ID Flashcards

1
Q

The most common vital meningitis
P/w myalgia & sore throat, cough
Maculopapular rash
What is the diagnosis?
Confirmed by ?
Treatment?

A

Enterovirus meningitis

By enterovirus PCR

Treatment supportive

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2
Q

Fever , seizures, altered mental status, focal neurological deficits,
Temporal lobe abnormalities on imaging
Periodic lateralizing epileptiform discharges on EEG ?

A

HSV1 meningitis

HSV PCR

High dose of iv acyclovir for 14-21 days

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3
Q

Recurrent lymphocytic meningitis ?
Treatment?

A
  • HSV2
  • without acyclovir therapy
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4
Q

Encephalitis, aseptic meningitis, myelitis

Vasculitis presenting as a stroke

Vesicular lesions
Hemorrhagic CSF

A

VZV PCR

Iv acyclovir 10-14 days

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5
Q

Encephalitis, Maculopapular rash, acute flaccid paralysis, facial or arm tremors, Parkinsonism , myoclonus
MRI basal ganglia involvement

A

West Nile virus ( Mosquito borne viruses) encephalitis

  • WNV IgM
  • supportive
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6
Q

Aseptic meningitis with mononucleosis like syndrome
Fever, rash , myalgia

A

HIV meningitis

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7
Q

Lymphocytic meningitis, erythema migrans , facial paralysis

A

Lyme disease by Borrelia burgdorferi

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8
Q

Secondary or tertiary phase of syphilis

CSF lymphocytic pleocytosis & high protein

Meningovaacular ( stroke )

A

Treponema pallidum meningitis

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9
Q

Meningitis with Uveitis , rash , conjunctival suffusion

Lymphadenopathy and hepatosplenomegaly

A

Leptospiral meningitis

CSF or urine c/s or by serology

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10
Q

Meningitis & cranial neuropathy & SIADH

A

TB meningitis

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11
Q

Empirical therapy for health care associated meningitis

A

Vanco + cefepime or meropenem

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12
Q

Meningitis & Maculopapular rash

A

Enterovirus

West Nile virus

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13
Q

Aseptic meningitis

A

HSV2

VZ

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14
Q

ABx in uncomplicated cystitis

A

3 days trimethoprin sulfamethoxazole

5 days Nitrofurantoin

Single dose of fosfomycin

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15
Q

Abx in pregnancy for acute cystitis

A

7 days

  1. Amoxicillin-clavulanate
  2. Cefpodoxime
  3. Cefixime
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16
Q

Daily prophylaxis abx in recurrent UTI in women

A

Trimethoprim- sulfa

Nitrofurantoin

Cephalexin

17
Q

CAP
OP ttt
Healthy

A

ADM

Amoxicillin
Or
Doxycycline
Or
Macrolide

18
Q

CAP
OP ttt
With comorbidities

A

Levo or moxifloxacin

Or

Augmentin or zinnat + macrolide or doxycycline

19
Q

CAP
Inpatient ttt

A

Iv macrolide + B lactam or levo or MOXI

20
Q

CAP
Inpatient ttt

Risk of MRSA

A

Standard therapy
+
vancomycin or linezolid

21
Q

Ttt of pharyngeal gonorrhea

A

Single dose of ceftriaxone

22
Q

Ttt for mild nonpurulent cellulitis

A

Oral

Clindamycin
Pencilinin
Cephalosporin
Dicloxacillin

23
Q

Ttt for moderate nonpurulent cellulitis

A

Iv
Clindamycin
Pencilinin
Cephalosporin ( ceftriaxone or cefazolin)

24
Q

Severe cellulitis ttt

A

Iv vanco + tazo or meronem