I.D. Flashcards
28 year old woman is admitted via the Accident & Emergency department.
She had not gone to work due to feeling flu-like that morning.
Her boyfriend has brought her in to Accident & Emergency as she has become drowsy and has developed a rash.
She is febrile, hypotensive and confused with marked neck stiffness and purpuric rash
- diagnosis and bug?
meningitis
n. meningitis
72 year old, usually fit and well woman has been sent to the medical admissions unit with fever, headache and neck pain.
On admission she is unwell with fever, tachycardia, neck stiffness and confusion (MSQ 6/10).
LP = white blood cells 1000/mm3 (all neutrophils), red blood cells 3/mm3, and Gram positive cocci are seen
- bug?
Strep. Pneumonia
Ix for C. Diff
Stool toxin
Ix for E. Coli
Stool Culture
Ix for influenzae
Throat swab for viral PCR
Tayside empirical therapy for intra-abdominal sepsis
IV Amox + Met + Gent
Tayside empirical therapy for intra-abdominal sepsis - step down therapy
PO Co-Trimoxazole and Metronidazole
Tx for Pyelonephritis
IV Amox and Gent
Tx for Pyelonephritis - if pen allergic
IV Co-Trimoxazole and Gent
Tx for severe CAP
Co-Amox and Clarithromycin
cellulitis tx
flucloxacillin
cellulitis tx - if pen allergic
IV Vancomycin
c.diff tx - non-severe
PO Metronidazole
c.diff tx - severe
PO Vancomycin
A 26 year old woman presented with dysuria but no frequency. She was prescribed co-amoxiclav but has returned after three days saying her symptoms are no better and she now has vaginal discharge
- why has treatment failed?
The patients symptoms are probably caused by a fungal infection
i.e. thrush
vaginal discharge is not a symptom of UTI