IMC/FamMed/EMED IDz/ Flashcards
Gram stain/shape of Clostridium Bot
How do these Pts cause Sxs
Where is this infection obtained from
Anaerobic, gram pos baccilus
Neurotoxin dec acetylcholine release
Canned foot
Honey- wait until 12mon old
How does botulism toxin poisoning present
Eventually this will progress to ?
What will be seen if presenting in baby
Double vision
Facial paralysis
Swallowing difficulty
Flaccid paraylsis
Loss of head control- floppy baby syndrome
How is botulisms toxin poisoning Dx
This can be mis-dx so ? is used to differentiate
How is this Tx
Toxin assays
Ingestion: stool sample
Wound: serum sample
Electromyography- augmented response to rapid repetitive stimulation
Charcoal
Equine heptavalent antitoxin if <72hrs
? is the MCCC of acute bacterial diarrhea
Half of Pts w/ present w/ ?
What causes this infection
Campylobacter
Bloody stool
Poultry
Unpasteurized milk
How is Campylobacter infection Dx
What lab results would be returned
How is this Tx
Culture on Skirrow agar at 42*C
Comma, S-shaped bacteria w/ flagella and oxidase positive
Fluoroquinolone or,
Azithromycin
? is the MC STI
? is the gold standard used for Dx
How is it Tx
Chlamydia
NAAT
Azith 1g PO or
Doxy 100mg BID x 7days
+ Gonorrhea- Ceftriaxone
How is chlamydia during pregnancy Tx
Gram and shape of Cholera
How is this infection acquired
Azithromycin 1gm or,
Amox 500
Gram- Neg oxidase pos comma shaped bacteria
Water
Shellfish
Gram Pos cocci
Gram Pos rods
Gram Pos anaerobes
Staph Strep Enterococcus
Corney Myco Listeria Bacillus Nocardia
Clostridium Lactobacillus Actinomyces Propion
What is the result if Pt survives Cholera infection
How is Dx made
How is Dx confirmed
Chronic biliary tract carrier
Rapid dipstick
Culture
How is Cholera Tx
Diphtheria is MCC by ?
What term is seen on PE and used for Dx
Doxy Azith Furazolidone TMP-SMX Ciprofloxacin
Corynebacterium
Pseudomembranous pharyngitis
How is Diphtheria Dx
What serial tests are ordered for these Pts
How is this Tx
What is used for close contact prophylaxis despite vaccination status
Culture- Eleks test to determine toxigenicity
EKGs/Cardiac enzymes- Myocarditis
Antitoxin+Erythromycin or,
PCN
Macrolide: Erythromycin
PCN G Benzatine x 1 dose
