Infectious disease Flashcards

1
Q

complicated

A
  • penis
  • plastic
  • procedure
  • pyelo
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2
Q

time course of UTIs

A

uncomplicated 3d
complicated 7d
pyelo 10d
abscess 2w

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3
Q

UTI treatment in pregnant women

A

amoxicillin

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4
Q

pyelo vs cystitis

A

systemic symptoms, CVA tenderness

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5
Q

perinephric abscess

A

pyelo that doesn’t improve

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6
Q

gram positive clusters

A

staph

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7
Q

ladder past vancomycin

A

linezolid

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8
Q

ampicillin vs amoxicillin

A

amp is IV, amox is PO

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9
Q

pip-tazo covers….

A

pseudomonas

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10
Q

cipro

A

urinary, great for gram negative

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11
Q

respiratory fluorquinolones

A

moxi

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12
Q

anaerobic coverage

A

clinda and metronidazole

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13
Q

treatment for CAP

A

moxifloxacin (Oral/IV)

  • ceftriaxone + azithromycin
  • azithro alone
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14
Q

HCAP treatment

A

vanc and pip-tazo = bad bugs

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15
Q

meningitis treatment

A

ceftriaxone, vanc, steroids and amp (in immunocompromised)

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16
Q

UTI treatment

A
  • amox if pregnant
  • nitro for women
  • bactrim w/o renal failure
  • ceftriaxone (IV)
  • cipro = ambulatory pyelo
17
Q

cellulitis

A
  • vanco
  • clinda
  • bactrim
  • 1/2 cephalosporins
18
Q

PrEP

A

emtricitabine and tenofovir (NRTIs)

19
Q

pregnancy with HIV

A

2+1 with AZT

20
Q

test for initial HIV

A

PCR - viral load

21
Q

treatment for PCP

A

bactrim, (dapsone if bad kidneys, atovaquone if G6PD)

22
Q

toxo treatment with sulfa allergy

A

pyrimethamine and leucovorin

23
Q

MAC treatment

A

azythromycin

24
Q

primary TB infection

A

lobar pneumonia with cavitary lesions (caseating granulomas)

25
Q

secondary TB

A

apical lesions, Gohn complex, hemopytsis, night sweats, weight loss

26
Q

work up of TB

A

PPD - CXR - AFB smear

27
Q

RIPE side effects

A
R = red
I = B6 neuropathy
P = gout
E = eye - red/green color blind
28
Q

SIRS criteria

A
  • temp - low 36 high 38
  • WBC - low 4 high 12
  • HR - above 90
  • RR - high 20
  • give consideration to infection if 2/4
29
Q

urgent SIRS

A
  • hypotension
  • altered mental status
  • BUN/Cr
  • LFTs
  • CXR
30
Q

definition of sepsis

A

SIRS with source

31
Q

sever sepsis

A

organ dysfunction responsive to fuilds

32
Q

septic shock

A

organ dysfunction with no fluid response

33
Q

goal directed therapy

A
  • CVP of 10-12
  • urine output of 0.8cc/kg/hr
  • MAP greater than 65
  • central venous O2 above 70%
34
Q

therapy for sepsis

A

abx, fluids and source control

- followed by vasopressors

35
Q

brain abscess sign

A

focal neurological deficits