ID 1 Flashcards
Rx for Pseudomonas Aeruginosa Pneumonia?
Cefepime or Levofloxacin or Gentamicin
(Anti-Psuedomonal Beta-lactam, Respiratory Fluoroquinolone or Aminoglycoside)
Travel to LIBERIA now presents with Coagulopathy?
Ebola
Presents in NON-Immunocompromised, Chronic dz pts. Skin infection on person exposed to Saltwater or Freshwater, Fish tanks?
Mycobacterium Marinum
Next step in management of a patient positive for Babesiosis but Asymptomatic?
Repeat PCR in 3 months to ensure Clearance.
Pt presenting with persistent draining wound, previous open fracture years ago, now has eschar over wound that intermittently drains whitish fluid through a sinus tract.
No fevers, chills, WBC count, left shift.
Management ?
Bone biopsy and Culture for Chronic Osteomyeltitis in ordered to isolate causative agent.
Bacteria that cause infections with Pedicures at Nail Salons?
Mycobacterium Fortuitum Furunculosis (MFF)
Difference btw Small Pox and Chicken Pox?
Small pox the Pharynx and Buccal Mucosa that spread to face
Chicken pox on Trunk and spread to Extremities
70 yo pt presenting with Ataxia, Spasticity, Myoclonus and Elevated 14-3-3 protein.
Creutzfeldt-Jakob disease
Who should be treated for Salmenolla Gastroenteritis with abx therapy?
Sickle cell disease, Elderly, Immunocompromised.
- Pt presents with respiratory illness (dry cough, low grade fever) after being in Northen Mexico, Southwest texas, Arizona.
Dx?
Test?
Rx? - Ohio/Mississippi River Valley, fungating skin lesions and joint pain ?
Dx?
Test?
Rx? - Endemic to Ohio, Missouri, Indiana and Mississippi. Occurs in severely immunocompromised patients. CXR shows bilateral infiltrates. Hepatosplenomegaly and thrombocytoenia and anemia can be present.
Dx?
Test?
Rx? - Occurs in diabetic and neutropenic patients. Mainly presents with rhinocerebal infection but can affect lung, stomach, pevlis, skin.
Dx?
Test?
Rx?
- Cocciodiodomyocsis
CXR, Sputum Culture
Itraconazole - Blastomycosis
(Blast Bones, Balls and Skin)
CXR, Fungal Stain and confirmed by Sputum Culture
Serology for Blasto Antibodies
Itraconazole - Histoplasmosis
Histoplasma Urinary Antigen
Amphotericin B - Mucormycosis
High index of clinical susupcicion
Amphotericin B
Management of Post-exposure Prophylaxis with Varicella in immunocompetent and immunocompromised individual?
Immunocompetent:
Live-attenuated vaccine
(Administer Vaccine within 3 to 5 days of exposure)
(it Prevents dz or Decreases Severity of dz)
Immunocompromised: Varicella-Zoster Immune Globulin (passive immunity)
Abx for Brain Abscess from
Dental source?
IV PCN and Metronidazole. (Streptococci, Fusobacterium, Provetella, Bacteroides)
PEN Met the Dentist
Hx of Syphilis now presenting with Memory loss.
Dx?
Test?
Rx?
CSF analysis to r/o Neurosyphilis.
VDRL
IV Aqueous crystalline penicillin G x 14 days
Pt presents with Dysarthria, Confusion, Left Hemiparesis, Poor vision, recently diagnosed with HIV infection CD4 count 82, CT scan shows diffuse demyelination.
Dx?
Management?
PML (JC polymovirus).
Get CD4 count up.
Name the 3 indications for treatment of Asymptomatic Bacteriuria?
- Pregnancy (Bactrim, Nitrofurantoin)
- Urologic procedure
- Recent Renal Transplant Patient