Infectious Disease Flashcards
3 most common causes of fever of unknown origin (FUO)
Infection
Cancer
Autoimmune Disease
4 signs and symptoms of streptococcal pharyngitis
Fever
Pharyngeal Erythemia
Tonsillar exudate
Lack of Cough
Non-suppurative complication of strep infection that is not altered by tx of 1 infection
Post-Infectious glomerulonephritis
Asplenic pt are particularly susceptible to these organsism
Encapsulated organisms
- Pneumococcus
- Meningococcus
- Haemophilus Influenzae
- Klebsiella
Number of bacteria on a clean catch specimen to diagnose UTI
10^5 bacteria / mL
Which healthy population is susceptible to UTIs
Pregnant women
Tx aggressively because of potential complications
Pt from California or Arizona presents with fever, malaise, cough, and night sweats. Diagnosis? Tx?
Coccidioidomycosis
Tx with Amphotericin B.
Non-Painful Chancre
1 syphilis
Blueberry Muffin rash is characteristic of what congenital infection
Rubella
Meningitis in Neonates
Causes?
Tx?
Group B Step
E-Coli
Listeria
Tx with Gentamicin and Ampicillin
Meningitis in Infants
Cause?
Tx?
Pneumococcus
Meningococcus
H. Influenza
Tx with Cefotaxime and Vancomycin
What should always be done prior to LP?
Check for ICP; look for papilledema
CSF findings:
Low glucose
PMN Predominance
Bacterial Meningitis
CSF findings:
Normal glucose
Lymphocytic predominance
Aseptic (Viral) meningitis
CSF findings:
Numerous RBCs in serial CSF samples
Subarachnoid Hemorrhage (SAH)
CSF Findings:
Increase Gamma Globulins
MS
Initially presents with pruritic papule with regional lymphadenopathy; evolves into a black eschar after 7 - 10 days
Tx?
Cutaneous Anthrax
Tx
PCN G or Ciprofloxacin
Finding in 3 Syphilis
Tabes Dorsalis General Paresis Gummas Argyll Robertson Pupil Aortitis Aortic Root Aneurysms
Characteristic of 2 Lyme Disease
Arthralgias
Migratory Polyarthropathies
Bell’s Palsy
Myocarditis
24 year old man pt with soft white plaques on his tongue and back of his throat.
Diagnosis?
Workup?
Tx?
Candidal Thrush
Workup- HIV test
Tx- Nystatin oral suspension
Begin Pneumocystis Jiroveci Penumonia prophylaxis in an HIV pt at what CD count?
<200 for P. Jiroveci (with TMP-SMX)
Risk factors for Pyelonephritis?
Pregnancy Vesicoureteral Reflux Anatomic Anomalies Indwelling catheters Kidney Stones
Neutropenic Nadir Postchemotherpy
7 - 10 days
Erythema Migrans
Lesion of Lyme Disease
Classic Physical Findings for endocarditis
Fever heart Murmur Osler Nodes Splinter Hemorrhages Janeway Lesions Roth's Spots
Aplastic Crisis in Sickle Cell Disease
Parvovirus B19
Ring Enhancing Brain Lesion on CT with Seizure
Taenia Solum (Cysticercosis)
Name THAT organism:
Branching Rods in Oral Infection
Actinomyces Israelii
Name THAT organism:
Painful Chancroid
Haemophilus Ducreyi
Name THAT organism:
Dog or Cat Bite
Pasteurella Multocida
Name THAT organism:
Gardener
Sporothrix Schenckii
Name THAT organism:
Meningitis in Adults
Neisseria Meningitdis
Name THAT organism:
Meningitis in Elderly
Strep Penumoniae
Name THAT organism:
Alcoholic with Pneumonia
Klebsiella
Name THAT organism:
Currant Jelly Sputum
Klebsiella
Name THAT organism:
Infection in Burn Victims
Pseudomonas
Name THAT organism:
Osteomyelitis from foot wound puncture
Pseudomonas
Name THAT organism:
Osteomyelitis in sickle cell pt
Salmonella
55 year old man who is a smoker and a heavy drinker pt with new cough and flulike symptoms. Gram stain shows no organisms; silver stain of sputum showes gram negative rods. What is the diagonsis?
Legionella Pneumonia
Middle aged man presents with acute-onset monoarticular joint pain and bilateral Bell’s palsy. What is the likely diagnosis, and how did he get it?
Tx?
Lyme Disease
Ixodes Tick
Doxycycline
Pt develops endocarditis 3 weeks after receiving a prosthetic heart valve.
What organism suspected
S. Aureus or S. Epidermidis