ID & GUM Flashcards
Cerebral Toxoplasmosis treatment?
Sulphadiazine and pyrimethamine
Viral encephalitis management?
impairs brain function unlike viral meningitis
- in addition to CSF glucose, you need to know plasma glucose for interpretation
- most common cause is HSV unlike viral meningitis most commonly caused by enteroviruses. can also be caused by mumps
- give acyclovir
bacterial meningitis treatment?
IV antibiotics + dex
hepatitis A treatment?
fluid resus and rest (self limiting)
acute cholecystitis treatment?
Coamoxiclav (covers gram negative bacteria)
OR
Gentamicin and Metronidazole if penicillin allergic
in which types of Malaria is Primaquine given to prevent relapse?
benign malaria forms eg vivax and ovale
not given in falciparum (most common cause in subsaharan africa) as falciparum does not have hypnozites
measles complications?
should you give MMR?
IGM +ve reflects acute infection
SSPE - encephalitis
otitis media
pneumonitis/pneumonia
yes, to protect against mumps and rubella
in addition to meningococcal sepsis, where else is purpura fulminans seen?
treatment of meningococcal sepsis?
other sepsis eg pneumococcal sepsis, staphylococcal sepsis
give benzylpenicillin if you know for sure
or give ceftriaxone to cover the other types of sepsis above
+ iv dex
PCP investigations?
management?
Bronchoscopy and broncheolar lavage = 1st line
also do ABG. exercise oximetry may be useful
2L oxygen
co-trimoxazole
steroids
Syphilis investigations?
syphilis serology
dark ground microscopy of chancre
CSF analysis
which HPV strain most commonly causes anal/vaginal warts?
treatment`/
6 and 11
non keratinised = podophyllotoxin topical cream
keratinised = Imiquimod cream
2nd line keratinised = cryotherapy
BV treatment?
risks of BV in pregnancy?
oral metronidazole is first line -> avoid alcohol
if allergic, give clindamycin
miscarriage, pre-term birth, premature rupture of membranes, post-partum endometritis
