Fevers Legionella, Enteric, Rabbit, Brucella

Question 1

What org causes Legionnaire’s Dz

Answer 1

Legionella pneumophillia (GN)

Question 2

How is Legion Dz spread

Answer 2

moisture in the air

Question 3

how does Legion Dz pt present

Answer 3

pleuritic pain, fever, purulent sputum

Question 4

how is Legion Dz tested (3)

Answer 4

urine antigen assay (cheap), special culture, xray (patchy infiltrates)

Question 5

What org causes Typhoid

Answer 5

Salmonella typhi (GN flagellated bacillus)

Question 6

how is Typhoid spread

Answer 6

contaminated food or MILK (by carriers)

Question 7

What is Enteric fever

Answer 7

any fever caused by Salmonella

Question 8

4 symptoms experienced before fever of Typhoid sets in

Answer 8

headache, cough, sore throat, ABD pain

Question 9

what condition is characterized by ABD distention and “pea soup” diarrhea

Answer 9

Typhoid

Question 10

what condition presents with fever, ABD symptoms, spelnomegaly and rose spot rash

Answer 10

Typhoid

Question 11

What dz would include Q fever, TB, Brucellosis, or Lymphoma in Ddx

Answer 11

Typhoid

Question 12

DOC’s for Typhoid (name 2)

Answer 12

ampicillin, cephalosporin, azythromycin, bactrim, or chloramphenocol

Question 13

What may be noted during the ABD exam of Salmonella

Answer 13

rose spots, splenomegaly, tenderness

Question 14

What dz should be suspected in febrile pt’s that have been around lifestock

Answer 14

Brucellosis

Question 15

What lymph nodes will be found swollen in Brucellosis

Answer 15

cervical and axillary

Question 16

how to treat Brucellosis

Answer 16

doxycycline PLUS rifampin/streptomycin/gentamycin

Question 17

What dz should be suspected in a febile pt that has been bitten by rodents, arthropods, or rabbits

Answer 17

Tularemia (Rabbit fever)

Question 18

how will the bite appear if it leads to Tularemia

Answer 18

papule progressing to ulcer

Question 19

DOC for Tularemia

Answer 19

streptomysin