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Peds ⛄️ > Infectious > Flashcards

Infectious Flashcards

1
Q

Most common organisms for neonate meningitis

A

GBS, E Coli, Listeria

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2
Q

Treatment of Meningitis for <3 m

A

Cefotaxime+Vanccomycin

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3
Q

Treatment of Meningitis for <1 m

A

Ampicillin + Cefotaxime

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4
Q

Meningitis organisms in infants > 3m

A

S. pneumoniae, N Meningitidis

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5
Q

Meningitis Abx in infants > 3m

A

Vancomycin + Ceftriaxone

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6
Q

LP Contraindications

A

Increased ICP
Cardiopulmonary instability
Coagulopathy
Infection at site of LP

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7
Q

You want to do LP but patient has inc ICP

A

If AF open, do LP. If not, CT first

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8
Q

What complication screening is IMP for meningitis

A

Hearing (within 4 wks of discharge)

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9
Q

When is Dexamethasone given in the treatment of Meningitis?

A

Within 1 hour of Abx initiation in HIb

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10
Q

Which meningitis has sterile CSF culture 2hours after treatment with 3rd G Cephalosporins

A

Meningococcal Meningitis

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11
Q

Which meningitis has sterile CSF culture 4 hours after treatment with 3rd G Cephalosporins

A

Pneumococcal Meningitis

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12
Q

How would microbial pretreatment affect CSF?

A

Cell count will not change
Glucose will increase
Protein would decrease

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13
Q

Which organism require the lengthiest Abx treatment (Meningitis)

A

E Coli

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14
Q

When to measure head circumference in Meningitis

A

In <18m

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15
Q

When to repeat LP in Meningitis?

A

If the organism is Gram -ve Bacilli, 24-48 hrs after initiation of therapy to ensure sterility

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16
Q

Meningococcal Meningitis/Hib prophylaxis

A

Rifampin

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17
Q

Severe ICP

A

Mannitol, hyperventilation

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18
Q

Purpura occurs with which meningitis?

A

Meningococcal Meningitis

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19
Q

Most common organism causing Pneumonia in <3m

A

Strept Pneumonia

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20
Q

Most common organism causing Pneumonia in 3m-5y

A

Viral (RSV)

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21
Q

Most common organism causing Pneumonia in > 5y

A

M pneumonia

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22
Q

Lobar pneumonia organism and treatment

A

S pneumoniae.
Outpatient: Amoxicillin
Inpatient: IV Cefuroxime

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23
Q

Bilateral lower lobe pneumonia organism and treatment

A

M pneumonae

Erythromycin

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24
Q

Bilateral lower lobe pneumonia with Eosinophilia organism and treatment

A

C Pneumoniae

Erythromycin

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25
Afebrile pneumonia with Eosinophilia and Staccato cough + conjunctivitis <3m organism and treatment
C Trachomatis, Erythromycin
26
Bilateral interstitial pneumonia
Supportive (Viral)
27
Hallmark of pneuminia
Fever and cough
28
Most sensitive marker for pneumonia <5years
Tachypnea and retraction
29
Virus causing Measles
Paramyxovirus
30
Virus causing Mumps
Paramyxovirus
31
Virus causing Rubella
Togavirus
32
Virus causing Roseola
HHV6
33
Virus causing Hand Foot Mouth Disease
Coxsackie A
34
Virus causing Erythema Infectiousum
Parvovirus B19
35
Mumps features:
Orchitis and parotid gland swelling
36
Mumps other name
Epidemic Parotitis
37
Other name of Measles?
Rubeola
38
Fifth disease is ____
Erythema Infectiousum
39
Koplik spots are present in _____
Measles
40
Head to toe rash + lymphadenopathy
Rubella
41
Vesicles + oral pain
HFMD
42
Which rash has a high fever?
Roseola
43
German measles?
Rubella
44
Erythema Infectiousum characteristic
Slapped cheek appearance
45
Which rash starts from the trunk?
Roseolla
46
Most common organism in Cat Scratch Disease
Bartonella henselae
47
Cat Scratch Disease Tx
Azithromycin
48
Most common cause of lymphadenitis lasting > 3 weeks
CSD
49
Parinaud oculoglandular syndrome triad
1. Unilateral conjunctivitis 2. Preauricular lymphadenopathy 3. Cervical lymphadenopathy
50
Parinaud oculoglandular syndrome Tx
Rifampin
51
When does Parinaud oculoglandular syndrome occur?
After rubbing the eye after touching the pet
52
Contaminated Cat bite Tx
Augmentin
53
Dog/human bite Tx
Augmentin
54
When to consider a urine catheter sample +ve
If > 50,000 CFU/mL of urine bacterial growth
55
When to consider a Mid-urinary stream +ve
UTI if > 10^5 (100,000) CFU/mL
56
Organisms causing Acute otitis media
SHM: Strept Haemophilis Mraxella
57
Treatment for acute otitis media
Amoxicillin
58
Acute otitis media risk factors
Passive cigarette smoke Pacifier use Bottlefeeding Day care centers
59
Complication of acute otitis media
Mastoiditis
60
Treatment of mastoiditis
Vancomycin
61
Organism causing otitis externa
Pseudomonas aeruginosa
62
Which antibiotic to avoid in perforated tympanic membrane
Topical Ciprofloxacin
63
Patient has otitis externa and a perforated tympanic membrane. Which antibiotic to give?
Ofloxacin | DEXA and ciprofloxacin
64
Patient with mastoiditis, next step
CT of temporal bone
65
Etiology of scarlet fever
Streptococcus pyogenes
66
Clinical features of scarlet fever
Fever Strawberry tongue Tonsillar erythema and exudate
67
Treatment of scarlet fever
Amoxicillin
68
Precautions for measles ____
Airborne
69
Haemophilus influenza B and meningococcal disease precaution
Droplet
70
The major cause of conductive hearing loss in children is
otitis media with effusion (glue ear).
71
most common cause of congenital non-genetic sensorineural hearing loss in the developed world
CMV
72
Most common deep neck infection
Peritonsillar Abscess
73
Examination in Peritonsillar Abscess
Uvula shifted to the contralateral side | Inflamed ipsilateral tonsil: fluctuant, swollen, erythematous with exudates
74
Parapharyngeal Abscess etiology
Peritonsillar abscess
75
widened prevertebral (soft tissue) space is seen in
Retropharyngeal Abscess
76
Treatment of abscess
IV antibiotics | Surgical drainage
77
Neck asymmetry is seen with
Retropharyngeal Abscess
78
Medial displacement of the lateral pharyngeal wall and tonsils is seen with
Parapharyngeal Abscess
79
vaccine - Active Vomiting illness =
Postpone OPV
80
- Patient wants to take vaccine but has Active profuse diarrhea illness =
postpone Rota
81
History of intussusception | What vaccine is CI?
⇎ Rota vaccine
82
- Gelatine allergy what vaccine to avoid ⇎
MMR
83
Egg allergy, which vaccine is contraindicated?
Yellow fever vaccine
84
Patient had Kawasaki and received IV I G what vaccination is contraindicated
Varicella and measles for 11 months
85
Infections that are diagnostic of sexual abuse
 syphilis and gonorrhea

Peds ⛄️ (12 decks)

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