it is form infection)
NOT diagnostic of sepsis
What clinical criteria for sepsis can be down quickly at beside?
qSOFA
= RR > 20, altered mental status, SBP > 100
predicts chance of sepsis of pts on medical floor
What are the clinical manifestations of sepsis?
What do you expect on lab eval of sepsis?
leukocytosis or leukopenia
WBC with left shift
hyperglycemia
plasma CRP increased
oliguria
inc creatine
Erysipelas vs. Cellulitis Skin Infections
erysipelas: superficial, well-defined borders
cellulitis: deep (derms +subQ fat), lymphangitis, edema swelling
What hx may indicate community acquired MRSA?
MRSA commonly infects …
diabetic foot infections
What systemic sx are seen with staph infections?
What findings indicated a group A strep infection in children with a sore throat?
scarlatiniform rash (sandpaper rash)
palatal petechiae
tonsillar enlargment with and without exudate
V
tender cervical nodes
What is the most common strep pathogen in adults?
group B strep
In a pt with latent TB, what would cause reactivation?
if they became IC
ex. gastrectomy, HIV, DM, silicosis, immunosuppressive drugs…
How long does the fever last with influenza?
3-5 days
What conditions are highly suggestive of HIV?
What sx is missing in acute acquired CMV that is present in infectious mononecleosis?
pharyngeal sx
otherwise they are very similiar
How does perinatal CMV infection manifest?
What is a common, but frequently unrecognized cause of pneumonia?
coccidiodomycosis
primary infection sx: nasopharyngitis with fever + chills, arthralgias, erythema nodosum
disseminated: productive cough, enlarged mediastinal LNs, lung abscess, empyema, fungemia w/ diffuse miliary infiltrates/death in IC pts, in HIV pts miliary infiltrates, LAD, meningitis (skin lesions are uncommon)
What are the sx of malaria?
fatigue/HA –> fever
anemia, jaundice, hepatosplenomegaly, seizure
What differentiates Waldenstrom’s macroglobulinemia from MM?
absence of lytic bone lesions
What hematologic manifestations are seen in SLE?
What special senses may be lost in Sjogren’s? What systemic sx may be seen?
taste and smell
pancreatitis, pleuritis, interstitial lung disease, neuropsych, RTA…
