Infections Flashcards
WHAT IS KAWASAKI
A SYSTEMIC VASCULITIS
WHO IS COMMONLY AFFECTED BY KAWASAKI
CHILDREN AGED 4M-6Y
WHAT IS THE PRESENTATION OF KAWASAKI
WEEK ONE
- FEVER LASTING 5 DAYS
- CONJUNCTIVITIS
- STRAWBERRY TONGUE AND CRACKED LIPS
- CERVIACLE LYMPHADENOPATHY
- POLYMORPHUS RASH
WEEK 2-4
- RED OEDEMATUS PALMS AND SOLES THAN THEN CAUSES PEELING OF SKIN ON DIGITS
WEEK 3-8
- CARDIOVASULAR SIGNS
HOW DO YOU DIAGNOSE KAWASAKI
FEVER LASTING 5 DAYS PLUS 4 OTHER SYMPTOMS
BLOODS:
RAISED ESR, CRP, PLATELETS
ECHO AT WEEKS 6+8 TO ASSESS CARDIAC INVOLVEMENT
WHAT IS THE CARDIOVASCULAR RISK ASSOCIATED WITH KAWASAKI
CORONARY ANEURISM
HOW DO YOU TREAT KAWASAKI
IvIg x10D
ASPRIN
CLOPIDROGEL (ANTIPLATELET)
INFLIXIMAB IF THERES PERSISTENT FEVER
WHAT WOULD THE CARDIAC SIGNS OF KAWASAKI BE
GALLOP RYTHUMN
MYOCARDITIS
PERICARDITIS
CORONARY AND PERIFERAL ANEURISMS
HOW DO YOU MANAGE A GIANT CELL ANURISM
WARFRIN AND FOLLOW UP
WHAT CELLS DOES HIV AFFECT
MACROPHAGES
DESRIBE HOW MOTHER CHILD HIV TRANSMISSION OCCURS
AT BIRTH
BREAST FEEDING
EN UTERO
HOW DO YOU DIAGNOSE HIV IN A CHILD
DNA PCR IN A CHILD OVER 18M
BEFORE 18 MONTHS THEN YOU CAN ONLY ASSESS FOR NEGATIVE DIAGNOSIS
- COMPLETION OF ANTENATAL ANTIVIRALS
- X2 NEGATIVE PCR
- X1 PCR AFTER 18 MONTHS
WHY CANT YOU REALLY DIAGNOSE A CHILD WITH HIV BEFORE 18M
MATERNAL ANTIBODIES STILL ARE PRESENT
IF UNTREATED WHEN DOES CHILD HIV TURN TO AIDS
VARYING FROM 1Y +
WHAT ARE MILD PRESENTATIONS OF HIV
LYMPHADENOPATHY
PAROTITIS
WHAT ARE MODERATE PRESENTATIONS OF HIV
RECURRENT BACTERIAL INFECTIONS
CANDIDIASIS
CHRONIC DIARRHOEA
LYMPHOCYTIC INTERSTITIAL PNEUMONITIS
WHAT ARE SEVERE PRESENTATIONS OF HIV
OPPORTUNISTIC INFECTIONS
SEVERE FAILURE TO THRIVE
ENCEPHALOPATHY
MALIGNANY
WHAT IS THE TREATEMENT FOR HIV AIDS IF CD4 IS 200-350
2 NEUCLEOSIDE REVERSE TRANSCRIPTASE INHIBITORS
1 NON NEUCLOSIDE REVERSE TRANSCRIPTASE INHIBITORS
WHAT IS THE TREAMENT FOR HIV AIDS OF CD4 >350
2 NEUCLOSIDE REVERSE TRANSCRIPTASE INHIBITORS
1 PROTEASE INHIBITORS
WHAT IS ALWAYS GIVEN TO HIV PATIENTS
PCP (CO-TRIMOXAZOLE) IF OVER AGE OF 4
ALL VACCIENES BUT NOT BCG
WHAT ARE GENERAL SIGNS OF A HIV CHILD ON PRESENTATION
PERSISTENT LYMPHADENOPATHY
HEPATOSPLENOMEGALY
RECURRANT FEVER
THROMBOCYTOPENIA
HOW DO YOU REDUCE THE RISK OF VERTICAL TRANSMISSION IN HIV
ANTIRETROVIRAL DRUGS IN PREGNANCY // BEFORE
NOT BREAST FEEDING
AVOIDING PROLONGED ROM
NO INSTRUMENTAL DELIVARIES
WHAT IS ENCEPHALITIS
INFLAMMATION OF THE BRAIN
WHAT ARE CAUSES OF ENCEPHALITIS
MAINLY VIRAL
- HSV
- ENTEROVIRUS (MOST COMMON)
- POST INFECTIOS TO CHICKEN POX AND MEASLES
- HIV
WHAT IS THE PRESENTATION OF ENCEPHALITIS
FEAVER
HEADACHE
DECREASED CONCIOUSNESS