Infectious Disease

Question 0

What patients are at risk of fungal infections?

Answer 0

Immunocompromised

Question 1

Sources of hospital acquired infections

Answer 1

Cannula
Endo tracheal tubes
Pressure sores
Catheters

Question 2

If you suspect TB what question must you not forget to ask?

Answer 2

Have you ever lived anywhere exotic in Africa or Asia?

Question 3

Question ask if suspect MRSA?

Answer 3

When last in hospital?
Visited anyone?
Worked there?
Caring for someone at home who was in hospital?
In nursing home?

Question 4

Complication of severe sepsis

Answer 4

Multi organ failure

Question 5

Risk factors for infections

Answer 5

Immunosuppressed (HIV steroids, chemo, alpha TNF antibody
Malnutrition 
Extremes of age
Pregnancy
Diabetes 
Alcoholism
Chronic kidney disease

Question 6

In infections what are you trying to determine in the examination

Answer 6

The site/origin of the infection

Severity

Question 7

What’s the SIRS criteria?

Answer 7

Temperature above 38 or below 36
Heart rate above 90
RT above 20
Wbc above 12 or below 4

Question 8

Signs of systemic organ failure?

Answer 8

Heart- pulmonary oedema (bilateral crepitations)
Kidneys - high creatinine, low urinary output
Lung - low O2 sats
Brain- GCS drops
️Liver- jaundice, abdo pain, swelling, nausea
Gut - increased lactate, absent bowel sounds
Coagulation cascade- DIC