ID Flashcards
tx of chlamydia conjunctivitis in 10 day old
PO erythromycin
positive tuberculin skin test in HIV pt
> 5mm
tick disease - abrupt onset of HA, fevers, mylagias, and rigors
ehrlichiosis
HIV coinfections with what
ulcer causing lesions - ie syphilis
patient at highest risk for west nile CNS infection
advanced age
what children do you give flu antivirals to?
anyone <6mo if sibling with positive test, pt with high risk factors (eg asthma)
looks like allergic reaction after eating fish, but another person has similar symptoms - dx and tx
scromboid - benadryl
lyme disease tx in children
still doxy
what tick carries RMSF?
dermacentor spp
person has fever after out of the country travel - what is the most severe disease needed to rule out?
malaria
undercooked poultry, infection dx and tx
campylobacter, tx with cipro
HIV pt, has fever, night sweats, weight loss, diarrhea - dx and tx
mycobacterium avium complex - clarithromycin, rifampin, ethambutol
pregnant burn patient - tetanus?
tetanus toxid and IG
OD of dextromethorphan can cause
serotonin syndrome
transfer to burn city for
any full thickness burns
two lab findings for hookworm infection
microcytic anemia and marked eosinophilia
fulminant bacteremia after dog bite is caused by what bug
Capnocytophaga canimorsus, a gram-negative rod
ocular manifestation of lyme
keratitis
beefy red genital ulcer, painless
granuloma inguinale
adenopathy and skin ulcers, rodents
tularemia
malaria P falciparum is the ____ and risk having
deadliest and chloroquine resistance
treatment of most complicated malaria
artesunate
prevent recrudescent disease of malaria in ovale and vivax
primaquine
acute uncomplicated malaria tx
chloroquine phosphate
PO antibiotics with MRSA coverage
doxy, bactrim, clinda, linezolid
which stage of HIV has highest infectivity
acute infection
tx systemic toxoplasmosis in nonpregnant immunocompetent patient
pyrimethamine plus clinda and leucovorin for 2 weeks
HIV patient with diarrhea illness, dx and tx
MAC tx with azithro, rifabutin and ethambutol
infection associated with development of adult onset asthma
chlamydia pneumonia
impetigo or pharyngitis, then several weeks later
PSGN
test to confirm dx of secondary syphilis
fluorescent treponemal antibody absorption
tx acute bacterial suppertive parotitis
ampicillin sulbactam
zidovudine (AZT) side effect
bone marrow suppression, macrocytic anemia
efaverinz side effect
psychosis
nelfinavir side effect
diarrhea
didanosine side effect
pancreatitis and lactic acidosis
primary CNS lymphoma in HIV pt, associated with what infection
EBV
HIV patient presents with a gradual onset of headache, fever, emesis, and confusion in the absence of frank meningismus and a normal non-contrast head CT.
cryptococcus
cryptococcal meningitis LP
increased opening pressure
fevers, arthralgias, cough, weight loss, and rash in the context of living in California, then develops erythema nodosum
Valley Fever - coccidomycosis
descending weakness in an IV drug user
wound botulism
painless rash, no other symptoms, bleeds when scrubbed
kaposi