Infectious disease

Question 1

Define sepsis

Answer 1

life threatening organ dysfunction due to dysregulated host response to infection

Question 2

What is the sepsis 6

Answer 2

High flow O2
Iv fluids
Iv antibiotics
Lactate
Blood cultures
Fluid chart

Question 3

what is bacteraemia

Answer 3

bacteria in blood stream

Question 4

what virus causes glandular fever

Answer 4

EBV

Question 5

RF for EBV (How it spreads?)

Answer 5

Kissing
Sexual behaviour

Question 6

Presentation of pt with EBV

Answer 6

hx of fever, lymphadenopathy, a sore throat, general malaise
Palatal petechiae
exudate noted on the tonsils
tonsillar enlargement
splenomegaly

Question 7

Ix and what they may show (4)

Answer 7

FBC- may show lymphocytosis
Monospot test
LFT - elevated ALT and AST
Antibody testing

Question 8

Management for EBV

Answer 8

• Analagesia
• Reassurance symp usually last 2-3 weeks
• avoid contact sport and or heavy lifitng
• limit transmission

Question 9

what virus causes erythema infectiosum

Answer 9

parvovirus B19
common in children

Question 10

SS of erythema infectiosum

Answer 10

slapped cheek rash
erythematous maculopapular rash on the trunk, back and limbs
low grade fever

Question 11

Management for erythema infectiosum

Answer 11

self limiting

Question 12

what is herpes labialis

Answer 12

infection of the mouth area or lips
usually due to HSV

Question 13

SS of HSV infection

Answer 13

asymptomatic mostly
high fever
burning and tingling prior to ulcer
usually present with painful ulcers on oral mucosa

Question 14

Special test for HSV

Answer 14

viral culture
HSV PCR

Question 15

Management for HSV

Answer 15

simple analgesia
topical cream available OTC
hygiene and avoid transmission
Acyclovir if severe