Immunology Flashcards
How does Anthrax present?
Common with who?
Small itchy bumps that turn into a black, painless ulceration
Cattle farmers or vets
How often to get tetanus booster?
Every 10 years OR
Every 5 years for patients > 7 that have come in contact with a foreign object
Klinefelters Syndrome
What is it?
Symptoms?
Major concern?
Males born with extra X chromosome
- gynecomastia, long limbs, lack of secondary sexual characteristics, small testes
- infertility
Hispanic spiritual illness causing low appetite, crying, diarrhea, death of kids?
Mal ojo
How do Asians feel about surgery?
Last resort, think of blood loss as depletion of vital sources
Fragile X syndrome characteristics
- Long and thin with prominent forehead and chin and large ears
- autism common
Vaccines not safe for HIV?
Live vaccines
What is DPT (diphtheria pertussis tetanus) vaccine
Old version of TDAP
What is the jarisch-herxheimer reaction?
Febrile reactions from spirochetes bacteria after an abx injection
Happens with syphilis / Lymes tx
Supportive care, resolves in 24hr
Tb test result considered positive if someone had contact with active TB
> 5
AIDs criteria
CD4 <200
Hairy leukoplakia
Kaposi sarcoma
Thrush
A LOT of stuff
What do ELISA and western blot test for?
HIV antibodies
What does anti HCV test for?
Hep C antibodies
Active or previous infection
What test is used to distinguish between active or past Hep c?
HCV RNA
Common pathogen for PNA in cystic fibrosis patients?
Pseudomonas aeruginosa
Common pathogens for AOM?
S. Pneu
H flu
M cat
Who should be tested for HIV
Everyone at least once age 13-64
Next step after positive TB test?
CXR
What is the TB vaccine given in some countries?
Bacillus calmette guerin
Way to test mucosal changes in HPV?
Apply acetic acid
HPV increases risk of what types of cancers?
Larynx/oropharynx, anus, penis, cervix
What screening is used to diagnose gonorrheal pharyngitis or proctitis?
Thayer-Martin culture