ID 15 Flashcards

1
Q

Most common infections causing brain abscesses

A

Viridian’s streptococci + staph aureus

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2
Q

What are multiple brain abscesses indicative of?

A

Bacteremia

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3
Q

Single brain abscess accompanied by otitis media and mastoiditis?

A

contiguous spread of infection from temporal lobe and cerebellum.

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4
Q

Single brain abscess accompanied by sinusitis or dental infection?

A

Contiguous spread from frontal lobe.

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5
Q

osteomyelitis + SCD?

A

salmonella and *S aureus

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6
Q

osteomyelitis with vertebral involvement?

A

S aureus + TB (port’s disease)

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7
Q

most common causes of osteomyelitis with IVDU?

A

Pseudomonas
Candida
S aureus

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8
Q

Approach to osteomyelitis

A

Remember to consider whether patient is sexually active.

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9
Q

best imaging for osteomyelitis?

A

MRI

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10
Q

labs with osteomyelitis?

A

Elevated CRP + ESR common but nonspecific.

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11
Q

UTI in a male think…

A

Congenital defect or vesioureteral reflex

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12
Q

UTI in elderly male think…

A

BPH

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13
Q

RF’s for UTI’s in women

A
Obstruction
Kidney surgery
Catheterization
GU malformation
Diabetes 
Pregnancy
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14
Q

3rd leading cause of UTI?

A

klebsiella

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15
Q

Klebsiella description

A

1) large mucoid capsule

2) *viscous colonies

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16
Q

serrate characteristics

A

1) nosocomial

2) *often drug resistant

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17
Q

What does positive leukocyte esterase indicate?

A

Evidence of WBC activity.

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18
Q

positive nitrites think…

A

e coli

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19
Q

vaginosis signs/symptoms

A

1) no inflammation

2) thin, white discharge with fishy odor

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20
Q

pH in vaginosis

A

greater than 4.5

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21
Q

pH in vaginitis

A

greater than 4.5

22
Q

candida vulvovaginitis signs/symptoms

A

1) inflammation

2) thick, white cottage cheese discharge)

23
Q

candida pH

A

normal (4-4.5)

24
Q

approach to common vaginal infections

A

consider inflammation + pH

25
maternal manifestation of toxoplasma
usually asymptomatic; lymphadenopathy (rarely)
26
other finding in congenital toxo
blueberry muffin rash
27
congenital rubella presentation
cataracts deafness PDAs blueberry muffin rash
28
calcifications in CMV vs. toxo
*intracranial in toxo; periventricular in CMV
29
CMV presentation in mom
usually asymptomatic; mono-like illness
30
CMV presentation in newborn
``` Hearing loss Seizures Petechial rash "blueberry muffin" rash periventricular calcifications ```
31
congenital HIV presentation
1) recurrent infections | 2) chronic diarrhea
32
HSV-2 presentation in newborn
1) encephalitis | 2) herpetic (vesicular) lesions
33
What stages of syphilis are likely to result in fetal transmission?
chancre (primary) | disseminated (secondary)
34
congenital syphilis presentation
Often results in stillbirth; hydrous fetalis. | survives --> notched teeth, saddle nose, short maxilla, saber shins, deafness
35
Coxsackie type A presentation
Oval-shaped vesicles on palms and soles; vesicles and ulcers in oral mucosa
36
roseola presentation
Asymptomatic *rose-colored macules on body after several days of high fever; can present with febrile seizures; usually affects infants.
37
Disease caused by parvovirus B19
Erythema infectiosum
38
other name for erythema infectiosum
Fifth disease.
39
Rubella rash
Pink coalescing macules begin at head and move down --> fine desquamating truncal rash; post auricular lymphadenopathy.
40
VZV rash pattern
Vesicular rash that begins on trunk; spreads to face and extremities with lesions of different stages.
41
chancroid associated with...
haemophilus ducreyi
42
chancroid presentation
painful genital ulcer with exudate, inguinal adenopathy
43
chlamydia features
``` urethritis cervicitis epididymitis conjunctivitis reactive arthritis PID ```
44
herpes usually caused by
HSV-2
45
burning on urination...
urethritis (gonorrhea or chlamydia)
46
gonorrhea presentation
``` *creamy purulent discharge urethritis cervicitis PID prostatitis epididymitis arthritis ```
47
painful lymphadenopathy think...
lymphogranuloma venereum
48
condylomata lata is...
secondary syphilis
49
other features of secondary syphilis
fever | lymphadenopathy
50
staph aureus capsule?
Large polysaccharide capsule