Infectious Disease Flashcards
chlamydia in pregnancy Mx?
oral azithromycin
erythromycin
amoxicillin
Tetanus vaccination
given as part of vaccine programme
5 doses
2 Months
3 Months
4 Months
3-5 years
13-18 year
patient with full course of tetanus vaccine and last dose <10 years
need no vaccine / IG
post splenectomy sepsis?
Streptococcus pneumoniae
Haemophilus influenzae
meningococci
Notifiable diseases
notable exceptions
HIV
tetanus prone wound Mx?
booster vaccine
if high risk ALSO
tetnus immunoglobulin
URTI and amoxicllin
if pt has glandular fever?
Rash
what is fitz hugh curtis syndrome
complication of pelvic inflammatory disease
liver capsule becomes inflamed > RUQ pain
scar tissue and peri-hepatic adhesions
bed bugs
itchy skin rashes
kaposi sarcoma
HHV-8
purple plaques
pubic lice infestation
parasite
insecticide
> malathion lotion
permethrin cream
bacterial meningitis compared to meningococcal septicaemua
BM: IV dexamethasone / Abx and fluids
meningococcal : no dexamethasone
> non blanching purpurin rash
when should you send a urine culture?
> 65 yrs
visible or non visible haemturia
Pregnant women and UTI
Mx
urine culture SENT
abx 7 days
1: Nitrofurantoin > avoid near term
2: amoxicillin / cefelexin
Hepatitis A
supportive
no chronic disease
legionella findings
deranged LFTs
lymphopenia
hyponatraemia
dry cough
IX legionella
urinary antigen
diagnosis of mycoplasma pneumonia?
serology
diagnosing Tuberculosis
Investigations?
sputum culture most sensitive
> gold standard
how long does sputum culture results for TB take?
1-3 weeks
how can AFB sputum be used to diagnose TB?
3 specimens needed
early morning
stained and if acid fast> treat
CXR TB findings?
upper lobe cavitation
bilateral hilar lymphadenopathy
why are urine samples sent for suspected UTI in >65?
will probably be + as they have asymptomatic bacteria
UTI and pregnancy
Nitrofurantoin 7 days
