Infectious Disease (Bacterial) Flashcards
TB Exposure
Exp, ppd, s/sx, cxr?
(+) Exp
(-) ppd, s/sx, cxr
TB infxn (latent) Exp, ppd, s/sx, cxr?
(+)Exp,
(+) ppd,
(-) s/sx, cxr
TB disease (active) Exp, ppd, s/sx, cxr?
(+) Exp, ppd, s/sx, cxr
TB inactive
with or without previous TB
with or without previous chemotherapy
Exp, ppd, s/sx, cxr?
(+) ppd, cxr
(-) s/sx, smear, culturefor TB
Tx for TB exposure
3 mos H
Tx for latent TB infxn
9 mos H
Active TB dse
2 mos HRZ
4 mos HR, or
6 mos HE
Tx for severe form of extrapulmonary TB (other than TBW)
2 mos HRZE(S)
4 mos HE
TB meningitis
2 HRZS
7-10 HR
Tx for miliary, bone & joint TB
2 HRZE
4 HR
Tx for chronic MDR or XDR
specialized and individualized regimen
Ethambutol SE
red green color blindness, retrobulbar neuritis
Rifampicin SE
hepatotoxic
Orange discoloration of secretions or urine, Staining of contact lenses, Vomitting, Hepatitis, influenza-like rxn, Thrombocytopenia, Pruritus, Oral contraceptives may be ineffective
Pyrazinamide SE
Hyperuricemia
Hepatotoxic effects,
Arthralgia,
GI upset
Streptomycin SE
Auditory and vestibular toxic effects,
Nephrotoxic effects,
Rash
Isioniazid SE
Mild hepatic enzyme elevation,
Hepatitis,
Perpheral neuritis,
Hypersensitivity
Pertussis, kailan whoop
Paroxysmal stage
2-4 weeks
Whooping
Pertussis 3 stages
- Catarrhal
- Paroxysmal
- Convalescent
Most common complication of pertussis
Pneumonia
Pertussis tx most effextive when given
1st 2 weeks of illness
Stages of Syphilis
- Primary
- secondary
- Tertiary
Syphilis. Which phase with painless indurated ulcer
Primary
Characteristic lesion during secondary syphilis
Skin lesions, condyloma acuminata
Congenital syphilis. Early onset when
1st 2yrs of life
Syphilis late onset characteristic
Hutchinson triad:
interstitial keratitis
Mulberry molars
8th nerve deafness
Stigmata of congenital syphilis
Saddle nose,
Hutchinson’s teeth
Shigellosis DOC accdg to WHO
ciprofloxacin
S/Sx bloody diarrhea (dysentery), fever, abd cramps neurologic
Shigellosis
Cholera S/Sx
voluminous diarrhea (rice water)
Dx of cholera
Hx shellfish, stool
Cholera Cx
renal, cardio, coma
Cholera tx
Correct hydration,
Electrolyte imbalance,
Give antibiotics
E. Coli infxn with non bloody diarrhea
ETEC
E coli infxn with bloody diarrhea
EIEC
E coli hemolytic uremic syndrome
- microang…
- ## thrombocytopenia
Tetanus form
most common clinical form
Generalized tetanus
Hallmark of Staph infxn
Abscess
Most common staph
S. Aureus
Staph in skin
S. Epidermidis
S. Aureus where
Ant nares
Staph. Uti
S. Saprophyticus
Staph infection. Direct baterial infxn. Most common cause of
Osteomyelitis
Septic arthritis
Normal wbc in children
5000-10000
Tx for mrsa
Vancomycin
Staphylococcal toxic shock syndrome usually due to
Use of tampons
SSSS aka
Ritter’s Dse
Streptococcal Pharyngitis Cx
Rheumatic fever
Kaya dapat 10days tx
Honey crusted, cigarette burn appearance
Impetigo contangiosa
Erypsielas aka
St. Elmos fire
Erysipelas
Sharply ddefined slightly elevated
Skin andsubQ
Scarlet fever
Strawberry tongue
Sand paper like rash which later desquamates
Salmonellosis (typhoid fever)
2nd week Ms
Rose spots
Dx of salmonellosis typhoid fever
Blood 1st wk
Urine 1st 2 wks
Stool and bone marrow throughout the course
Salmonellosis typhoid fever doc
Chloramphenicol
Except for pt with g6pd
Canned goods
Botulism
C. Botulinum neutoxin
Botulism presentation
Flaccid paralysis
Pseudomembrane colitis
C. Difficile
Waterhouse friderichsen syndrome
Adrenal failure due to bleeding……
Meningococcal infxn
Pseudomembrane on nose, larynx, pharynx
Diphtheria
Bull beck or neck swelling, but not always present
Diphtheria
Diphtheria vaccine
DPR
dT or Td for adult
H. Influenza infxn clinical forma
Bacterial meningitis
Acute epiglotitis (medical emergency)
Acute pneumonia
Others: septic arthritis. Cellulitis, otitis media, etc
Leptospirosis urine from which animals
Rat, dog, cat, livestock
3 stages of leptospirosis
- Febrile phase
- Nin icteric phase
- Icteric phase
Bad prognostic sign in leptospirosis
Jaundice
Leptospirosis
Reaction which develops after penicillin therapy
Jarisch Herxheimer Reaction
Tb mot
Asolescent to children
Tb clinical Ms
> 2 wks cough/wheezing
2 wks fever
Painless cervical &/or other lymphadenopathy
Poor wt gain
Failure to make a quick return to normal health after an infxn
Failure to respond to antibiotic therapy
PPD / Mantoux Test
Read after
48-62 h
Tertiary syphilis ms
Gumma
(-) fever
(-) condyloma acuminata
Late congenital syphilis
Secondary hemolytic anemia