Infectious Disease Flashcards
With cryptococcus think what 4 things
HIV CD4 less 100
Meningitis
Pigeon droppings
Pulmonary CNS sxs
What signs are often absent in cryptoccosis neoformans
Meningeal signs
What is the positive lab testing in cryptoccosis neoformans
Positive India ink = round encapsulated yeast
Because crytopcoccosis neoformans is yeast how can you think of treating it
FLUCONAZOLE
With cryptoccoal meningitis think what txm
Amphotericin
Location of histoplasmosis
Ohio and Mississippi River valley = inhaled SOIL or FECES
Describe histoplasmosis sxs
Flu sxs // headache // cough // night sweats
Histoplasmosis think what transmission
Bird droppings
Bats
Histo treatment
Itraconazole and severe = AMPHOTERICIN
Chlamydia can cause what 3 etiologies
Cervicitis / urethritis
PID
Lymphogranuloma Venereum
What type of discharge do you think with chlamydia
Watery in men // some to none in women — cervical mucopurulent discharge common
Chlamydia treatment // preg?
Doxy
Azithro in pregnancy
presumptive treatment of partners
With gonorrhea you’re thinking what kind of infections // 4
Conjunctivitis
Edpidymitis .. prostatitis
Pharyngitis
Urethritis
Lab staining for gonorrhea
Gram negative EXTRACELLULAR diplococci
Gonorrhea treatment
IM Ceftriaxone single dose
Lab findings in MRSA
Gram positive cocci in CLUSTERS
What drugs can treat MRSA
Bactrim
Clindamycin
Doxycycline
IV VANC
Rheumatic fever often presents in what age and how
5-14 years old
S/p untreated strep infection = INFLAMMATORY RXN in heart brain joints skin
Name the skin lesion associated with rheumatic fever
Erythema marginatum
What is spared in the rash of rheumatic fever
The face
What is the major criteria of rheumatic fever and how many do you need
1 and 2 minors or 2 majors alone.
Carditis
Polyarthritis
Sydenham Chorea
Eyrthema marginatum
Subq Nodules
Recent scarlet fever is indication of what
Recent strep infection
What valve is most effected in rheumatic heart disease
The mitral valve
Management of rheumatic fever
Penc G or Amox
ASA